STOMACH AND DIAPHRAGM MOBILITY IN INDIVIDUALS WITH CHRONIC GASTRITIS: A CROSS-CUTTING STUDY
Keywords: Gastritis; Gastropathies; Musculoskeletal Pain; Stomach; Diaphragm.
Introduction: Visceral Osteopathy is a philosophy and science of manual therapy treatment aimed at recovery of movement, through the manipulation of fascial chains, visceral somato and visceral somatic. By mobilizing the fascia that interconnect with the viscera, it can improve visceral and diaphragmatic mobility, as well as vertebral segmental restrictions in individuals with chronic gastritis. Objective: To assess stomach and diaphragm mobility and vertebral segmental restrictions among adults diagnosed with chronic gastritis compared to healthy adults. Method: Observational study formed by individuals diagnosed with chronic gastritis who will be evaluated for stomach mobility, diaphragm and vertebral segmental restrictions. The sample was calculated through a pilot study, composed of 60 individuals diagnosed with chronic gastritis, between 18 and 59 years of age and of both sexes. The research was carried out at the Learning and Motor Control Laboratory (LACOM), of the Physical Therapy Department of the Federal University of Pernambuco (UFPE), from October 2018 to November 2019. For statistical analysis, the Shapiro test was used - Wilk for normalcy. Outcomes were considered using a 95% confidence interval. For the intra-group analysis of the qualitative variables, the Kappa was used and for the quantitative, the ICC. Result: In the comparison between the groups, restriction of stomach mobility was found in all directions (p<0.02) with the exception of the counterclockwise direction (p = 0.09). In the GG, 93% of the individuals had diaphragm mobility restriction. (p = 0.00) with excellent intra-rater agreement. The study also showed a musculoskeletal restriction in the cervical spine in more evident rotation between C2 and C4 and in asymmetry in the thoracic spine between T5 and T9. Conclusion: Individuals with chronic gastritis had greater restriction of stomach and diaphragm mobility, in addition to a higher prevalence of cervical and thoracic somatic dysfunction, affecting more than three vertebrae in individuals with chronic gastritis, when compared to healthy individuals.