Effects of Diaphragmatic Training on Posture and Stability in Asymptomatic Subjects: A Randomized Clinical Trial.

Background: Diaphragm plays an important role in breathing and postural control and the potential factors are potentially involved with suboptimal respiration and suboptimal (faulty) posture and may be associated with musculoskeletal complaints. The zone of apposition is important because it is cont...

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Publicado en:Indian Journal of Physiotherapy & Occupational Therapy Vol. 14; no. 2; pp. 221 - 226
Autores principales: Menon, Vivek Vijayan, Baba, Mudasir Rashid, Pavankumar, Suresh, Sneha
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Institute of Medico-legal publications Pvt Ltd Apr-Jun2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr-Jun2020
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        atl: Effects of Diaphragmatic Training on Posture and Stability in Asymptomatic Subjects: A Randomized Clinical Trial.
      aug:
        au:
          Menon, Vivek Vijayan
          Baba, Mudasir Rashid
          Pavankumar
          Suresh, Sneha
        affil: Assistant Professor, Yenepoya Physiotherapy College, Yenepoya Deemed to be University Deralakatte- Mangalore, Karnataka, India
      sug:
        subj:
          Diaphragm Physiology
          Posture Evaluation
          Stability Evaluation
          Human
          Randomized Controlled Trials
          Random Assignment
          Adult
          Middle Age
          Muscle Strengthening
          Neck Muscles Physiology
          Cervical Vertebrae Physiology
          Single-Blind Studies
          Purposive Sample
          Male
          Female
          Questionnaires
          Photography
          Spirometry
          Descriptive Statistics
          Inferential Statistics
          Nonparametric Statistics
          Proprioception
          India
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Diaphragm plays an important role in breathing and postural control and the potential factors are potentially involved with suboptimal respiration and suboptimal (faulty) posture and may be associated with musculoskeletal complaints. The zone of apposition is important because it is controlled by the abdominal muscles and directs diaphragmatic tension. The smaller the zone of apposition, there will be less inspiratory action of the diaphragm on the rib cage. Objectives: To determine the efficacy of diaphragmatic training on posture and stability in asymptomatic subjects. Study Design: A randomized clinical trial. Method: 38 asymptomatic subjects were randomly assigned in the age group of between 20 to 55 years with poor posture and stability. All the participants were recruited on voluntary basis. The participants were divided into an experimental group (n=19) who were given Diaphragmatic training, Deep Cervical Flexor Strengthening, Thoracic Extensor strengthening and a control group (n=19) who were treated with Deep Cervical Flexor Strengthening, Thoracic extensor strengthening. To evaluate the subjects, two parameters were used photographic measurement to evaluate cranioveterbral angle and star excursion balance test to evaluate dynamic balance. All subjects were evaluated pre intervention and post intervention after the 4 weeks of treatment. Independent t test was used to compare the outcome between the groups and paired t test was used to compare the outcome with in group. Result: Out of the (n=58) participants, 38 participants met with an inclusion criteria . This study concluded that there was a significant difference between the two groups in posture and dynamic balance at 4 weeks. In the experimental group, significant improvements were demonstrated for Star excursion balance test and Craniovertebral angle measurement (P<0.01), compared to the control group where craniovertebral angle was not statistically significant (P>0.01). Conclusion: The effect of diaphragm training along with deep cervical flexor training and thoracic extensor strengthening improve the dynamic stability and balance significantly.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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