DO - Deutsche Zeitschrift für Osteopathie 2024; 22(01): 29-33
DOI: 10.1055/a-2167-6970
Spektrum | Anatomie

Das Mundatmungssyndrom in der osteopathischen Praxis

Margarete Keller
Marit Brümmer
Birthe Schulz

Die Atmung wirkt sich auf die motorische Kontrolle und die Haltungsstabilität aus. Erklärt werden im folgenden Artikel der Begriff des Atemmusters und die Auswirkung des dysfunktionalen Atemmusters Mundatmungssyndrom auf die Haltung. Diese Haltungsanpassung wird mit ihren Auswirkungen auf die Atemmuskeln beschrieben. Um dieses Krankheitsbild besser zu verstehen, wird auf ihre pathologische Emotionsregulierung eingegangen. Zuletzt wird ein osteopathischer Therapieansatz vorgestellt.

Publication History

Article published online:
01 January 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

  • Literatur

  • 1 Barker N, Everard ML. Getting to grips with 'dysfunctional breathing'. Paediatric respiratory reviews 2015; 16: 53-61
  • 2 Betka S, Adler D, Similowski T. et al. Breathing control, brain, and bodily self-consciousness: Toward immersive digiceuticals to alleviate respiratory suffering. Biological psychology 2022; 171: 108-329
  • 3 Bilston LE, Gandevia SC. Biomechanical properties of the human upper airway and their effect on its behavior during breathing and in obstructive sleep apnea. Journal of applied physiology 2014; 116: 314-324
  • 4 Boiten FA, Frijda NH, Wientjes CJ. Emotions and respiratory patterns: review and critical analysis. International journal of psychophysiology 1994; 17: 103-128
  • 5 Bordoni B, Zanier E. Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare 2013; 6: 281-291
  • 6 Boyadzhieva A, Kayhan E. Keeping the Breath in Mind: Respiration, neural oscillations and the free energy principle. Frontiers in neuroscience 2021; 15: 647579
  • 7 Chaitow L, Bradley D, Gilbert C. et al. Recognizing and treating breathing disorders. A multidisciplinary approach. 2nd ed. Edinburgh: Churchil Livingstone/Elsevier; 2018
  • 8 Chan H-F, Clark AR, Hoffman EA. et al. Quantifying normal geometric variation in human pulmonary lobar geometry from high resolution computed tomography. Journal of biomechanical engineering 2015; 137: 51010
  • 9 Conti PBM, Sakano E, de Oliveira Ribeiro MAG. et al. Assessment of the body posture of mouth-breathing children and adolescents. Journal de pediatria 2011; 87: 357-363
  • 10 Corrêa ECR, Bérzin F. Efficacy of physical therapy on cervical muscle activity and on body posture in school-age mouth breathing children. International journal of pediatric otorhinolaryngology 2007; 71: 1527-1535
  • 11 Courtney R. The functions of breathing and its dysfunctions and their relationship to breathing therapy. International Journal of Osteopathic Medicine 2009; 12: 78-85
  • 12 Dreha-Kulaczewski S, Joseph AA, Merboldt K-D. et al. Inspiration is the major regulator of human CSF flow. Journal of neuroscience 2015; 35: 2485-2491
  • 13 Dreha-Kulaczewski S, Konopka M, Joseph AA. et al. Respiration and the watershed of spinal CSF flow in humans. Scientific reports 2048 8: 5594
  • 14 Dubé B-P, Dres M. Diaphragm Dysfunction: Diagnostic Approaches and Management Strategies. Journal of clinical medicine 2016; 5: 113
  • 15 Ferla L, Darski C, Paiva LL. et al. Synergism between abdominal and pelvic floor muscles in healthy women: a systematic review of observational studies. Fisioter mov 2016; 29: 399-410
  • 16 Fregosi RF, Ludlow CL. Activation of upper airway muscles during breathing and swallowing. Journal of Applied Physiology 2013; 116: 291-301
  • 17 Hodges PW, Sapsford R, Pengel LHM. Postural and respiratory functions of the pelvic floor muscles. Neurourology and urodynamics 2007; 26: 362-371
  • 18 Homma I, Masaoka Y. Breathing rhythms and emotions. Experimental physiology 2008; 93: 1011-1021
  • 19 Hopper SI, Murray SL, Ferrara LR. et al. Effectiveness of diaphragmatic breathing on physiological and psychological stress in adults: a quantitative systematic review protocol. JBI database of systematic reviews and implementation reports 2018; 16: 1367-1372
  • 20 Isaza-Restrepo A, Martin-Saavedra JS, Velez-Leal JL. et al. The Peritoneum: Beyond the Tissue – A Review. Frontiers in physiology 2018; 9: 738
  • 21 Jagsi R, Moran JM, Kessler ML. et al. Respiratory Motion of the Heart and Positional Reproducibility Under Active Breathing Control. International journal of radiation oncology, biology, physics 2007; 68: 253-258
  • 22 Jahan I, Begum M, Akhter S. et al. Effects of Alternate Nostril Breathing Exercise on Cardiorespiratory Functions in Healthy Young Adults. Annals of African Medicine 2021; 20: 69-77
  • 23 Kolar P, Sulc J, Kyncl M. et al. Postural function of the diaphragm in persons with and without chronic low back pain. Journal of orthopaedic and sports physical therapy 2012; 42: 352-362
  • 24 Manke D, Nehrke K, Börnert P. et al. Respiratory motion in coronary magnetic resonance angiography: a comparison of different motion models. JMRI 2012; 15: 661-671
  • 25 Medeiros da Fonsêca JD, Aliverti A, Benício K. et al. Breathing pattern and muscle activity using different inspiratory resistance devices in children with mouth breathing syndrome. ERJ open research 2022; 8: 00480-02021
  • 26 de Moura Milanesi J, Weber P, Berwig LC. et al. Childhood mouth-breathing consequences at adult age: ventilatory function and quality of life. Fisioter mov 2014; 27: 211-218
  • 27 Morais-Almeida M, Wandalsen GF, Solé D. Growth and mouth breathers. Jornal de pediatria 2019; 95: 66-71
  • 28 Nakao M, Nakamura M, Mizowaki T. et al. Statistical deformation reconstruction using multi-organ shape features for pancreatic cancer localization. Medical image analysis 2021; 67: 101829
  • 29 Neiva PD, Kirkwood RN, Mendes PL. et al. Postural disorders in mouth breathing children: a systematic review. Brazilian journal of physical therapy 2018; 22: 7-19
  • 30 Nestor J. Breath – Atem. Neues Wissen über die vergessene Kunst des Atmens. München: Piper; 2021
  • 31 Park H, Han D. The effect of the correlation between the contraction of the pelvic floor muscles and diaphragmatic motion during breathing. Journal of physical therapy science 2015; 27: 2113-2115
  • 32 Russo MA, Santarelli DM, O’Rourke D. The physiological effects of slow breathing in the healthy human. Breathe 2017; 13: 298-309
  • 33 Samei G. Multi-Organ Respiratory Motion Modeling. ETH: Zürich; 2014
  • 34 Sano M, Sano S, Kato H. et al. Proposal for a screening questionnaire for detecting habitual mouth breathing, based on a mouth-breathing habit score. BMC oral health 2018; 18: 216
  • 35 Sharma M, Madambath JG, Somani P. et al. Endoscopic ultrasound of peritoneal spaces. Endoscopic ultrasound 2017; 6: 90-102
  • 36 Tawhai MH, Lin C-L. Image-based modeling of lung structure and function. JMRI 2010; 32: 1421-1431
  • 37 Telles S, Gupta RK, Yadav A. et al. Hemisphere specific EEG related to alternate nostril yoga breathing. BMC research notes 2017; 10: 306
  • 38 Telles S, Verma S, Sharma SK. et al. Alternate-Nostril Yoga Breathing Reduced Blood Pressure While Increasing Performance in a Vigilance Test. Medical science monitor basic research 2017; 23: 392-398
  • 39 Tirkes T, Sandrasegaran K, Patel AA. et al. Peritoneal and Retroperitoneal Anatomy and Its Relevance for Cross-Sectional Imaging-Erratum. Radiographics 2019; 39: 912
  • 40 Trevisan ME, Boufleur J, Soares JC. et al. Diaphragmatic amplitude and accessory inspiratory muscle activity in nasal and mouth-breathing adults: a cross-sectional study. Journal of electromyography and kinesiology 2015; 25: 463-468
  • 41 de Troyer A, Wilson TA. Action of the diaphragm on the rib cage. Journal of applied physiology 2016; 121: 391-400
  • 42 van Sörnsen de Koste JR, Senan S, Kleynen CE. et al. Renal mobility during uncoached quiet respiration: an analysis of 4DCT scans. International journal of radiation oncology, biology, physics 2006; 64: 799-803
  • 43 Veron HL, Antunes AG, de Moura Milanesi J. et al. Implicações da respiração oral na função pulmonar e músculos respiratórios. Rev CEFAC 2016; 18: 242-251
  • 44 Wang W, Similowski T, Sériès F. Interaction between genioglossus and diaphragm responses to transcranial magnetic stimulation in awake humans. Experimental physiology 2007; 92: 739-747
  • 45 Werner R, Ehrhardt J, Schmidt R. et al. Patient-specific finite element modeling of respiratory lung motion using 4D CT image data. Medical physics 2009; 36: 1500-1511
  • 46 Xi M, Liu M-, Li Q-Q. et al. Analysis of abdominal organ motion using four-dimensional CT. Chinese journal of cancer 2009; 28: 989-993
  • 47 Yamada S, Miyazaki M, Yamashita Y. et al. Influence of respiration on cerebrospinal fluid movement using magnetic resonance spin labeling. Fluids and barriers of the CNS 2013; 10: 36
  • 48 Yi LC, Jardim JR, Inoue DP. et al. The relationship between excursion of the diaphragm and curvatures of the spinal column in mouth breathing children. Jornal de pediatria 2008; 84: 171-177
  • 49 Zhao Z, Zheng L, Huang X. et al. Effects of mouth breathing on facial skeletal development in children: a systematic review and meta-analysis. BMC oral health 2021; 21: 108