Melo Thania Maion, Cunha Flávia Luciana Lobo, Bezerra Laylla Marjorye Rebouças, Salemi Marianna, de Albuquerque Vanessa Alves, de Alencar Geisa Guimaraes, de Siqueira Gisela Rocha
Department of Physiotherapy, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
J Chiropr Med. 2023 Mar;22(1):11-19. doi: 10.1016/j.jcm.2022.05.004. Epub 2022 Jul 20.
The purpose of this study was to assess abdominal and diaphragmatic mobility in adults with chronic gastritis compared with healthy individuals and to analyze the impact of chronic gastritis on musculoskeletal signs and symptoms of the cervical and thoracic spine.
This was a cross-sectional study conducted by the physiotherapy department at the Universidade Federal de Pernambuco in Brazil. Fifty-seven individuals participated, 28 with chronic gastritis (gastritis group [GG]) and 29 healthy individuals (control group [CG]). We assessed the following: restricted abdominal mobility in the transverse, coronal, and sagittal planes; diaphragmatic mobility; restricted cervical vertebral segmental mobility; restricted thoracic vertebral segmental mobility; and pain on palpation, asymmetry, and density and texture of the soft tissues on the cervical and thoracic spine. The measure of diaphragmatic mobility was assessed with ultrasound imaging. The Fisher exact and χ tests were applied to compare the groups (GG and CG) in relation to the restricted mobility of the abdominal tissues near the stomach on all planes and diaphragm, and the independent samples test to compare the mobility measurements of the diaphragm. A significance level of 5% was considered for all tests.
Restricted abdominal mobility in all directions ( < .05) was greater in GG when compared with CG except for the counterclockwise direction ( = .09). In GG, 93% of the individuals presented restricted diaphragmatic mobility, with a mean mobility of 3.1 ± 1.9 cm, and in the CG, 36.8% with a mean of 6.9 + 1.7 cm ( < .001). The GG presented a higher occurrence of restricted rotation and lateral glide mobility of the cervical vertebrae, pain to palpation, and density and texture dysfunction of the adjacent tissues when compared with CG ( < .05). In the thoracic region, there was no difference between GG and CG regarding musculoskeletal signs and symptoms.
Individuals with chronic gastritis presented greater abdominal restriction and lower diaphragmatic mobility, in addition to a higher occurrence of musculoskeletal dysfunction in the cervical spine when compared with healthy individuals.
本研究旨在评估慢性胃炎成人患者与健康个体相比的腹部和膈肌活动度，并分析慢性胃炎对颈椎和胸椎肌肉骨骼体征和症状的影响。
这是巴西伯南布哥联邦大学物理治疗系进行的一项横断面研究。57人参与，28例慢性胃炎患者（胃炎组[GG]）和29例健康个体（对照组[CG]）。我们评估了以下内容：横、冠和矢状面的腹部活动受限；膈肌活动度；颈椎节段活动受限；胸椎节段活动受限；以及颈椎和胸椎触诊疼痛、不对称以及软组织密度和质地。膈肌活动度通过超声成像评估。应用Fisher精确检验和χ检验比较两组（GG和CG）在胃附近所有平面的腹部组织活动受限情况以及膈肌活动度，应用独立样本检验比较膈肌活动度测量值。所有检验的显著性水平均设定为5%。
与CG相比，GG在所有方向上的腹部活动受限程度更高（ <.05），逆时针方向除外（ = 0.09）。在GG组中，93%的个体存在膈肌活动受限，平均活动度为3.1±1.9厘米，而在CG组中，这一比例为36.8%，平均活动度为6.9 + 1.7厘米（ <.001）。与CG相比，GG组颈椎旋转和侧方滑动活动受限、触诊疼痛以及相邻组织密度和质地功能障碍的发生率更高（ <.05）。在胸椎区域，GG和CG在肌肉骨骼体征和症状方面没有差异。
与健康个体相比，慢性胃炎患者除了颈椎肌肉骨骼功能障碍发生率更高外，还存在更大程度的腹部活动受限和更低的膈肌活动度。
