Mouth Breathing Syndrome: Cervical muscles recruitment during nasal inspiration before and after respiratory and postural exercises on Swiss Ball

Corrêa, Eliane Castilhos Rodrigues; Bérzin, Fausto

doi:10.1016/j.ijporl.2008.05.012

Cited by 35 publications

(48 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Qualquer perturbação a esse sistema poderá gerar um desequilíbrio entre essas forças e consequentemente a fixação de uma posição craniocervical inadequada 1 . Alguns estudos têm atribuído à obstrução nasal, juntamente ao padrão respiratório apical com consequente sobrecarga dos músculos acessórios da inspiração, a origem da perturbação ao sistema de controle postural craniocervical em crianças respiradoras bucais (RB) [2][3][4][5] . A obstrução do espaço aéreo nasofaríngeo, tipicamente encontrada na Síndrome do Respirador Bucal (SRB), foi associada à anteriorização da cabeça como forma de retificar o trajeto das vias aéreas e facilitar a entrada do fluxo de ar no trato respiratório inferior 2 .…”

Section: Introductionunclassified

See 1 more Smart Citation

Análise da postura craniocervical de crianças respiradoras bucais após tratamento postural em bola suíça

Weber¹,

Corrêa

Ferreira³

et al. 2012

Fisioter. Pesqui.

View full text Add to dashboard Cite

| The study aimed to evaluate the craniocervical posture of mouth breathing children after postural treatment on swiss ball. Twelve mouth breathing children were undergone to a postural reeducation protocol through stretching and strengthening exercises on swiss ball, diaphragmatic stimulation and stretching of the inspiratory accessory muscles. Craniocervical posture was evaluated through biophotogrammetry analysis. Forward head position was measured through an angle formed by the points in the tragus and in the spinous process of the seventh cervical vertebra with a horizontal line. Cervical column curvature was taken by the horizontal distance from a vertical line passing through the thoracic kyphosis apex to the point of the greatest cervical curvature concavity. Pictures were taken before and after ten treatment sessions. The normality of the variables was tested by Shapiro-Wilk test and the Student's t-test was used to determine differences in variables between assessments. It was considered a significance level of 5% (p<0.05). It was verified a significant improvement on craniocervical posture with reduction of the forward head position (p=0.00) and restoration of cervical column physiological curvature (p=0.01). The postural reeducation protocol on RESUMO | O estudo teve como objetivo avaliar a postura craniocervical de crianças respiradoras bucais após tratamento postural em bola suíça. Doze crianças respiradoras bucais foram submetidas a um protocolo de reeducação postural constituído por exercícios de alongamento e fortalecimento muscular sobre a bola suíça, estimulação diafragmática e alongamento dos músculos acessórios da inspiração. A postura craniocervical foi avaliada através da análise biofotogramétrica. A posição da anteriorização da cabeça foi aferida por meio do ângulo formado pelos pontos localizados no tragus direito e no processo espinhoso da séti-ma vértebra cervical com a linha horizontal. A curvatura cervical foi avaliada pela distância horizontal de uma linha vertical tangenciando o ápice da cifose torácica e o ponto de maior concavidade da curvatura cervical. As fotografias foram obtidas antes e após dez atendimentos. A normalidade das variáveis foi verificada a partir do teste Shapiro-Wilk. Para as comparações entre as médias foi utilizado o teste t de Student para amostras dependentes admitindo-se ní-vel de significância de 5% (p<0, 05). Verificou-se uma melhora na postura craniocervical, através da diminuição da anteriorização da cabeça (p=0,00) e do restabelecimento da curvatura fisiológica da coluna cervical (p=0,01). O tratamento Análise da postura craniocervical de crianças respiradoras bucais após tratamento postural em bola suíça Craniocervical posture analysis of mouth breathing children after postural treatment on swiss ball

show abstract

Section: Introductionunclassified

“…Ainda, por exigir um maior controle corporal, incrementa o reforço muscular promovido pelos exercícios 3,12 . Assim, o objetivo deste estudo foi avaliar e comparar a postura craniocervical de crianças RB antes e após tratamento postural em bola suíça.…”

Section: Introductionunclassified

Análise da postura craniocervical de crianças respiradoras bucais após tratamento postural em bola suíça

Weber¹,

Corrêa

Ferreira³

et al. 2012

Fisioter. Pesqui.

View full text Add to dashboard Cite

show abstract

“…(3,8,9) Inefficient respiratory muscle function decreases respiratory muscle strength, resulting in reduced chest expansion, which impairs pulmonary ventilation during physical activity. (9) Therefore, mouth breathing and forward head posture, also present in nasalbreathing children, can affect the organization of the muscle blocks, resulting in reduced diaphragmatic activity and abdominal muscle hypoactivity, thus hindering the synergy between these two muscles. (8) These adaptations impair pulmonary ventilation and consequently affect exercise capacity (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

“…(8) These adaptations impair pulmonary ventilation and consequently affect exercise capacity (Figure 1). (9) 473 pharyngeal tonsil hyperplasia in relation to the right and left choanae.…”

Section: Introductionmentioning

confidence: 99%

Respiração bucal e anteriorização da cabeça: efeitos na biomecânica respiratória e na capacidade de exercício em crianças

et al. 2011

View full text Add to dashboard Cite

Objective: To evaluate submaximal exercise tolerance and respiratory muscle strength in relation to forward head posture (FHP) and respiratory mode in children, comparing mouth-breathing (MB) children with nasal-breathing (NB) children. Methods: This was a controlled, analytical cross-sectional study involving children in the 8-12 year age bracket with a clinical otorhinolaryngology diagnosis of MB, recruited between October of 2010 and January of 2011 from the Mouth Breather Clinic at the State University of Campinas Hospital de Clínicas, located in the city of Campinas, Brazil. The exclusion criteria were obesity, asthma, chronic respiratory diseases, heart disease, and neurological or orthopedic disorders. All of the participants underwent postural assessment and the six-minute walk test (6MWT), together with determination of MIP and MEP. Results: Of the 92 children in the study, 30 presented with MB and 62 presented with NB. In the MB group, the differences between those with moderate or severe FHP and those with normal head posture, in terms of the mean MIP, MEP and six-minute walk distance (6MWD), were not significant (p = 0.079, p = 0.622, and p = 0.957, respectively). In the NB group, the mean values of MIP and MEP were higher in the children with moderate FHP than in those with normal head posture (p = 0.003 and p = 0.004, respectively). The mean MIP, MEP, and 6MWD were lower in the MB group than in the NB group. Values of MIP and MEP were highest in the children with moderate FHP. Conclusions: Respiratory biomechanics and exercise capacity were negatively affected by MB. The presence of moderate FHP acted as a compensatory mechanism in order to improve respiratory muscle function.Keywords: Mouth breathing; Posture; Exercise tolerance; Respiratory mechanics. ResumoObjetivo: Avaliar a tolerância ao exercício submáximo e a força muscular respiratória em relação à anteriorização da cabeça (AC) e ao tipo respiratório em crianças com respiração bucal (RB) ou nasal (RN). Métodos: Estudo analítico transversal com um grupo controle no qual foram incluídas crianças de 8 a 12 anos com diagnóstico clínico otorrinolaringológico de RB, recrutadas do Ambulatório do Respirador Bucal do Hospital de Clínicas da Universidade Estadual de Campinas, Campinas (SP), entre outubro de 2010 e janeiro de 2011. Os critérios de exclusão foram obesidade, asma, doenças respiratórias crônicas, cardiopatias e distúrbios neurológicos ou ortopédicos. Todos os participantes foram submetidos a avaliação postural, teste de caminhada de seis minutos (TC6) e determinação de PImáx e PEmáx. Resultados: Das 92 crianças do estudo, 30 tinham RB e 62 tinham RN. No grupo RB, não houve diferenças nas médias de PImáx, PEmáx e distância percorrida pelo TC6 (DTC6) entre o grupo com AC classificada como grave ou moderada e aquele com AC normal (p = 0,622; p = 0,957; e p = 0,079, respectivamente). No grupo RN, as médias de PImáx e PEmáx foram maiores no grupo com AC moderada do que naquele com AC normal (p = 0,003 e p = 0,004, respectivamente). Os...

show abstract

“…From this analysis standpoint, it is speculated that lumbar hyperlordosis due to abdominal laccidity and with consequent diaphragmatic disadvantage seems to be compensated by increased sternocleidomastoid muscle activity to generate higher lung volumes and low rates, with predominantly thoracic breathing, due to greater forward head posture (35). As consequence, there may be a disadvantage in diaphragm muscle action and lack of synergism with abdominal muscles (36).…”

Section: Resultsmentioning

confidence: 99%

Body posture and pulmonary function in mouth and nose breathing children: cross-sectional study

et al. 2017

View full text Add to dashboard Cite

Introduction: Mouth breathing can lead to changes in body posture and pulmonary function. However, the consequences are still inconclusive and a number of studies are controversial. Objective: Evaluate and correlate spirometric parameters and postural measures in mouth breathing children, and compare them to nose breathers. Methods: two groups of 6 to 12 year-old children were evaluated: mouth breathers (MB, n = 55) and nose breathers (NB, n = 45). Spirometry and body posture analysis using photogrammetry (SAPo 0.68® v) were carried out. The following spirometric measures were evaluated: peak expiratory low (PEF), forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio (%) and forced expiratory low between 25% and 75% of FVC (FEF 25-75%). Biophotogrammetric measures analyzed were: horizontal alignment of acromions (HAA) and anterior superior iliac spine (HAASIS), Charpy angle, horizontal alignment of the head (HAH), cervical lordosis (CL), thoracic kyphosis (TK), lumbar lordosis (LL), cervical distance (CD) and lumbar distance (LD). Results: There were no intergroup differences in spirometric and postural variables. Positive and moderate correlations were found between CL and CD measures with PEF, FEV1, FVC and FEF 25-75%, while weak correlations were observed between lumbar lordosis and PEF, FEV1 and FVC. Conclusion: The breathing mode had no in luence on postural and respiratory measures. However, greater forward head posture, with smaller cervical lordosis, was related to higher lung volumes and lows in both groups.

show abstract

Mouth Breathing Syndrome: Cervical muscles recruitment during nasal inspiration before and after respiratory and postural exercises on Swiss Ball

Cited by 35 publications

References 22 publications

Análise da postura craniocervical de crianças respiradoras bucais após tratamento postural em bola suíça

Análise da postura craniocervical de crianças respiradoras bucais após tratamento postural em bola suíça

Respiração bucal e anteriorização da cabeça: efeitos na biomecânica respiratória e na capacidade de exercício em crianças

Body posture and pulmonary function in mouth and nose breathing children: cross-sectional study

Contact Info

Product

Resources

About