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使用机械按摩对胸椎进行松动是否会影响胸椎过度后凸患者的膈肌活动度?

Does mobilisation of the thoracic spine using mechanical massage affect diaphragmatic excursion in individuals with thoracic hyperkyphosis?

出版信息

J Back Musculoskelet Rehabil. 2022;35(3):517-523. doi: 10.3233/BMR-210143.


DOI:10.3233/BMR-210143
PMID:34657875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9198757/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/9b0707ec16e8/bmr-35-bmr210143-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/e7441f8bd785/bmr-35-bmr210143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/8cc213685190/bmr-35-bmr210143-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/9b0707ec16e8/bmr-35-bmr210143-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/e7441f8bd785/bmr-35-bmr210143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/8cc213685190/bmr-35-bmr210143-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05da/9198757/9b0707ec16e8/bmr-35-bmr210143-g003.jpg

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[1]
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引用本文的文献

[1]
Immediate effects of manual therapy on respiratory functions in healthy young individuals: a randomized controlled trial.

Sci Rep. 2024-7-29

[2]
Effects of Muscle Energy Technique and Joint Manipulation on Pulmonary Functions, Mobility, Disease Exacerbations, and Health-Related Quality of Life in Chronic Obstructive Pulmonary Disease Patients: A Quasiexperimental Study.

Biomed Res Int. 2022

本文引用的文献

[1]
Effects of Manual Therapy and Mechanical Massage on Spinal Alignment, Extension Range of Motion, Back Extensor Electromyographic Activity, and Thoracic Extension Strength in Individuals with Thoracic Hyperkyphosis: A Randomized Controlled Trial.

Evid Based Complement Alternat Med. 2020-11-23

[2]
The association between spinal column deformity and breathing function: A systematic review.

J Bodyw Mov Ther. 2020-7

[3]
Effects of a Virtual Reality Dance Training Program on Kyphosis Angle and Respiratory Parameters in Young Women With Postural Hyperkyphosis: A Randomized Controlled Clinical Trial.

J Sport Rehabil. 2020-5-13

[4]
Thoracic Kyphosis and Lumbar Lordosis Assessment by Radiography and Photogrammetry: A Review of Normative Values and Reliability.

J Manipulative Physiol Ther. 2018-10

[5]
Effect of Upright and Slouched Sitting Postures on the Respiratory Muscle Strength in Healthy Young Males.

Biomed Res Int. 2018-2-25

[6]
Diaphragmatic Ultrasound Correlates with Inspiratory Muscle Strength and Pulmonary Function in Healthy Subjects.

Ultrasound Med Biol. 2018-4

[7]
Sex differences in response to targeted kyphosis specific exercise and posture training in community-dwelling older adults: a randomized controlled trial.

BMC Musculoskelet Disord. 2017-12-4

[8]
The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease.

Int J Chron Obstruct Pulmon Dis. 2017-2-21

[9]
A radiographic assessment of lumbar spine posture in four different upright standing positions.

Clin Biomech (Bristol). 2016-8

[10]
Immediate effect of manual therapy on respiratory functions and inspiratory muscle strength in patients with COPD.

Int J Chron Obstruct Pulmon Dis. 2016-6-20

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