This article aims to describe a strategy of manual evaluation of the diaphragm, with particular attention to anatomical fundamentals, in order to stimulate further research on this less explored field.Ĭhiropractic diaphragm manual therapy osteopathic evaluation physiotherapy. A complete evaluation of the diaphragm is mandatory for several professional subjects, such as physiotherapists, osteopaths, and chiropractors not only to elaborate a treatment strategy but also to obtain information on the validity of the training performed on the patient. To the knowledge of the authors, the existing scientific literature does not exhaustively examines the manual evaluation of the diaphragm in its different portions. Many authors reported on diaphragmatic training by using special instruments, whereas only a few studies focused on manual therapy approaches. The Nicholas MMT is a hand held device which quantifies the breaking force necessary to depress a limb held in a specific position by the patient.
Objective: To describe the effect of manual therapy on the diaphragm, on respiratory muscle strength and on the mobility of the thoracic cavity. The device pictured here is called the Nicholas Manual Muscle Tester and is manufactured by Lafayette Instruments. However, there is little evidence of its effects on the respiratory system. It can affect the pain perception and emotional state. Introduction: Manual therapy uses the hands as a form of healing, being a manipulation for therapeutic purposes. Its activity is fundamental in the maintenance of posture and body position changes. It facilitates the venous and lymphatic return and helps viscera located above and below the diaphragm to work properly.
It contributes to various processes such as expectoration, vomiting, swallowing, urination, and defecation. The respiratory diaphragm is the most important muscle for breathing.
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