The Effect of Posture on the Diaphragm: Difference between revisions

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Hodges et al deduced that altered diaphragm function leads to core muscles instability, which will further lead to other systemic and musculoskeletal disorders including spinal instability. <ref>Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. [https://link.springer.com/article/10.1007/s00221-002-1040-x Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration.] Experimental brain research. 2002 Jun;144(3):293-302.</ref>
Hodges et al deduced that altered diaphragm function leads to core muscles instability, which will further lead to other systemic and musculoskeletal disorders including spinal instability. <ref>Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. [https://link.springer.com/article/10.1007/s00221-002-1040-x Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration.] Experimental brain research. 2002 Jun;144(3):293-302.</ref>


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== Kyphotic posture: ==
== Kyphotic posture: ==
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Kyphosis can be a resultant of torticollis and FHP leading to development of secondary thoracic curve to compensate for flattening of the cervical spine curve.  Alteration of cervicothoracic mobility impairs normal breathing mechanics by reducing diaphragm mobility and strength. <ref>Chaitow L. [https://www.bodyworkmovementtherapies.com/article/S1360-8592(14)00139-9/fulltext Functional movement and breathing dysfunction.] Journal of bodywork and movement therapies. 2016 Jul 1;20(3):455-6.</ref>
Kyphosis can be a resultant of torticollis and FHP leading to development of secondary thoracic curve to compensate for flattening of the cervical spine curve.  Alteration of cervicothoracic mobility impairs normal breathing mechanics by reducing diaphragm mobility and strength. <ref>Chaitow L. [https://www.bodyworkmovementtherapies.com/article/S1360-8592(14)00139-9/fulltext Functional movement and breathing dysfunction.] Journal of bodywork and movement therapies. 2016 Jul 1;20(3):455-6.</ref>


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Apply this to patients in ICU beds and prolonged bedrest
Apply this to patients in ICU beds and prolonged bedrest


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{{#ev:youtube|a-XUTeQQFjU}}


== References ==
== References ==

Revision as of 10:08, 7 October 2021

Original Editor - Carin Hunter based on the course by Rina Pandya
Top Contributors - Ewa Jaraczewska, Carin Hunter, Jess Bell, Lucinda hampton, Merinda Rodseth and Kim Jackson

Effect of posture on Diaphragm[edit | edit source]

Forward head posture (FHP) and kyphosis have been shown to alter the breathing mechanism including diaphragm mobility

Forward head posture[edit | edit source]

Increased degree of FHP has a bearing effect on chest expansion and respiratory muscles activities which can lead to reduced alveolar ventilation. [1] This could be a result of temporary entrapment of the phrenic nerve, which supplies the diaphragm, reduces it neural activity, and consequently weakens the diaphragm activity. [2]

Hodges et al deduced that altered diaphragm function leads to core muscles instability, which will further lead to other systemic and musculoskeletal disorders including spinal instability. [3]

Kyphotic posture:[edit | edit source]

The approximation of ribs and pelvis in subjects with slumped and kyphotic posture has been shown to increase intra-abdominal pressure making movement of diaphragm difficult, leading to reduced lung capacity and inspiratory flow. [4]

Kyphosis can be a resultant of torticollis and FHP leading to development of secondary thoracic curve to compensate for flattening of the cervical spine curve.  Alteration of cervicothoracic mobility impairs normal breathing mechanics by reducing diaphragm mobility and strength. [5]

Apply this to patients in ICU beds and prolonged bedrest

References[edit | edit source]

  1. Okuro RT, Morcillo AM, Ribeiro MÂ, Sakano E, Conti PB, Ribeiro JD. Mouth breathing and forward head posture: effects on respiratory biomechanics and exercise capacity in children. Jornal Brasileiro de Pneumologia. 2011;37:471-9.
  2. Lane MA. Spinal respiratory motoneurons and interneurons. Respiratory physiology & neurobiology. 2011 Oct 15;179(1):3-13.
  3. Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Experimental brain research. 2002 Jun;144(3):293-302.
  4. Lin F, Parthasarathy S, Taylor SJ, Pucci D, Hendrix RW, Makhsous M. Effect of different sitting postures on lung capacity, expiratory flow, and lumbar lordosis. Archives of physical medicine and rehabilitation. 2006 Apr 1;87(4):504-9.
  5. Chaitow L. Functional movement and breathing dysfunction. Journal of bodywork and movement therapies. 2016 Jul 1;20(3):455-6.