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

2021 ◽  
pp. 1-7
Author(s):  
Sung-Hoon Jung ◽  
Ui-Jae Hwang ◽  
Sun-Hee Ahn ◽  
Jun-Hee Kim ◽  
Oh-Yun Kwon
Keyword(s):  
Thoracic Spine ◽  
Respiratory Function ◽  
Thoracic Kyphosis ◽  
Vital Capacity ◽  
Deep Breathing ◽  
Respiratory Dysfunction ◽  
Rehabilitation Programs ◽  
Thoracic Hyperkyphosis ◽  
Healthy Participants ◽  
Respiratory Rehabilitation

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.

Improved Respiratory Function and Analgesia Control after Endovascular AAA Repair

1997 ◽  
Vol 4 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Jonathan R. Boyle ◽  
Jonathan P. Thompson ◽  
Matthew M. Thompson ◽  
Robert D. Sayers ◽  
Graham Smith ◽  
...  
Keyword(s):  
Respiratory Function ◽  
Vital Capacity ◽  
Endovascular Aneurysm Repair ◽  
Forced Expiratory Volume ◽  
Conventional Surgery ◽  
Abdominal Incision ◽  
Respiratory Dysfunction ◽  
Perioperative Analgesia ◽  
Abdominal Aortic ◽  
Aneurysm Repair

Purpose: Endovascular abdominal aortic aneurysm (AAA) repair has been proposed as a minimally invasive alternative to conventional surgery and may offer significant advantages in respiratory function and analgesic requirements due to the absence of an abdominal incision. Methods: Respiratory function and analgesic requirements were quantified in 22 age-matched patients undergoing aneurysm repair under general anesthesia. Twelve patients underwent endovascular aneurysm repair, while 10 AAA patients had conventional surgery. One endovascular patient required conversion to conventional repair. Results: The endovascular group required postoperative artificial ventilation for a shorter time (6 versus 21 hours, p < 0.05) and had lower PCA (patient-controlled analgesia) morphine consumption (41 versus 133 mg, p < 0.05) than the conventional group. The endovascular group also had significantly better forced expiratory volume and forced vital capacity at both 3 and 5 days when expressed as percentages of the preoperative values (p < 0.05). Conclusions: Endovascular AAA repair attenuates respiratory dysfunction associated with conventional surgery and reduces perioperative analgesia requirements.

scholarly journals The Effects of Cervical Stabilization Exercises with Breathing Exercises on Respiratory Function in Subjects with Forward Head Posture

2021 ◽  
Vol 16 ◽  
pp. 486-492
Author(s):  
Lijun Yu ◽  
Qian Gu ◽  
Taeho Kim
Keyword(s):  
Thoracic Spine ◽  
Forced Vital Capacity ◽  
Respiratory Function ◽  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Forward Head Posture ◽  
Head Posture ◽  
Breathing Exercises ◽  
Before And After ◽  
And Control

This study aimed to compare the effects of cervical stabilization exercises with breathing exercises and cervical stabilization exercises with thoracic spine extension exercises on respiratory function in subjects with forward head posture (FHP). The study included 30 adults with FHP. They were divided into two groups—experimental (EG) and control (CG)—with 15 participants in each group. The EG was asked to perform cervical stabilization exercises with breathing exercises, and the CG was asked to perform cervical stabilization exercises with thoracic spine extension exercises. After 4 weeks of exercise, the changes in respiratory function were measured again. The results showed significant differences in the EG before and after exercise in terms of forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced vital capacity/vital capacity max (FVC/VCmax%) (p < 0.05). The CG showed only a significant increase in FVC, FEV1, and FVC/VCmax% after the experiment (p < 0.05). In the between-group comparison, there were significant differences noted in FVC, FEV1, PEF, and FVC/VCmax% in the EG compared to the CG (p < 0.05). As a result, cervical stabilization exercises with breathing exercises are recommended to promote respiratory function.

scholarly journals Non-uniform Segmental Range of Motion of the Thoracic Spine During Maximal Inspiration and Exhalation in Healthy Subjects

2021 ◽  
Vol 8 ◽  
Author(s):  
Jesús Burgos ◽  
Carlos Barrios ◽  
Gonzalo Mariscal ◽  
Alejandro Lorente ◽  
Rafael Lorente
Keyword(s):  
Range Of Motion ◽  
Thoracic Spine ◽  
Thoracic Kyphosis ◽  
Cross Sectional Study ◽  
Sagittal Profile ◽  
Deep Breathing ◽  
Cross Sectional ◽  
Wide Range ◽  
Relevant Role ◽  
Study Participants

Background and Objective: To analyse the range of motion of the thoracic spine by radiographically measuring changes in the sagittal profile of different thoracic segments during maximal inspiration and exhalation. The starting hypothesis was that forced deep breathing requires an active, but non-uniform widening of the lordotic–kyphotic range of motion of the different thoracic segments.Methods: Cross-sectional study. Participants were 40 healthy volunteers aged 21–60. Conventional anteroposterior and functional sagittal chest radiographs were performed during maximal inspiration and exhalation. The range of motion of each spinal thoracic functional segment, global T1–T12 motion, and the sagittal displacement of the thoracic column during breathing were measured. Considering the different type of ribs and their attachment the spine and sternum, thoracic segments were grouped in T1–T7, T7–T10, and T10–T12. The displacement of the thoracic spine with respect to the sternum and manubrium was also recorded.Results: The mean difference from inspiration to exhalation in the T1–T12 physiologic kyphosis was 15.9° ± 4.6°, reflecting the flexibility of the thoracic spine during deep breathing (30.2%). The range of motion was wider in the caudal hemicurve than in the cranial hemicurve, indicating more flexibility of the caudal component of the thoracic kyphosis. A wide range of motion from inspiration to exhalation was found at T7–T10, responsible for 73% of T1–T12 sagittal movement. When the sample was stratified according to age ranges (20–30, 30–45, and 45–60 yr.), none of the measurements for inspiration or exhalation showed statistically significant differences.Only changes at this level showed a positive correlation with changes in the global thoracic kyphosis (r = 0.794, p &lt;0.001).Conclusion: The range of motion of the thoracic spine plays a relevant role in respiration dynamics. Maximal inspiration appears to be highly dependent on the angular movements of the T7–T10 segment.

scholarly journals Tactile spatial discrimination on the torso using vibrotactile and force stimulation

2021 ◽  
Author(s):  
Atena Fadaei Jouybari ◽  
Matteo Franza ◽  
Oliver Alan Kannape ◽  
Masayuki Hara ◽  
Olaf Blanke
Keyword(s):  
Thoracic Spine ◽  
Communication Systems ◽  
Force Feedback ◽  
Spatial Discrimination ◽  
Dynamic Force ◽  
Tactile Information ◽  
Tactile Displays ◽  
The Relationship ◽  
Healthy Participants

AbstractThere is a steadily growing number of mobile communication systems that provide spatially encoded tactile information to the humans’ torso. However, the increased use of such hands-off displays is currently not matched with or supported by systematic perceptual characterization of tactile spatial discrimination on the torso. Furthermore, there are currently no data testing spatial discrimination for dynamic force stimuli applied to the torso. In the present study, we measured tactile point localization (LOC) and tactile direction discrimination (DIR) on the thoracic spine using two unisex torso-worn tactile vests realized with arrays of 3 × 3 vibrotactile or force feedback actuators. We aimed to, first, evaluate and compare the spatial discrimination of vibrotactile and force stimulations on the thoracic spine and, second, to investigate the relationship between the LOC and DIR results across stimulations. Thirty-four healthy participants performed both tasks with both vests. Tactile accuracies for vibrotactile and force stimulations were 60.7% and 54.6% for the LOC task; 71.0% and 67.7% for the DIR task, respectively. Performance correlated positively with both stimulations, although accuracies were higher for the vibrotactile than for the force stimulation across tasks, arguably due to specific properties of vibrotactile stimulations. We observed comparable directional anisotropies in the LOC results for both stimulations; however, anisotropies in the DIR task were only observed with vibrotactile stimulations. We discuss our findings with respect to tactile perception research as well as their implications for the design of high-resolution torso-mounted tactile displays for spatial cueing.

Non-Contact Measurement of Respiratory Function for Judging the Effect of Respiratory Rehabilitation in Patients With SMID

2020 ◽  
Author(s):  
Remi Kosumi ◽  
Ryota Sakamoto ◽  
Norihiko Kato ◽  
Ken’ichi Yano ◽  
Shotaro Iwamoto ◽  
...  
Keyword(s):  
Respiratory Function ◽  
Direct Contact ◽  
Three Dimensional ◽  
Mental Disabilities ◽  
Gas Analyzer ◽  
Contact Measurement ◽  
Respiratory Parameters ◽  
Severe Motor ◽  
Expired Gas ◽  
Respiratory Rehabilitation

Abstract Patients with SMID (severe motor and intellectual disabilities) have severe limb disorders and severe mental disabilities. More than half of their deaths are due to respiratory disorders. Therefore, respiratory rehabilitation is important. The effect of respiratory rehabilitation is generally determined by measuring respiratory volume and rate with an expired gas analyzer. However, the equipment is expensive and requires direct contact, making it difficult to use. The purpose of this research is to develop a non-contact measurement system for respiratory function to assess the effect of respiratory rehabilitation in patients with SMID. The proposed method detects respiration by depth change of the abdomen measured using a three-dimensional camera designed to identify body tremor /motion and respiration based on respiratory parameters and individually adapted parameters. Finally, we verify the rehabilitation effect of an RTX respirator on patients with SMID and the effectiveness of the proposed method in an experiment.

Structure of the latissimus dorsi muscle and respiratory function

1995 ◽  
Vol 78 (3) ◽  
pp. 1132-1139 ◽  
Author(s):  
M. Orozco-Levi ◽  
J. Gea ◽  
J. Sauleda ◽  
J. M. Corominas ◽  
J. Minguella ◽  
...  
Keyword(s):  
Forced Vital Capacity ◽  
Respiratory Function ◽  
Latissimus Dorsi ◽  
Vital Capacity ◽  
Reference Value ◽  
Latissimus Dorsi Muscle ◽  
Type I ◽  
Type Ii ◽  
Capacity Ratio ◽  
Dorsi Muscle

The aim of this study was to evaluate whether respiratory function influences the structure of the latissimus dorsi muscle (LD). Twelve patients (58 +/- 10 yr) undergoing thoracotomy were studied. Lung and respiratory muscle function were evaluated before surgery. Patients showed a forced expired volume in 1 s (FEV1) of 67 +/- 16% of the reference value, an FEV1-forced vital capacity ratio of 69 +/- 9%, a maximal inspiratory pressure of 101 +/- 21% of the reference value, and a tension-time index of the diaphragm (TTdi) of 0.04 +/- 0.02. When patients were exposed to 8% CO2 breathing, TTdi increased to 0.06 +/- 0.03 (P < 0.05). The structural analysis of LD showed that 51 +/- 5% of the fibers were type I. The diameter was 56 +/- 9 microns for type I fibers and 61 +/- 9 microns for type II fibers, whereas the hypertrophy factor was 87 +/- 94 and 172 +/- 208 for type I and II fibers, respectively. Interestingly, the histogram distribution of the LD fibers was unimodal in two of the three individuals with normal lung function and bimodal (additional mode of hypertrophic fibers) in seven of the nine patients with chronic obstructive pulmonary disease. An inverse relationship was found between the %FEV1-forced vital capacity ratio and both the diameter of the fibers (type I: r = -0.773, P < 0.005; type II: r = -0.590, P < 0.05) and the hypertrophy factors (type I: r = -0.647, P < 0.05; type II: r = -0.575, P = 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Respiratory Function and the Influence of Inspiratory Muscle in Vital Capacity in Parkinsons Disease

2016 ◽  
Vol 06 (06) ◽  
Author(s):  
Roberta Lins Goncalves ◽  
Jeronimo Correia Barbosa Neto ◽  
Cassio Daniel Araujo da Silva
Keyword(s):  
Respiratory Function ◽  
Vital Capacity ◽  
Inspiratory Muscle ◽  
Parkinsons Disease

scholarly journals Sagittal spinal morphotype assessment in 8 to 15 years old Inline Hockey players

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8229 ◽  
Author(s):  
Pilar Sainz de Baranda ◽  
Antonio Cejudo ◽  
Victor Jesus Moreno-Alcaraz ◽  
Maria Teresa Martinez-Romero ◽  
Alba Aparicio-Sarmiento ◽  
...  
Keyword(s):  
Thoracic Kyphosis ◽  
Pelvic Tilt ◽  
Joint Angle ◽  
Standing Position ◽  
Lumbar Curve ◽  
Young Athletes ◽  
Spinal Curvatures ◽  
Hockey Players ◽  
Thoracic Hyperkyphosis ◽  
And Performance

Background Physiological sagittal spinal curvatures play an important role in health and performance in sports. For that reason, several scientific studies have assessed spinal morphology in young athletes. However, to our knowledge, no study has assessed the implications of Inline Hockey (IH) practice on sagittal integrative spinal morphotype in adolescent players. Objectives The aims of the present study were to describe habitual sagittal spinal posture in young federated IH players and its relationship with training load and to determine the sagittal integrative spinal morphotype in these players. Methods An observational analysis was developed to describe the sagittal spinal morphotype in young federated IH players. A total of 74 IH players from the Technification Plan organized by the Skating Federation of the Valencian Community (aged from 8 to 15 years) participated in the study. Thoracic and lumbar curvatures of the spine were measured in a relaxed standing position (SP), in a slump sitting position (SSP) and in maximum flexion of the trunk (MFT) to determine the “Sagittal Integrative Morphotype” of all players. An unilevel inclinometer was used to quantify the sagittal spinal curvatures. The Hip Joint Angle test was used to quantify the Lumbo-Horizontal angle in flexion (L-H fx) of all participants with a goniometer. Results When thoracic curvature was analyzed according to normality references, it was found that 64.9% of IH players had thoracic hyperkyphosis in a SSP, while 60.8% and 74.3% of players were classified as normal in a SP and in MFT, respectively. As for the lumbar curve, 89.2% in a SP and 55.4% in MFT were normal, whereas 68.9% of IH players presented lumbar hyperkyphosis in a SSP. Regarding the “Sagittal Integrative Morphotype,” only 17.6% of players were classified as “Normal” in the three measured positions for the thoracic curve, while 37.8% had “Thoracic Hyperkyphosis” and 41.8% presented “Functional Thoracic Hyperkyphosis.” As for the “Sagittal Integrative Lumbar Morphotype,” only 23% of athletes had a normal curve in the three positions, whereas 66.2% presented “Functional Lumbar Hyperkyphosis.” When the L-H fx was evaluated, the results showed that only 16.2% of the athletes were classified as normal. Conclusions Federative IH practice seems to cause specific adaptations in spinal sagittal morphotype. Taking into account the “Sagittal Integrative Morphotype” only 17.6% IH players presented “Normal Morphotype” with a normal thoracic kyphosis in the three measured positions, while only 23% IH players presented “Normal Morphotype” with a normal lumbar curvature in the three assessed positions. Furthermore, only 16.2% of IH players showed normal pelvic tilt. Exercise programs to prevent or rehabilitate these imbalances in young IH players are needed.

scholarly journals Pulmonary function test correlation with subclinical respiratory dysfunction in chronic cervical cord compression

2021 ◽  
Vol 12 (10) ◽  
pp. 64-68
Author(s):  
Manpreet Singh Banga ◽  
Sandeep BV ◽  
Anantha Kishan ◽  
Rajesh Babu Devabhakthuni ◽  
Arun MA ◽  
...  
Keyword(s):  
Respiratory Function ◽  
Clinical Signs ◽  
Posterior Longitudinal Ligament ◽  
Cervical Disc ◽  
Cervical Cord ◽  
Respiratory Complications ◽  
Respiratory Dysfunction ◽  
Male Predominance ◽  
Post Operative Period ◽  
Ossified Posterior Longitudinal Ligament

Background: To assess respiratory function in cervical chronic compressive myelopathy (CCM) patients in pre-operative period, post-operative period and to compare pre-operative status with post-operative status. Aims and Objectives: 1. To assess respiratory function in cervical CCM patients in pre-operative period. 2. To assess respiratory function in cervical CCM patients in post-operative period, following relief of compression. 3. To compare, pre-operative status with post-operative status. Materials and Methods: A prospective study was done in 50 patients with cervical CCM due to either cervical disc disease or ossified posterior longitudinal ligament (OPLL) who were operated. None of the patients included in the study had any clinical signs & symptoms of respiratory dysfunction. Spirometry was performed in pre-operative and postoperative period after 3 months and results were analyzed. Forced vital capacity (FVC), forced expiratory volume in first second (FEV1), ratio of mean FEV1 to FVC (FEVI: FVC%) and peak expiratory flow rate (PEFR) were calculated. Results: Majority of the patients were in their fourth decade of life with male predominance. Thirty-six patients (72%) presented with prolapsed intervertebral disc and 14 patients (28%) had ossified posterior longitudinal ligament (OPLL). Patients were operated depending upon the pathology. The present study showed that there was significant reduction in preoperative FVC, FEV1, PEFR values as compared with predicted values and they showed significant improvement in post-operative period after surgical relief of compression. Conclusion: Significant yet occult respiratory dysfunction in form of impairment of various lung capacities exists in patients with cervical CCM. An objective evaluation of this occult respiratory dysfunction is essential to prognosticate, prevent respiratory complications and to improve post-operative respiratory rehabilitation. Institution of incentive spirometry as a routine in all cervical CCM cases will be of benefit in preventing respiratory complications.

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