BackgroundFew studies have explored the effects of stretching techniques on diaphragm and
spine kinematics.ObjectiveTo determine whether the application of diaphragm stretching resulted in changes
in posterior chain muscle kinematics and ribcage and abdominal excursion in
healthy subjects.MethodEighty healthy adults were included in this randomized clinical trial.
Participants were randomized into two groups: the experimental group, which
received a diaphragmatic stretching technique, or the placebo group, which
received a sham-ultrasound procedure. The duration of the technique, the position
of participants, and the therapist who applied the technique were the same for
both treatments. Participant assessment (cervical range of movement, lumbar
flexibility, flexibility of the posterior chain, and rib cage and abdominal
excursion) was performed at baseline and immediately after the intervention by a
blinded assessor.ResultsThe mean between-group difference [95% CI] for the ribcage excursion after
technique at xiphoid level was 2.48 [0.97 to 3.99], which shows significant
differences in this outcome. The remaining between-group analysis showed
significant differences in cervical extension, right and left flexion, flexibility
of the posterior chain, and ribcage excursion at xiphoid level (p<0.05) in
favor of the experimental group.ConclusionDiaphragm stretching generates a significant improvement in cervical extension,
right and left cervical flexion, flexibility of the posterior chain, and ribcage
excursion at xiphoid level compared to a placebo technique in healthy adults.