Effect of Diaphragmatic Breathing on Shoulder Rotational Mobility- Single-Blind Randomized Controlled Study

Öz

Aim: Shoulder mobility has an important place in both sports and daily life activities. The low rotational mobility of the shoulder in sports injuries is considered to be in the first place in the aetiology. The innervational and myofascial connection between the diaphragm muscle and the shoulder is known. This study aims to examine the instantaneous effect of the breathing exercise focused on the diaphragm muscle on shoulder mobility. Method: 136 young, healthy, recreationally active adults aged 18-25 years were included in the study. Participants were randomly divided into two groups the intervention group (n=86) and the control group (n=50). The control group did nothing for 90 seconds while the intervention group engaged in the diaphragmatic breathing technique that had previously been taught. Shoulder mobility was assessed using the Functional Movement Screen (FMS™) test both before and after the intervention. Results: Although substantial gains in shoulder mobility were observed in both shoulders of the intervention group, only the left shoulder in the control group exhibited a significant increase in mobility. In the comparison between the groups, there is a significant difference in both arms before and after the intervention (p<0,05). Conclusion: The present study demonstrates the impact of diaphragmatic exercise on shoulder mobility. Nevertheless, for cases involving shoulder pain or considerable mobility limitations, further studies are necessary to evaluate not only the acute effects but also the outcomes of longer-term training.

Anahtar Kelimeler

• Glenohumeral joint
• myofascia
• postural control
• range of motion
• respiration

Diyafragmatik Solunumun Omuz Rotasyonel Mobilitesine Etkisi- Tek Kör Randomize Kontrollü Çalışma

Öz

Amaç: Omuz mobilitesi hem spor hem de günlük yaşam aktivitelerinde önemli bir yere sahiptir. Spor yaralanmalarında omuzun kısıtlı rotasyonel hareketliliği etiyolojide ilk sıralarda yer almaktadır. Diyafram kası ile omuz arasındaki innervasyonel ve miyofasyal bağlantı bilinmektedir. Bu çalışmanın amacı diyafram kasına odaklanan nefes egzersizinin omuz hareketliliği üzerindeki anlık etkisini incelemektir. Yöntem: Çalışmaya 18-25 yaş arası toplam 136 genç, sağlıklı, rekreasyonel aktif yetişkin dahil edildi. Katılımcılar müdahale grubu (n=86) ve kontrol grubu (n=50) olmak üzere rastgele iki gruba ayrıldı. Müdahale grubu daha önce öğretilmiş olan diyafragmatik solunum tekniğini uygularken kontrol grubu 90 saniye boyunca hiçbir şey yapmadı. Hem müdahale öncesi hem de müdahale sonrası omuz mobilitesi, Fonksiyonel Hareket Taraması (FMS™) testi kullanılarak değerlendirildi. Bulgular: Müdahale grubundaki her iki omuzda omuz rotasyon mobilitesinde önemli bir artış varken, kontrol grubunda sadece sol omuzda hareketlilikte önemli artış görüldü. Gruplar arası karşılaştırmada müdahale öncesi ve sonrası her iki kolda anlamlı farka rastlanıldı (p<0,05). Sonuç: Bu çalışma, diyafram solunum egzersizinin omuz mobilitesi üzerinde etkisi olduğunu göstermiştir. Ancak omuz ağrısı veya belirgin hareket kısıtlılığı olan olgularda sadece akut etkiyi değil aynı zamanda uzun süreli antrenmanların etkilerini de değerlendiren çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Glenohumeral eklem
• myofasya
• postural kontrol
• eklem hareket açıklığı
• solunum

Kaynakça

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