Publication: Efectos del tratamiento del músculo diafragma en el dolor y la movilidad del hombro en sujetos con patología del manguito rotador
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2021-05-04
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Universidad Complutense de Madrid
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Abstract
La principal causa de dolor de hombro es la patología inflamatoria o degenerativa del manguito rotador. El hombro y el músculo diafragma tienen una relación clara a través de su inervación y de la conexión mediante tejido miofascial. A nivel de sistema nervioso, varios estudios afirman que el nervio frénico posee ramas comunicantes dirigidas al plexo braquial con conexiones con nervios clave para la musculatura del hombro como el nervio supraescapular, pectoral lateral, axilar, subclavio y dorsal de la escápula, además, la inervación vagal que recibe el diafragma y las conexiones con el sistema nervioso simpático podrían hacer de su tratamiento una vía reseñable en la modulación del dolor en los pacientes con patología del manguito rotador. A esto hay que añadir el posible origen embriológico común en algún tipo de vertebrados. Considerando la conexión a través del sistema miofascial, el efecto que conseguiríamos aumentando la movilidad torácica mediante la terapia manual sobre el diafragma pudiera lograr la mejor funcionalidad de los músculos de la cintura escapular que tienen inserción u origen costal y aquellos que estén asociados fascialmente a él como los músculos pectoral mayor, dorsal ancho y el subescapular...
The rotator cuff inflammatory or degenerative pathology is the main cause of shoulder pain. The shoulder and diaphragm muscle have a clear relation through innervation and the connection through myofascial tissue. In the case of nervous system, according to several studies the phrenic nerve has communicating branches to the brachial plexus with connections to shoulder key nerves including the suprascapular, lateral pectoral, musculocutaneous, and axillary nerves, besides, the vagal innervation that receives the diaphragm and their connections with the sympathetic system could make this muscle treatment a remarkable way of pain modulation in patients with rotator cuff pathology. To these should be added a possible common embryological origin in some type of vertebrates. Considering the connection through myofascial system, the improving of chest wall mobility via diaphragm manual therapy could achieve a better function of shoulder girdle muscles with insertion or origin at ribs and those that are influenced by the fascia such as the pectoralis major muscle, latissimus dorsi and subscapularis...
The rotator cuff inflammatory or degenerative pathology is the main cause of shoulder pain. The shoulder and diaphragm muscle have a clear relation through innervation and the connection through myofascial tissue. In the case of nervous system, according to several studies the phrenic nerve has communicating branches to the brachial plexus with connections to shoulder key nerves including the suprascapular, lateral pectoral, musculocutaneous, and axillary nerves, besides, the vagal innervation that receives the diaphragm and their connections with the sympathetic system could make this muscle treatment a remarkable way of pain modulation in patients with rotator cuff pathology. To these should be added a possible common embryological origin in some type of vertebrates. Considering the connection through myofascial system, the improving of chest wall mobility via diaphragm manual therapy could achieve a better function of shoulder girdle muscles with insertion or origin at ribs and those that are influenced by the fascia such as the pectoralis major muscle, latissimus dorsi and subscapularis...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, leída el 22/12/2020