Format

Send to

Choose Destination
Phys Ther Sport. 2019 May;37:128-137. doi: 10.1016/j.ptsp.2019.03.015. Epub 2019 Mar 28.

Ultrasonography comparison of diaphragm thickness and excursion between athletes with and without lumbopelvic pain.

Author information

1
Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), Faculty of Health Sciences, Universidad de León, Ponferrada, León, Spain. Electronic address: ccall@unileon.es.
2
Research, Health and Podiatry Unit. Department of Health Sciences. Faculty of Nursing and Podiatry. Universidade da Coruña, Spain; Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain. Electronic address: jaime.almazanpolo@gmail.com.
3
Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid, Madrid, Spain. Electronic address: ribebeva@ucm.es.
4
Faculty of Health Sciences. Universidad Rey Juan Carlos, Alcorcón, Spain. Electronic address: marta.losa@urjc.es.
5
Department of Nursing, University Center of Plasencia. University of Extremadura, Spain. Electronic address: patibiom@unex.es.
6
Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain; Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid, Madrid, Spain. Electronic address: david.rodriguez2@universidadeuropea.es.
7
Research, Health and Podiatry Unit. Department of Health Sciences. Faculty of Nursing and Podiatry. Universidade da Coruña, Spain. Electronic address: daniellopez@udc.es.

Abstract

OBJECTIVE:

The aim of this study was to compare diaphragm thickness and excursion between athletes with and without lumbopelvic pain (LPP) by trans-costal and trans-hepatic rehabilitative ultrasound imaging (RUSI), respectively.

DESIGN:

A case-control study.

SETTING:

Amateur and semiprofessional athletes teams.

PARTICIPANTS:

Forty matched-paired athletes with LPP (n = 20; LPP case group) and without LPP (n = 20; Healthy control group) were recruited.

MAIN OUTCOME MEASURES:

Diaphragm thickness and excursion (cm) were assessed during relaxed respiratory activity (maximum inspiration-Tins, expiration-Texp and difference-Tins-exp) by trans-costal and trans-hepatic rehabilitative ultrasound imaging (RUSI), respectively.

RESULTS:

Statistically significant differences (P < .05) with an effect size from moderate to large (d = 0.63-1.07) were shown for bilateral diaphragm thickness reductions at Tins and thickness difference at Tins-Texp of the right hemi-diaphragm for athletes with LPP compared to healthy athletes.

CONCLUSIONS:

Athletes who suffered from LPP presented a reduced diaphragm thickness compared to healthy matched-paired athletes. Therefore, these novel findings may suggest that diaphragm reeducation could be a main focus of intervention related to athletic performance, prevention and rehabilitation. Nevertheless, these findings should be considered with caution due to the possible influence of the RUSI measurement errors of the diaphragm activation during normal breathing.

KEYWORDS:

Athletes; Diaphragm; Low back pain; Musculoskeletal pain; Ultrasonography

PMID:
30954705
DOI:
10.1016/j.ptsp.2019.03.015

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center