Posture and mobility of the upper body quadrant and pulmonary function in COPD: an exploratory study

Morais, Nuno; Cruz, Joana; Marques, Alda

doi:10.1590/bjpt-rbf.2014.0162

Cited by 24 publications

(22 citation statements)

References 34 publications

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“…The main finding was a strong positive correlation between anteroposterior mobility of the upper chest and pulmonary function, more specifically with FVC, FEV 1 and FEF , that is, the lower the lung function, the greater the reduction in mobility. Although this relationship has not been previously evaluated in children with CF using photogrammetry, a recent publication showed that in adults with COPD, impairment of lung function was associated with reduced upper chest quadrant mobility assessed by photogrammetry [22]. A systematic review has shown that the progression of pulmonary dysfunction in CF is nonlinear, with high variability in the decline rate throughout life.…”

Section: Discussionmentioning

confidence: 99%

“…The use of photogrammetry for postural evaluation is already well established in scientific research and clinical practice [13][14][15][16]. In recent years, this resource has also been used for rib cage evaluation [17][18] and increasingly for the assessment of thoracoabdominal mobility in children [19], newborns [20] and adults [21], in populations ranging from athletes [21] to individuals with respiratory diseases [22][23]. However, there has been no other study using this technique to assess thoracoabdominal mobility in children with CF.…”

Section: Introductionmentioning

confidence: 99%

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Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

et al. 2020

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Introduction: Deterioration of lung function is the main cause of mortality in cystic fibrosis (CF), so it is essential to study different related factors. Objective: To assess the association of pulmonary function with thoracoabdominal mobility and postural alignment in individuals with CF. Method: A cross-sectional study was performed in individuals with CF (8-17 years). Pulmonary function was assessed by spirometry. Thoracoabdominal mobility and postural alignment were evaluated by photogrammetry using the Postural Assessment Software (PAS/Sapo). Pearson correlation coefficient analysis was performed, and p < 0.05 was considered significant. Results: The following spirometric variables showed a decrease compared to predicted values: FEV1, FEV1/FVC, PEF and FEF25-75%. Postural assessment showed alterations in head horizontal alignment (HHA; 2.71 ± 2.23o), acromion horizontal alignment (AHA; 1.33 ± 1.35o), anterior superior iliac spine (ASIS) horizontal alignment (ASISHA; 1.11 ± 0.89o), angle between acromia and ASIS (AAASIS; 0.89 ± 0.39o), scapula horizontal asymmetry - T3 (SHAT3; 16.95 ± 12.03%), and asymmetry of the projection of the center of gravity within the base of support in the frontal (11.45 ± 8.10%) and sagittal (48.98 ± 18.55%) planes. A strong positive correlation was found between pulmonary function and thoracoabdominal mobility in the variables anteroposterior mobility of the upper chest (APMUC) and FVC (r = 0.818, p = 0.024), APMUC and FEV1 (r = 0.874, p = 0.010), and APMUC and FEF25-75% (r = 0.797, p = 0.032). A strong negative correlation was detected between FEV1/FVC and AHA (r = -0.761, p = 0.047). Conclusion: Our study showed in CF a reduction in pulmonary function, strong positive correlation between APMUC and pulmonary function, high prevalence of kyphoscoliosis and strong negative correlation between AHA and pulmonary function.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

et al. 2020

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“…In support of this concept are the results from a recent exploratory study, which reported a correlation between pulmonary function, postural alignment and mobility of the upper quadrant in patients with COPD. 23 …”

Section: Discussionmentioning

confidence: 99%

The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease

Cruz‐Montecinos¹,

Godoy-Olave²,

Contreras-Briceño³

et al. 2017

COPD

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Background and objectiveIn chronic obstructive pulmonary disease (COPD), accessory respiratory muscles are recruited as a compensatory adaptation to changes in respiratory mechanics. This results in shortening and overactivation of these and other muscles. Manual therapy is increasingly being investigated as a way to alleviate these changes. The aim of this study was to measure the immediate effect on lung function of a soft tissue manual therapy protocol (STMTP) designed to address changes in the accessory respiratory muscles and their associated structures in patients with severe COPD.MethodsTwelve medically stable patients (n=12) with an existing diagnosis of severe COPD (ten: GOLD Stage III and two: GOLD Stage IV) were included. Residual volume, inspiratory capacity and oxygen saturation (SpO2) were recorded immediately before and after administration of the STMTP. A Student’s t-test was used to determine the effect of the manual therapy intervention (P<0.05).ResultsThe mean age of the patients was 62.4 years (range 46–77). Nine were male. Residual volume decreased from 4.5 to 3.9 L (P=0.002), inspiratory capacity increased from 2.0 to 2.1 L (P=0.039) and SpO2 increased from 93% to 96% (P=0.001).ConclusionA single application of an STMTP appears to have the potential to produce immediate clinically meaningful improvements in lung function in patients with severe and very severe COPD.

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“…There is evidence which reinforces the possibility that improvement in ventilatory function could be due to correcting shortening of pectoralis minor muscle. As it has been reported that the length of pectoralis minor muscle was positively correlated with FEV 1 in COPD patients, it has been also suggested that any intervention implemented to increase pectoralis minor muscle length can possibly induce improvements in ventilatory function [24]. Based on that, the most likely explanation for the improved ventilatory function in physiotherapy group patients who had received combined manual and therapeutic exercise could be a synergistic effect resulting from both interventions.…”

Section: Discussionmentioning

confidence: 96%

Acute Effect of Combined Manual Therapy and Therapeutic Exercise versus Short-Acting Bronchodilator on Ventilatory Function in Patients with COPD

Ahmad

Halim²,

Sadek

2018

CRMR

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Background: Manual Therapy has recently gained popularity and interests from health care providers in the field of Pulmonary Rehabilitation programs for COPD patients as it has proved to have great health and clinical benefits. Additional benefits in clinical outcomes may be obtained by adding therapeutic exercise to manual therapy. Objective: The aim of this research was to study the acute effect of combined myofascial release based-manual therapy for pectoralis minor muscle and therapeutic strengthening exercises for shoulder depressors and scapular adductors, compared to the effect of a single administration of shortacting bronchodilator in COPD patients. Method: Fifty four male patients with COPD were equally divided into two groups; group A (n=27) received one physiotherapy treatment session combining pectoralis minor muscle myofacial release and therapeutic strengthening exercises for shoulder depressors & scapular adductors, while group B (n=27) received an inhaled short-acting bronchodilator for one time. Measurement included ventilatory function as the main outcome, and chest expansion & Verbal Descriptor Scale (VDS) of muscle pain as secondary outcomes. Results: FEV 1 , FVC, MVV, chest expansion, and VDS of pectoralis minor muscle tightness pain significantly improved only in group A (P ˂ 0.05). Nevertheless, there was no statistically significant difference between the two groups except for VDS. Conclusion: a single physiotherapy intervention of myofascial release-based manual therapy combined with therapeutic exercise has succeeded to induce some clinical benefits in patients with COPD. This protocol may represent an alternatively novel physiotherapy intervention that can be included in pulmonary rehabilitation programs for COPD patients.

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Posture and mobility of the upper body quadrant and pulmonary function in COPD: an exploratory study

Cited by 24 publications

References 34 publications

Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease

Acute Effect of Combined Manual Therapy and Therapeutic Exercise versus Short-Acting Bronchodilator on Ventilatory Function in Patients with COPD

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