OMT Minute  |   August 2018
Doming the Diaphragm in a Patient With Multiple Sclerosis
Author Notes
  • From the Touro University College of Osteopathic Medicine-CA in Vallejo. 
  • Financial Disclosures: None reported. 
  • Support: This video was produced by Touro University College of Osteopathic Medicine-CA. 
  •  *Address correspondence to R. Mitchell Hiserote, DO, 1310 Club Dr, Mare Island, Vallejo, CA 94592-1187. Email: mitchell.hiserote@tu.edu
     
Article Information
Neuromusculoskeletal Disorders
OMT Minute   |   August 2018
Doming the Diaphragm in a Patient With Multiple Sclerosis
The Journal of the American Osteopathic Association, August 2018, Vol. 118, e83. doi:10.7556/jaoa.2018.129
The Journal of the American Osteopathic Association, August 2018, Vol. 118, e83. doi:10.7556/jaoa.2018.129
Symptoms of multiple sclerosis (MS) are varied, but common complaints include fatigue, pain, weakness, paresthesia, spasticity, coordination, and gait issues.1,2 Small studies have demonstrated that manipulative therapies, including osteopathic manipulative treatment (OMT), can decrease fatigue and increase quality of life in healthy patients and/or those with chronic diseases, such as MS, in which fatigue is a major complaint.2-5 Work involved in breathing can play a role in fatigue, and fatigue may contribute to weakness of the respiratory muscles.6 
Patients with MS may have compromised respiratory physiology.7-9 Moderate to advanced MS may cause significant respiratory dysfunction and complications.6 Diagnosis and treatment of the thoracic diaphragm may improve respiratory dysfunction affecting lung, vascular, and lymphatic physiologic motion. 
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