Diaphragme : le grand oublié de la rééducation maxillo-faciale
Laurence Bourdier, Patrick Jammet, Isabelle Breton-Torres
Kinésithér Scient 2018,0604:33-39 - 10/12/2018
Le diaphragme est un muscle qui sépare la cage thoracique de l'abdomen. Il est le muscle inspirateur principal. Si son rôle essentiel dans la ventilation, le diaphragme intervient aussi dans la phonation. Il est traversé par l'oesophage son activité peut donc entrer en ligne de compte dans la déglutition. Enfin, ses attaches anatomiques sur les vertèbres, les côtes et son intimité avec les structures ligamentaires des voies digestives, nous laisse à penser qu'il a un rôle important dans la posture rachidienne et par conséquent dans la posture cervicale.
Malgré son implication dans la sphère oro-maxillo-faciale, il semble le grand oublié des rééducations. Les recherches bibliographiques confirment l'intérêt d'introduire la rééducation de ce muscle charnière du corps humain en position érigée, dans nos rééducations maxillo-faciales. Il semble donc essentiel d'introduire la rééducation diaphragmatique dans la rééducation maxillo-faciale.
DIAPHRAGM :
The great forgotten maxillofacial rehabilitation
The diaphragm is a muscle that separates the thoracic cavity from the abdominal cavity. Being the main inspiratory muscle, it plays a crucial role in the ventilation process. Therefor its role in the phonation process seems just as obvious and essential. It is crossed by one of the main organs of the digestive tract, namely the esophagus, which suggests that its activity may have to be taken into account in the swallowing process.
Finally, due to its anatomical joints on the vertebrae and the ribs, and because of its close proximity with the ligamentous bands of the digestive tract, we can safely assume it equally plays an important role in the posture of the spinal cord which itself plays a role in the posture of your cervical spine, hence its fundamental role in maxillofacial rehabilitation. Yet in the various descriptions of the rehabilitation of the maxillofacial region, we rarely read about this hinge muscle of the human body in upright posture. Research articles and studies, however, confirm these elements. It therefore seems essential to include diaphragmatic rehabilitation into maxillofacial rehabilitation.
Keywords : Diaphragm, deglutition, phonation, posture, rehabilitation, stress, ventilatory/breathing
Malgré son implication dans la sphère oro-maxillo-faciale, il semble le grand oublié des rééducations. Les recherches bibliographiques confirment l'intérêt d'introduire la rééducation de ce muscle charnière du corps humain en position érigée, dans nos rééducations maxillo-faciales. Il semble donc essentiel d'introduire la rééducation diaphragmatique dans la rééducation maxillo-faciale.
DIAPHRAGM :
The great forgotten maxillofacial rehabilitation
The diaphragm is a muscle that separates the thoracic cavity from the abdominal cavity. Being the main inspiratory muscle, it plays a crucial role in the ventilation process. Therefor its role in the phonation process seems just as obvious and essential. It is crossed by one of the main organs of the digestive tract, namely the esophagus, which suggests that its activity may have to be taken into account in the swallowing process.
Finally, due to its anatomical joints on the vertebrae and the ribs, and because of its close proximity with the ligamentous bands of the digestive tract, we can safely assume it equally plays an important role in the posture of the spinal cord which itself plays a role in the posture of your cervical spine, hence its fundamental role in maxillofacial rehabilitation. Yet in the various descriptions of the rehabilitation of the maxillofacial region, we rarely read about this hinge muscle of the human body in upright posture. Research articles and studies, however, confirm these elements. It therefore seems essential to include diaphragmatic rehabilitation into maxillofacial rehabilitation.
Keywords : Diaphragm, deglutition, phonation, posture, rehabilitation, stress, ventilatory/breathing
