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This Muscle Dysfunction And Poor ZOA: Case Study

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If the dome of the diaphragm becomes more flattened (smaller ZOA), the fibers no longer pull the ribs up and out. The fibers begin to pull the ribs more horizontally. This decreases the expansion of the ribcage so there is a less than ideal drop in air pressure to allow for inspiration.hruska1 The ZOA is influenced by the abdominal muscles which also effects diaphragmatic tension. If the ZOA is less than ideal, we know that: •respiration becomes more inefficient (less air is moved in and out) because the pressure across the diaphragm is reduced. •as the ZOA becomes smaller, the inspiratory action of the diaphragm on the rib cage also becomes smaller. And we know that there is •decreased engagement of the transversus …show more content…

Chaitow et al stated, “Nowhere in the body is the axiom of structure governing function more apparent than in its relation to respiration. Ultimately, the self-perpetuating cycle of functional change - creating structural modification – leading to reinforced dysfunctional tendencies can become complete, from whichever direction dysfunction arrives.”23 The pelvis is responsible for the pelvic floor, the abdominal cavity and the thoracic cavities support and function. The pelvis maintains a 55˚ tilt anteriorly with the horizontal. If this tilt increases to 60˚, the lordosis becomes abnormal. This can lead to spondylolysis or spondylolisthesis and cause a compensatory increase the thoracic kyphosis and cervical lordosis. Ron Hruska, in the Management of Pelvic-Thoracic Influences on Temporomandibular Dysfunction states that, “the abdominal pelvic cavity is probably one of the most influential cavities in determining the postural pattern. Keeping the anterior thoracic cavity close to the pelvic cavity through ongoing support and activation of the anterior-lateral abdominal cavity muscles is one of life’s greatest biomechanical challenges. Failure to oppose the diaphragm (ZOA) and keep the anterolateral abdominal

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