Incorporação da técnica de Ujjayi Pranayama no tratamento manipulativo osteopático para melhorar a função pulmonar e a capacidade funcional em estudantes universitários com síndrome cruzado superior
DOI:
https://doi.org/10.47197/retos.v75.118225Palavras-chave:
Ujjayi pranayama, tratamento manipulativo osteopático, funções pulmonares, síndrome cruzado superiorResumo
Contexto: Tanto a prática de Ujjayi pranayama como o tratamento manipulativo osteopático (TMO) melhoram a função respiratória e o alinhamento musculoesquelético. Em indivíduos com síndrome cruzado superior, estes métodos podem ter um impacto significativo.
Objectivo: Investigar o efeito da adição de Ujjayi pranayama à manipulação osteopática (MO) na função pulmonar e na capacidade funcional de estudantes universitários diagnosticados com síndrome cruzado superior (SCS).
Métodos: Um ensaio clínico randomizado controlado (ECR) de dois braços, com grupos paralelos, alocação oculta e avaliação cega do desfecho, foi conduzido com 40 participantes com SCS, divididos aleatoriamente em dois grupos. O grupo experimental recebeu Ujjayi pranayama e MO, enquanto o grupo controlo recebeu apenas manipulação osteopática. Ambos os grupos participaram em sessões de 45 minutos, cinco vezes por semana, durante oito semanas. O volume expiratório forçado (VEF), o pico de fluxo expiratório (PFE), a ventilação voluntária máxima (VVM) e a capacidade inspiratória (CI) foram medidos com recurso a um espirómetro portátil.
Resultados: A adição de ujjayi pranayama à OM demonstrou melhorias significativamente maiores no PEF (variação na MD: 0,76 ± 0,07 L/s vs. 0,49 ± 0,09 L/s no grupo controlo (p = 0,025)), VRE (variação na MD: 0,29 ± 0,06 L vs. 0,08 ± 0,01 L no grupo controlo (p = 0,002)), distância percorrida no teste de marcha de 6 minutos (TC6M) (variação na MD: 23,60 ± 2,05 metros vs. 14,70 ± 1,54 metros no grupo controlo (p = 0,001)) e no teste TUG (variação na MD: -2,20 ± 0,20 s vs. -1,15 ± 0,11 s no grupo controlo (p = 0,001). Alguns parâmetros não apresentaram diferenças significativas entre os grupos: MVV: A diferença e a variação percentual não foram significativas (p = 0,250).
Conclusão: A aplicação do pranayama Ujjayi à osteopatia produziu melhorias superiores em ambas as funções respiratórias na síndrome cruzada superior, em comparação com a osteopatia isolada.
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Direitos de Autor (c) 2025 Mohamed S. Zidan, Amira Ezzat M. Abd-ElHay, Ahmed M. Elfahl, Rashed S. Al-Kafian, Mohammad M. M. Arafah, Mohamed M. Elsharkawy, Sahar M. Hassan, Heba Elfeky, Marwa Ahmed Saad Radwa, Hadeer A. Morsi

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