J Back Musculoskelet Rehabil. 2022;35(3):517-523. doi: 10.3233/BMR-210143.
BACKGROUND: Thoracic mobilisation improves thoracic hyperkyphosis and respiratory function. Diaphragmatic excursion is associated with respiratory function; however, limited studies have assessed the effect of thoracic mobilisation on diaphragmatic excursion. OBJECTIVE: This study aimed to investigate the effects of thoracic mobilisation on diaphragmatic excursion and respiratory function in individuals with thoracic hyperkyphosis. METHODS: Participants were recruited through Internet advertising and participated voluntarily. Nineteen healthy participants (age: 33.37 ± 6.56 years; height: 170.32 ± 7.92 cm; weight: 69.77 ± 14.70 kg) with thoracic hyperkyphosis underwent thoracic mobilisation for 8 weeks. Diaphragmatic excursion, thoracic kyphosis, and respiratory function were measured. Thoracic mobilisation was provided using a mechanical massage device. RESULTS: Thoracic mobilisation for 8 weeks significantly improved diaphragmatic excursion during deep breathing (p= 0.015), forced vital capacity (p< 0.01), and thoracic hyperkyphosis (p< 0.01). CONCLUSIONS: Thoracic mobilisation can be recommended in respiratory rehabilitation programs to increase diaphragmatic excursion and respiratory function for the management and prevention of respiratory dysfunction in individuals with thoracic hyperkyphosis.
背景:胸椎活动度改善胸椎后凸和呼吸功能。膈肌活动度与呼吸功能有关;然而,有限的研究评估了胸椎活动度对膈肌活动度的影响。 目的:本研究旨在探讨胸椎活动度对胸椎后凸患者膈肌活动度和呼吸功能的影响。 方法:通过互联网广告招募参与者,并自愿参加。19 名健康参与者(年龄:33.37 ± 6.56 岁;身高:170.32 ± 7.92 厘米;体重:69.77 ± 14.70 公斤)患有胸椎后凸症,接受了 8 周的胸椎活动度治疗。测量了膈肌活动度、胸椎后凸和呼吸功能。使用机械按摩设备进行胸椎活动度治疗。 结果:8 周的胸椎活动度治疗显著改善了深呼吸时的膈肌活动度(p=0.015)、用力肺活量(p<0.01)和胸椎后凸(p<0.01)。 结论:在呼吸康复计划中可以推荐胸椎活动度治疗,以增加膈肌活动度和呼吸功能,从而管理和预防胸椎后凸患者的呼吸功能障碍。
BMC Musculoskelet Disord. 2022-5-28
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