Thoracoabdominal movement and breathing exercises: literature review
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/77373 |
Resumo: | The chest wall is composed of the rib cage and the abdominal compartments, which move in synchrony during the breathing act. This movement reflects the participation of the inspiratory muscles that change the pulmonary volumes. The technological evolution and the concept of muscular participation during the phases of the breathing cycle and the thoracic and abdominal movement behavior was modified. Nowadays, we are aware that it is possible to estimate pulmonary flowing volume throughthoracoabdominal displacement, which determines the respiratory pattern and the activity of different respiratory muscles. It is well established that, during breathing, subjects displaced predominantly the abdomen when in supine, and the thoracic cage when in upright position. Chest physiotherapy has a great variety of techniques that interfere in the ventilatory pump behavior. In particular, breathing exercises that modify the involvement of respiratory muscles, improve pulmonary ventilation. Breathing exercises studies that deal with diaphragmatic and intercostal exercises have been basically analyzed in three aspects: 1) normalization of the thoracoabdominal movement, 2) ventilation distribution, 3) modification of the respiratory pattern and gaseous exchange, which relieves dyspnea. In the 80's, Cuello introduced a new scheme of breathing exercises denominated "respiratory muscular pattern". He also studied the effects of these exercises in the ventilation distribution as well as their clinical results. Although, breathing exercises are widely used as a physiotherapeutic resource, they have been seldom studied. The study of the thoracoabdominal movement in association with breathing exercises as well as the investigation of the impact of these techniques in respiratory muscular action and pulmonary volumes generation may lead to a better understanding of chest physiotherapy. |
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Thoracoabdominal movement and breathing exercises: literature reviewMovimento toracoabdominal e exercícios respiratórios: revisão da literaturaliteratura de revisãoexercícios respiratóriosmodalidades de movimentotóraxabdomeavaliação.review literaturebreathing exercisesmodalitiesmovingthoraxabdomenevaluation.The chest wall is composed of the rib cage and the abdominal compartments, which move in synchrony during the breathing act. This movement reflects the participation of the inspiratory muscles that change the pulmonary volumes. The technological evolution and the concept of muscular participation during the phases of the breathing cycle and the thoracic and abdominal movement behavior was modified. Nowadays, we are aware that it is possible to estimate pulmonary flowing volume throughthoracoabdominal displacement, which determines the respiratory pattern and the activity of different respiratory muscles. It is well established that, during breathing, subjects displaced predominantly the abdomen when in supine, and the thoracic cage when in upright position. Chest physiotherapy has a great variety of techniques that interfere in the ventilatory pump behavior. In particular, breathing exercises that modify the involvement of respiratory muscles, improve pulmonary ventilation. Breathing exercises studies that deal with diaphragmatic and intercostal exercises have been basically analyzed in three aspects: 1) normalization of the thoracoabdominal movement, 2) ventilation distribution, 3) modification of the respiratory pattern and gaseous exchange, which relieves dyspnea. In the 80's, Cuello introduced a new scheme of breathing exercises denominated "respiratory muscular pattern". He also studied the effects of these exercises in the ventilation distribution as well as their clinical results. Although, breathing exercises are widely used as a physiotherapeutic resource, they have been seldom studied. The study of the thoracoabdominal movement in association with breathing exercises as well as the investigation of the impact of these techniques in respiratory muscular action and pulmonary volumes generation may lead to a better understanding of chest physiotherapy.A parede torácica, constituída pela caixa torácica e compartimento abdominal, movimenta-se em sincronia durante o ato respiratório e reflete a participação dos músculos inspiratórios na geração de volumes pulmonares. Com a evolução tecnológica os conceitos da participação muscular nas fases do ciclo respiratório e no comportamento do movimento torácico e abdominal foram se modificando. Atualmente, sabe-se que é possível estimar o volume corrente pulmonar por meio do conhecimento do deslocamento toracoabdominal, o que determina o tipo respiratório e atividade dos diferentes músculos respiratórios. Reconhece-se que os indivíduos respiram deslocando predominantemente o abdômen quando em posição supina e, predominantemente, o tórax em posição ereta. A Fisioterapia Respiratória dispõe de uma grande variedade de técnicas que interferem no comportamento da bomba ventilatória, dentre elas destacam-se os exercícios respiratórios, que modificam o grau de participação dos músculos respiratórios com a finalidade de influir na ventilação pulmonar. Os estudos sobre os exercícios respiratórios dos tipos diafragmático e intercostal analisambasicamente três aspectos: (1) normalização do movimento toracoabdominal (2) distribuição da ventilação (3) alteração do padrão respiratório e troca gasosa com alívio da dispnéia. Nos anos 80, Cuello introduziu um novo esquema de exercícios respiratórios denominados de "padrões musculares respiratórios", estudando seus efeitos na distribuição da ventilação e resultados clínicos. Embora largamente utilizado na prática fisioterapêutica, os exercícios respiratórios têm sido pouco estudados. O estudo do movimento toracoabdominal em associação aos exercícios respiratórios pode propiciar ampla investigação, verificando o impacto dessas técnicas na ação muscular respiratória e na geração de volumepulmonar.Universidade de São Paulo. Faculdade de Medicina2004-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/7737310.1590/fpusp.v11i2.77373Fisioterapia e Pesquisa; Vol. 11 No. 2 (2004); 105-113Fisioterapia e Pesquisa; Vol. 11 Núm. 2 (2004); 105-113Fisioterapia e Pesquisa; v. 11 n. 2 (2004); 105-1132316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/77373/81220Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessFeltrim, Maria Ignêz ZanettiJardim, José Roberto Brito2014-05-07T22:40:13Zoai:revistas.usp.br:article/77373Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2014-05-07T22:40:13Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Thoracoabdominal movement and breathing exercises: literature review Movimento toracoabdominal e exercícios respiratórios: revisão da literatura |
title |
Thoracoabdominal movement and breathing exercises: literature review |
spellingShingle |
Thoracoabdominal movement and breathing exercises: literature review Feltrim, Maria Ignêz Zanetti literatura de revisão exercícios respiratórios modalidades de movimento tórax abdome avaliação. review literature breathing exercises modalities moving thorax abdomen evaluation. |
title_short |
Thoracoabdominal movement and breathing exercises: literature review |
title_full |
Thoracoabdominal movement and breathing exercises: literature review |
title_fullStr |
Thoracoabdominal movement and breathing exercises: literature review |
title_full_unstemmed |
Thoracoabdominal movement and breathing exercises: literature review |
title_sort |
Thoracoabdominal movement and breathing exercises: literature review |
author |
Feltrim, Maria Ignêz Zanetti |
author_facet |
Feltrim, Maria Ignêz Zanetti Jardim, José Roberto Brito |
author_role |
author |
author2 |
Jardim, José Roberto Brito |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Feltrim, Maria Ignêz Zanetti Jardim, José Roberto Brito |
dc.subject.por.fl_str_mv |
literatura de revisão exercícios respiratórios modalidades de movimento tórax abdome avaliação. review literature breathing exercises modalities moving thorax abdomen evaluation. |
topic |
literatura de revisão exercícios respiratórios modalidades de movimento tórax abdome avaliação. review literature breathing exercises modalities moving thorax abdomen evaluation. |
description |
The chest wall is composed of the rib cage and the abdominal compartments, which move in synchrony during the breathing act. This movement reflects the participation of the inspiratory muscles that change the pulmonary volumes. The technological evolution and the concept of muscular participation during the phases of the breathing cycle and the thoracic and abdominal movement behavior was modified. Nowadays, we are aware that it is possible to estimate pulmonary flowing volume throughthoracoabdominal displacement, which determines the respiratory pattern and the activity of different respiratory muscles. It is well established that, during breathing, subjects displaced predominantly the abdomen when in supine, and the thoracic cage when in upright position. Chest physiotherapy has a great variety of techniques that interfere in the ventilatory pump behavior. In particular, breathing exercises that modify the involvement of respiratory muscles, improve pulmonary ventilation. Breathing exercises studies that deal with diaphragmatic and intercostal exercises have been basically analyzed in three aspects: 1) normalization of the thoracoabdominal movement, 2) ventilation distribution, 3) modification of the respiratory pattern and gaseous exchange, which relieves dyspnea. In the 80's, Cuello introduced a new scheme of breathing exercises denominated "respiratory muscular pattern". He also studied the effects of these exercises in the ventilation distribution as well as their clinical results. Although, breathing exercises are widely used as a physiotherapeutic resource, they have been seldom studied. The study of the thoracoabdominal movement in association with breathing exercises as well as the investigation of the impact of these techniques in respiratory muscular action and pulmonary volumes generation may lead to a better understanding of chest physiotherapy. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-12-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/77373 10.1590/fpusp.v11i2.77373 |
url |
https://www.revistas.usp.br/fpusp/article/view/77373 |
identifier_str_mv |
10.1590/fpusp.v11i2.77373 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/77373/81220 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 11 No. 2 (2004); 105-113 Fisioterapia e Pesquisa; Vol. 11 Núm. 2 (2004); 105-113 Fisioterapia e Pesquisa; v. 11 n. 2 (2004); 105-113 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713735817691136 |