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

E. Atalay, Çağlar Soylu, Güler Atalay, Necmiye ÜN YILDIRIM
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Abstract

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.
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横膈膜呼吸对肩关节旋转活动度的影响 - 单盲随机对照研究
目的:肩部活动度在运动和日常生活活动中都占有重要地位。在运动损伤中,肩部旋转活动度低被认为是首要病因。膈肌和肩部之间的神经和肌筋膜联系是众所周知的。本研究旨在探讨以横膈膜肌肉为重点的呼吸练习对肩关节活动度的即时影响。研究方法研究对象包括 136 名年龄在 18-25 岁之间、身体健康、从事娱乐活动的年轻人。参与者被随机分为两组,干预组(86 人)和对照组(50 人)。对照组在 90 秒内什么都不做,而干预组则进行之前教过的横膈膜呼吸技术。干预前后均使用功能性运动筛查(FMS™)测试评估肩部活动度:结果:虽然干预组的双肩活动度都有显著提高,但对照组只有左肩的活动度有明显提高。在组间比较中,干预前后两臂的活动度均有显著差异(P<0.05)。结论本研究证明了横膈膜锻炼对肩关节活动度的影响。然而,对于肩部疼痛或活动能力严重受限的病例,有必要进行进一步研究,不仅要评估急性效果,还要评估长期训练的结果。
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