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Research Paper | Physiotherapy | India | Volume 12 Issue 7, July 2023
Role of Diaphragmatic Intervention and its Effects on Lumbago in Persons with Breathing Dysfunction: A Randomized Control Trial
Sunith Waghray | Lobhana Bang | T. Rajani [3] | Naveen Kumar Balne
Abstract: Background: Non - specific low back pain commonly defined as low back pain or lumbago, not regarded, caused and recognized by known distinct pathology. In lumbago, the symptoms are pain confined beneath the costal margin and above the inferior - gluteal folds, decreased spine range of motion, reduced strength of muscles and functional abilities of lower back due to altered mechanics of lumbar spine, apart from which breathing dysfunction is commonly seen. The influence of diaphragmatic intervention to improve non - specific low back pain is lacking. The effectiveness of doming of diaphragm technique to improve non - specific low back pain is unclear. Hence, we intend to study the effectiveness of doming of diaphragm technique along with diaphragmatic breathing in patients with lumbago. Methods: 40 subjects were selected and randomly distributed into 2 groups. Outcome measures included Numerical pain rating scale (NPRS), Lumbar ROM, Lumbar stability, Modified Oswestry Disability questionnaire (mODI) and Diaphragm thickening fraction (DTF). Control group received Conventional therapy exercises and Experimental group received Diaphragmatic intervention exercises. The outcome measures were assessed on day 1 of 1st week and last day of 4th week. Paired t - test was done for intra group analysis and Independent t - test was done for inter - group analysis. Results: The results indicated that conventional therapy and diaphragmatic intervention significantly decreased pain, improved diaphragm muscle thickening fraction, increased the flexibility and stability of spine and improved functional disability at the end of four week treatment program. Conclusion: Both the groups showed significant effect on lumbago in all the outcome measures. Doming of diaphragm technique in combination with diaphragmatic breathing is effective in patients with lumbago. No significant difference was found between the control and the experimental group.
Keywords: Lumbago, Non - specific low back pain, Diaphragmatic intervention, Diaphragmatic doming
Edition: Volume 12 Issue 7, July 2023,
Pages: 1680 - 1686