Physiotherapy management of traumatized diaphragm
The diaphragm is a double – domed musculoskeletal partition separating the thoracic and abdominal cavities. It helps you inhale and exhale. In addition to helping you breathe, your diaphragm increases pressure inside your abdomen.
Traumatic diaphragmatic injuries (TDI) include wounds and diaphragm ruptures due to thoraco – abdominal blunt or penetrating traumas.
Causes :
- Blunt trauma : RTA’s , fall from height
- Penetrating trauma : gun shot injuries , stab wounds, lesions .
- Iatrogenic causes like surgery
- Phrenic nerve injury – diaphragm paralysis
Physiotherapy management :
Assessment
Evaluate respiratory function , diaphragmatic excursion and the presence of associated injuries.
Assessment is primarily focused on physical examination, chest expansion, Arterial blood gases (ABG) analysis, pulmonary function test, chest x-ray, oxygen saturation, peripheral muscle strength and cardiopulmonary exercise testing.
The main aim in the postoperative phase
are to maintain adequate ventilation, to assist in the removal of any excess lung secretions and to aid in
the general positioning, bed mobility and early ambulation of the patient.
Soft tissue mobilization :
Soft tissue techniques, such as myofascial release, to remove any restrictions or adhesions in the soft tissues surrounding the diaphragm.
Gentle, targeted pressure can help improve tissue extensibility and reduce muscle tension.
Diaphragmatic Release Techniques:
Utilize manual techniques to release tension in the diaphragm itself.
This may involve specific hands-on methods to encourage relaxation and optimal function of the diaphragmatic muscle fibers.
Diaphragmatic Breathing exercises :
The patient is instructed to relax the shoulder and upper chest, take a slow deep breath in to fill up the lungs as fully as they can, hold breath for 3 sec, and breathe out slowly through the mouth.
Lymphatic drainage :
Incorporate lymphatic drainage techniques to reduce swelling and promote optimal fluid dynamics in the affected area.
Gentle manual maneuvers can support the body’s natural lymphatic drainage processes.
Pain management:
Implement pain control strategies like manual therapy to facilitate patient comfort during rehabilitation.
Use modalities such as ice, heat, or transcutaneous electrical nerve stimulation (TENS) to manage pain.
Active cycle of breathing :
Combination of breathing control, thoracic expansion exercise and forced expiratory technique. Used in airway clearance and improving pulmonary function.
Huffing and coughing are also used in clearing secretions from large airways.
“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”
Physiotherapist in Patel Nagar | Physiotherapist for Home Visit in Patel Nagar | Physiotherapy in Patel Nagar | Best Physiotherapist in Patel Nagar | Physiotherapist Near Me | Physiotherapy Near Me | Best Physiotherapist in Delhi | Best Physiotherapist in India | Physiotherapy Center in Patel Nagar | Spine Clinic Near Me | Back Pain Physiotherapy Near Me | Sports Physiotherapist in Delhi | Stroke Physiotherapy | Paralysis | Cerebral Palsy | Best Sports Injury Physiotherapist in Delhi | Best Sports Injury Physiotherapy in Delhi | Physiotherapy Home Service | Physiotherapy at Home | Home Visit Physiotherapy | Advanced Physiotherapy in Delhi | Physiotherapy Clinic Near Me | Chest Physiotherapy Near Me