Bordoni Bruno
Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA.
Cureus. 2020 Apr 23;12(4):e7794. doi: 10.7759/cureus.7794.
Working on the diaphragm muscle and the connected diaphragms is part of the respiratory-circulatory osteopathic model. The breath allows the free movement of body fluids and according to the concept of this model, the patient's health is preserved thanks to the cleaning of the tissues by means of the movement of the fluids (blood, lymph). The respiratory muscle has several systemic connections and multiple functions. The founder of osteopathic medicine emphasized the importance of the thoracic diaphragm and body health. The five diaphragms (tentorium cerebelli, tongue, thoracic outlet, thoracic diaphragm and pelvic floor) represent an important tool for the osteopath to evaluate and find a treatment strategy with the ultimate goal of patient well-being. The two articles highlight the most up-to-date scientific information on the myofascial continuum for the first time. Knowledge of myofascial connections is the basis for understanding the importance of the five diaphragms in osteopathic medicine. In this first part, the article reviews the systemic myofascial posterolateral relationships of the respiratory diaphragm; in the second I will deal with the myofascial anterolateral myofascial connections.
作用于膈肌及相连的膈膜是呼吸 - 循环整骨模型的一部分。呼吸可使体液自由流动，根据该模型的理念，借助体液（血液、淋巴）的流动对组织进行清洁，从而维持患者的健康。呼吸肌有多种全身连接和多种功能。整骨医学的创始人强调了胸段膈肌与身体健康的重要性。五个膈膜（小脑幕、舌、胸廓出口、胸段膈肌和盆底）是整骨师评估并找到治疗策略以最终实现患者健康的重要工具。这两篇文章首次突出了关于肌筋膜连续体的最新科学信息。肌筋膜连接的知识是理解五个膈膜在整骨医学中重要性的基础。在第一部分，本文回顾了呼吸膈肌的全身肌筋膜后外侧关系；在第二部分，我将探讨肌筋膜前外侧连接。
