Effects of Diaphragmatic Training on Posture and Stability in Asymptomatic Subjects: A Randomized Clinical Trial Article Swipe
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· 2020
· Open Access
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· DOI: https://doi.org/10.37506/ijpot.v14i2.2650
· OA: W4237053002
Background: Diaphragm plays an important role in breathing and postural control and the potential factors are potentially involved with suboptimal respiration and suboptimal (faulty) posture and may be associated with musculoskeletal complaints. The zone of apposition is important because it is controlled by the abdominal muscles and directs diaphragmatic tension. The smaller the zone of apposition, there will be less inspiratory action of the diaphragm on the rib cage. Objectives: To determine the efficacy of diaphragmatic training on posture and stability in asymptomatic subjects. Study Design: A randomized clinical trial. Method: 38 asymptomatic subjects were randomly assigned in the age group of between 20 to 55 years with poor posture and stability. All the participants were recruited on voluntary basis. The participants were divided into an experimental group (n=19) who were given Diaphragmatic training, Deep Cervical Flexor Strengthening, Thoracic Extensor strengthening and a control group (n=19) who were treated with Deep Cervical Flexor Strengthening, Thoracic extensor strengthening. To evaluate the subjects, two parameters were used photographic measurement to evaluate cranioveterbral angle and star excursion balance test to evaluate dynamic balance. All subjects were evaluated pre intervention and post intervention after the 4 weeks of treatment. Independent t test was used to compare the outcome between the groups and paired t test was used to compare the outcome with in group. Result: Out of the (n=58) participants, 38 participants met with an inclusion criteria . This study concluded that there was a significant difference between the two groups in posture and dynamic balance at 4 weeks. In the experimental group, significant improvements were demonstrated for Star excursion balance test and Craniovertebral angle measurement (P<0.01), compared to the control group where craniovertebral angle was not statistically significant (P>0.01). Conclusion: The effect of diaphragm training along with deep cervical flexor training and thoracic extensor strengthening improve the dynamic stability and balance significantly.
