RT Journal Article
T1 Effects of Manual Therapy on the Diaphragm in the Musculoskeletal System: A Systematic Review
A1 Fernández López, Isidro
A1 Peña Otero, David
A1 Atín Arratibel, María De Los Ángeles
A1 Eguillor Mutiloa, María
AB ObjectivesTo analyze the effects at the musculoskeletal level of manual treatment of the diaphragm muscle in adults.Data SourcesSystematic review using 4 databases: PubMed, Science Direct, Web of Science, and Scopus.Study Selection and Data ExtractionTwo independent reviewers applied the selection criteria and assessed the quality of the studies using the Physiotherapy Evidence Database scale for experimental studies. A third reviewer intervened in cases where a consensus had not been reached. A total of 9 studies were included in the review.Data SynthesisManual therapy directed to the diaphragm has been shown to be effective in terms of the immediate increase in diaphragmatic mobility and thoracoabdominal expansion. The immediate improvement in the posterior muscle chain flexibility test is another of the most frequently found findings in the evaluated studies. Limited studies show improvements at the lumbar and cervical level in the range of motion and in pain.ConclusionManual diaphragm therapy has shown an immediate significant effect on parameters related to costal, spinal, and posterior muscle chain mobility. Further studies are needed, not only to demonstrate the effectiveness of manual diaphragm therapy in the long-term and in symptomatic populations, but also to investigate the specific neurophysiological mechanisms involved in this type of therapy.
PB Elsevier
SN 0003-9993
YR 2021
FD 2021-12
LK https://hdl.handle.net/20.500.14352/95001
UL https://hdl.handle.net/20.500.14352/95001
LA eng
NO Fernández-López I, Peña-Otero D, Atín-Arratibel M de los Á, Eguillor-Mutiloa M. Effects of Manual Therapy on the Diaphragm in the Musculoskeletal System: A Systematic Review. Vol. 102, Archives of Physical Medicine and Rehabilitation. W.B. Saunders; 2021. p. 2402–15.
DS Docta Complutense
RD 7 abr 2025