Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar;22(1):11-19.
doi: 10.1016/j.jcm.2022.05.004. Epub 2022 Jul 20.

Abdominal and Diaphragmatic Mobility in Adults With Chronic Gastritis: A Cross-Sectional Study

Thania Maion Melo  1 , Flávia Luciana Lobo Cunha  1 , Laylla Marjorye Rebouças Bezerra  1 , Marianna Salemi  1 , Vanessa Alves de Albuquerque  1 , Geisa Guimaraes de Alencar  1 , Gisela Rocha de Siqueira  1
Affiliations

Abdominal and Diaphragmatic Mobility in Adults With Chronic Gastritis: A Cross-Sectional Study

Thania Maion Melo et al. J Chiropr Med. 2023 Mar.

Abstract

Objective: The purpose of this study was to assess abdominal and diaphragmatic mobility in adults with chronic gastritis compared with healthy individuals and to analyze the impact of chronic gastritis on musculoskeletal signs and symptoms of the cervical and thoracic spine.

Methods: This was a cross-sectional study conducted by the physiotherapy department at the Universidade Federal de Pernambuco in Brazil. Fifty-seven individuals participated, 28 with chronic gastritis (gastritis group [GG]) and 29 healthy individuals (control group [CG]). We assessed the following: restricted abdominal mobility in the transverse, coronal, and sagittal planes; diaphragmatic mobility; restricted cervical vertebral segmental mobility; restricted thoracic vertebral segmental mobility; and pain on palpation, asymmetry, and density and texture of the soft tissues on the cervical and thoracic spine. The measure of diaphragmatic mobility was assessed with ultrasound imaging. The Fisher exact and χ2 tests were applied to compare the groups (GG and CG) in relation to the restricted mobility of the abdominal tissues near the stomach on all planes and diaphragm, and the independent samples t test to compare the mobility measurements of the diaphragm. A significance level of 5% was considered for all tests.

Results: Restricted abdominal mobility in all directions (P < .05) was greater in GG when compared with CG except for the counterclockwise direction (P = .09). In GG, 93% of the individuals presented restricted diaphragmatic mobility, with a mean mobility of 3.1 ± 1.9 cm, and in the CG, 36.8% with a mean of 6.9 + 1.7 cm (P < .001). The GG presented a higher occurrence of restricted rotation and lateral glide mobility of the cervical vertebrae, pain to palpation, and density and texture dysfunction of the adjacent tissues when compared with CG (P < .05). In the thoracic region, there was no difference between GG and CG regarding musculoskeletal signs and symptoms.

Conclusion: Individuals with chronic gastritis presented greater abdominal restriction and lower diaphragmatic mobility, in addition to a higher occurrence of musculoskeletal dysfunction in the cervical spine when compared with healthy individuals.

Keywords: Abdomen; Back Pain; Diaphragm; Gastritis; Neck Pain; Spine.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Snider KT, Schneider RP, Snider EJ, et al. Correlation of somatic dysfunction with gastrointestinal endoscopic findings: an observational study. J Am Osteopath Assoc. 2016;116(6):358–369. - PubMed
    1. Greenwood-Van Meerveld B, Johnson AC. Stress-induced chronic visceral pain of gastrointestinal origin. Front Syst Neurosci. 2017;11:86. - PMC - PubMed
    1. Barral J. Eastland Press; Seattle, WA: 2007. Visceral Manipulation II; p. 207. Revised edition.
    1. Matsumoto Y, Ito M, Kamino D, Tanaka S, Haruma K, Chayama K. Relation between histologic gastritis and gastric motility in Japanese patients with functional dyspepsia: Evaluation by transabdominal ultrasonography. J Gastroenterol. 2008;43(5):332–337. - PubMed
    1. Pelletier R, Bourbonnais D, Higgins J. Nociception, pain, neuroplasticity and the practice of Osteopathic Manipulative Medicine. Int J Osteopath Med. 2018;27:34–44.