Evaluation from the effects of the myofascial release over the diaphragm muscle

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.21416

Keywords:

Fascia; Musculoskeletal Manipulations; Diaphragm; Physical therapy modalities.

Abstract

Objective: Evaluate the effects from the Instrument Assist Soft Tissue Mobilization (IASTM) Gustavo Pilon Concept, the instrumental method of myofascial manipulation, over the diaphragm muscle. Methodology: study accomplished with a volunteer from the feminine sex, with 21 years old, resident in the Uruguaiana/RS city. She underwent respiratory muscle strength assessment and a diaphragm ultrasound evaluation, before and after the intervention, in which were applied the myofascial instrumental release method technique, Gustavo Pilon Concept. Results: Regarding the respiratory muscle strength, translated by the Maximum Inspiratory Pressure (MIP) and the maximal expiratory pressure (MEP), it was verified, respectively at 3 momentums (M1, M2, M3): MIP of 119cmH 2 O, 95cmH 2 O and 95cmH2O; MEP of 112cmH2O, 102cmH2O and 109cmH2O. Furthermore, in relation to the Muscle Thickness (MT), where formed 3 measures in each momentum, to know: M1 as MT of 2,4cm, 2,4mm and 2,4cm; M2 as MT of 2,4cm, 2,4cm and 2,3cm; also M3 as MT of 2,8cm, 2,8cm and 2,8cm. Conclusion: In the present study there was no increase in the respiratory muscle strength between the evaluated momentums. Regarding the diaphragm thickness, in only one intervention, was verified an improvement in the diaphragm muscle length.

References

Alves, J. P., Lins, A. G. T., Barros, T. L. D., & Farah, B. Q (2017). Comparação entre liberação miofascial e alongamento na flexibilidade em adultos. https://docplayer.com.br/81304347-Comparacao-entre-liberacao-miofascial-e-alongamento-na-flexibilidade-em-adultos.html.

Ajimsha, M. S., Al-Mudahka, N. R., & Al-Madzhar, J. A. (2015). Effectiveness of myofascial release: systematic review of randomized controlled trials. Journal of bodywork and movement therapies, 19(1), 102–112. https://doi.org/10.1016/j.jbmt.2014.06.001

Braga, D. K. A. P., Marizeiro, D. F., Florêncio, A. C. L., Teles, M. D., Silva, Í. C., Santos-júnior, F. F. U & Campos, N. G. (2020). Terapia manual no músculo diafragma: efeito na força muscular respiratória e na mobilidade torácica. Manual Therapy, Posturology & Rehabilitation Journal, 1-5.

Caruso P., Albuquerque A. L. P, Santana P. V., Cardenas, L. Z., Ferreira, J. G., Prina, E. et al. (2015). Diagnostic methods to assess inspiratory and expiratory muscle strength* *Study carried out in the Department of Pulmonology, Instituto do Coração - Incor, Heart Institute - University of São Paulo School of Medicine Hospital das Clínicas, São Paulo, Brazil. Jornal Brasileiro de Pneumologia. 41(2), 110-23. https://doi.org/10.1590/S1806-37132015000004474“.

Costa, D., Sampaio, L. M. M., Lorenzzo, V. A. P. D., Jamami, M. & Damaso, A. R. (2003). Avaliação da força muscular respiratória e amplitudes torácicas e abdominais após a RFR em indivíduos obesos. Revista Latino-Americana de Enfermagem [online]. 2003. 11(2) https://doi.org/10.1590/S0104-1169200300020000.3

Goetten, D.G. (2018). Efeitos Da Liberação Miofascial: Uma Revisão Da Literatura. 25 f. Monografia (Especialização) - Curso de Fisiologia do Exercicio, Universidade Federal do Paraná, Curitiba, 2018.

Grosu, H. B., Lee, Y. I., Lee, J., Eden, E., Eikermann, M., & Rose, K. M. (2012). Diaphragm muscle thinning in patients who are mechanically ventilated. Chest, 142(6), 1455–1460. https://doi.org/10.1378/chest.11-1638

Hammer, W.I. (2003). Exame funcional dos tecidos moles e tratamento por métodos manuais: novas perspectivas. 2 ed. Rio de Janeiro: Guanabara Koogan.

Henrique, R. C. ; Pfister, A. P. L. & Ferreira, R. L. S. (2019). Efeito agudo da liberação miofascial instrumental na modulação autonômica cardíaca em mulheres jovens praticantes de musculação. Conexão Ciência (online), (14),.21-30, 5 abr. Fundacao Educacional de Formiga - FUOM.

Kendall, F. P. ; Mccreary, E. K. & Provance, P. G. (1995). Músculos: provas e funções com postura e dor. Manole, 453.

McCool, F. D., Benditt, J. O., Conomos, P., Anderson, L., Sherman, C. B., & Hoppin, F. G., Jr (1997). Variability of diaphragm structure among healthy individuals. American journal of respiratory and critical care medicine, 155(4), 1323–1328. https://doi.org/10.1164/ajrccm.155.4.9105074

Moreno M. A., Catai A. M., Teodori R. M., Borges B. L. A., Cesar M. C. & Silva E. (2007). Effect of a muscle stretching program using the Global Postural Reeducation method on respiratory muscle strength and thoracoabdominal mobility of sedentary young males. J Bras Pneumol. 33(6):679-686. https://doi.org/10.1590/S1806-37132007000600011.

Moury P. H., Cuisinier A., Durand M., Bosson J. L., Chavanon O., Payen J. F., Jaber S. & Albaladejo P. (2019). Diaphragm thickening in cardiac surgery: a perioperative prospective ultrasound study. Ann. Intensive Care, 9:50, 1-11. https://doi.org/10.1186/s13613-019-0521-z.

Nair A., Alaparthi, G. K., Krishnan, S., Rai, S., Anand, R., Acharya, V. & Acharya, P. (2019). Comparison of Diaphragmatic Stretch Technique and Manual Diaphragm Release Technique on Diaphragmatic Excursion in Chronic Obstructive Pulmonary Disease: A Randomized Crossover Trial. Pulmonary medicine, 2019, 6364376. https://doi.org/10.1155/2019/6364376

Novaes, P. A., Sanchez, E. G. M., & Sanchez, H. M. (2013). Medida das pressões respiratórias máximas em jovens saudáveis antes e após manobra de liberação diafragmática. Movimento & saúde, Revista Inspirar, jun./jul. (5),1-5.

Pavan, P. G., Pachera, P., Forestiero, A., & Natali, A. N. (2017). Investigation of interaction phenomena between crural fascia and muscles by using a three-dimensional numerical model. Medical & biological engineering & computing, 55(9), 1683–1691. https://doi.org/10.1007/s11517-017-1615-0.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.

Rocha, T., Souza, H., Brandão, D. C., Rattes, C., Ribeiro, L., Campos, S. L., Aliverti, A., & de Andrade, A. D. (2015). The Manual Diaphragm Release Technique improves diaphragmatic mobility, inspiratory capacity and exercise capacity in people with chronic obstructive pulmonary disease: a randomised trial. Journal of physiotherapy, 61(4), 182–189. https://doi.org/10.1016/j.jphys.2015.08.009

Schepens, T., Verbrugghe, W., Dams, K., Corthouts, B., Parizel, P. M., & Jorens, P. G. (2015). The course of diaphragm atrophy in ventilated patients assessed with ultrasound: a longitudinal cohort study. Critical care (London, England), 19, 422. https://doi.org/10.1186/s13054-015-1141-0

Sutton, B (2016). The Science of Self-Myofascial Release. Retrieved February, (9).

Published

17/10/2021

How to Cite

NICORENA, C. G. .; PEREIRA, L. da S. .; VITTI, J. D. .; CARVALHO, M. T. X. .; CASTRO, A. A. M. de .; PILON, G. .; SERRÃO JÚNIOR, N. F. . Evaluation from the effects of the myofascial release over the diaphragm muscle. Research, Society and Development, [S. l.], v. 10, n. 13, p. e417101321416, 2021. DOI: 10.33448/rsd-v10i13.21416. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21416. Acesso em: 14 nov. 2024.

Issue

Section

Health Sciences