Avaliação postural em pacientes com doença pulmonar obstrutiva crônica

Pachioni, Célia Aparecida Stellutti; Ferrante, Jaqueline Alves; Panissa, Thais Souza Donini; Ferreira, Dalva Minonroze Albuquerque; Ramos, Dionei; Moreira, Graciane Laender; Ramos, Ercy Mara Cípulo

doi:10.1590/s1809-29502011000400008

Cited by 23 publications

(32 citation statements)

References 9 publications

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“…Our results are in agreement with the study conducted by Pachioni et al (14), who also compared the postural alignment of 15 COPD patients and 15 healthy individuals and found a statistically significant difference in these same variables. The greater angle in the thoracic kyphosis of the COPD group may be caused by increased anteriorposterior diameter of the thorax (10,11,12) and horizontalization of the ribs (11,13), possibly due to pulmonary hyperinflation and air trapping, which is characteristic of COPD (21).…”

Section: Discussionsupporting

confidence: 93%

“…Another change found in COPD patients was a greater angle in the anteriorization of the tilt and greater posterior pelvic asymmetry, on the right and left sides, when compared with apparently healthy individuals, which was also reported by Pachioni et al (14). Thus, this change shows a possible relationship between this postural imbalance and the progress of the disease.…”

Section: Discussionsupporting

confidence: 74%

“…This shortening may lead to pelvic anteversion and psoitic diaphragmatic hyperlordosis due to the connections of the muscle-aponeurotic connections of the diaphragm muscle with the iliopsoas muscles, the transverse abdominis muscle and the lumbar square muscle (14).…”

Section: Introductionmentioning

confidence: 99%

“…Few studies have evaluated postural alignment of COPD patients (14,15). Dias et al (15) evaluated the kinematics of the scapular girdle, cervical and thoracic spines of 19 COPD patients and 19 healthy individuals.…”

Section: Introductionmentioning

confidence: 99%

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Postural alignment of patients with Chronic Obstructive Pulmonary Disease

et al. 2017

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Introduction: In chronic obstructive pulmonary disease (COPD), airflow resistance impairs respiratory mechanics that may compromise postural alignment. There is a lack of studies that have investigated compromised postures and their possible associations with pulmonary function. Objectives: To compare the postural alignment of COPD patients with apparently healthy individuals; To correlate pulmonary function with postural alignment in the COPD group. Methods: 20 COPD patients and 20 apparently healthy individuals performed: anthropometry, spirometry and postural evaluation. The following postural changes were assessed: lateral head tilt (LHT), shoulder asymmetry (SA1), anterior pelvic asymmetry (APA), lateral trunk tilt (LTT), scapular asymmetry (SA2), posterior pelvic asymmetry (PPA), head protrusion (HP), shoulder protrusion (SP), anterior pelvic tilt (APT) and thoracic kyphosis (TK). Results: There was a statistically significant difference between COPD patients and apparently healthy individuals in the following variables: PPT (p= 0.021), APT (p=0.014) and TK (p=0.011). There was a correlation between pulmonary variables and postural alignment in the COPD group: Forced Volume in one second (FEV1% pred) and HP (°) (r=0.488, p=0.029), FEV1 (% pred) and APT (°) (r= -0.472, p= 0.036); Forced Vital Capacity (FVC % pred) and HP (°) (r=0.568, p=0.009); FVC (% pred) and APT (°) (r=-0.461, p=0.041). Conclusion: Postural alignment of the anterior tilt of the right

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postural alignment of patients with Chronic Obstructive Pulmonary Disease

et al. 2017

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“…Table 2 presents the main methodological information of included studies. Although the methodology practically differs in all studies, the feet positioning was assembled in groups and the most common were: with inferior members in parallel and separated by a previously determined distance (Barbosa, Amorin, Zandonade, & Delaprane, 2013;Belli, et al, 2009;Iunes, Cecílio, Dozza, & Almeida, 2010;Iunes et al, 2005;Milanesi et al, 2011;Pezzan, João, Ribeiro, & Manfio, 2011;Sacco et al, 2007;Sacco et al, 2012;Tavares et al, 2013); with the inferior members positioned together (Chiao Yi, Jardim, Inoue, & Pignatari, 2008;Futlanetto, Chaise, Candotti, & Loss, 2011;Furlanetto et al, 2012;Munhoz, Marquez, & Siqueira, 2005); with the individual standing in self-referred or usual posture (Fedorak, Ashworth, Marshall, & Paul, 2003;Gadotti & Biasotto-Gonzalez, 2010;Gadotti, Armijo-Olivo, Silveira, & Magee, 2013;Raine & Towmey, 1994a;Raine & Towmey, 1994b;Salazadeh et al, 2014;Yu Cho, 2007); and standardizing the individual usual posture by using the strategy of outlining the supporting base of each person to utilize as a mold for the photos (Coelho et al, 2013;Coelho et al, 2014;de Almeida et al, 2013;Dunk, Lalonde, & Callaghan, 2005;Ferreira, Duarte, Maldonado, Bersanett, & Marques, 2011;Figueiredo, Amaral, & Shimano, 2012;Glaner, Mota, Viana, & Santos, 2012;Lopes et al, 2014;Miranda, Schor, & Girão, 2009;Pachioni et al, 2011;…”

Section: Resultsmentioning

confidence: 99%

Feet positioning in the semi-static postural evaluation through photogrammetry: a systematic review

et al. 2018

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Photogrammetry is a relatively simple and objective instrument of evaluation that provides accurate and reproducible quantitative results, if applied rigorously, existing nowadays several protocols. The main purpose was to systematically review the utilized feet positioning to conduct a semi-static postural evaluation through photogrammetry. It was performed a systematic review of observational studies and clinic trials using the keywords "photogrammetry" and "spinal postural evaluation" to conduct searches on scientific databases. The eligibility criteria adopted were: utilize the photogrammetry to evaluate children, teenagers, adults or elders with or without pathologies; explicit the utilized feet positioning to conduct the evaluation; and be written in English, Portuguese or Spanish. The methodological quality was assessed by Downs and Black scale and the strength of evidence by the best evidence synthesis. It was found 1.786 articles and 40 were included in this review. The main feet positioning found were: self-referred, separated and in parallel, united and in parallel and standard self-referred. The review exhibited strong strength of evidence in the methodological quality assessment. Considering the main feet positioning found, it is considered primordial that the selection of evaluation methodology respects the specific instructions of each analysis protocol or software.

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Postural abnormalities in phenotypes of chronic obstructive pulmonary disease

Muhammed

Moiz

Singla

et al. 2020

Brazilian Journal of Physical Therapy

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Background: Few studies have demonstrated postural abnormalities in patients with chronic obstructive pulmonary disease-when compared with healthy individuals. However, none of these studies have compared postural abnormalities in different phenotypes of chronic obstructive pulmonary disease. Objective: To compare the thoracic posture between two phenotypes of chronic obstructive pulmonary disease (emphysema and chronic bronchitis) with healthy individuals. Methods: Forty individuals with chronic obstructive pulmonary disease (20 with chronic bronchitis, 67 ± 3.5 years, 20 with emphysema, 67.7 ± 4 years) and 20 age-matched healthy individuals (67.3 ± 3.9 years) underwent postural assessment which was performed using photogrammetric measurements of head protraction, shoulder protraction, thoracic kyphosis angle, coronal shoulder angle, and scapular elevation. Results: Significant differences were found amongst the groups in protraction of head (emphysema vs. chronic bronchitis, mean difference = 7.63 • , 95% confidence interval [CI] = 2.10, 13.15 • ; emphysema vs. healthy, 7.91 • , 95% CI = 2.38, 13.43 •), protraction of shoulder (emphysema vs. healthy, 13.69 • , 95% CI = 6.96, 20.43 • ; chronic bronchitis vs. healthy, 8.11 • , 95% CI = 1.38, 14.85 •), thoracic kyphosis (emphysema vs. healthy, −11.59 • , 95% CI = −17.26, −5.92 • ; chronic bronchitis vs. healthy, −6.75 • , 95% CI = −12.41, −1.08 •), coronal shoulder angle (emphysema vs. chronic bronchitis, 1.01 • , 95% CI = .22, 1.80 • ; emphysema vs. healthy, 1.59 • , 95% CI = .80, 2.38 •) and scapular elevation (emphysema vs. chronic bronchitis, =.74 cm, 95% CI = .34, 1.15 cm; emphysema vs. healthy, .99 cm, 95% CI = .59, 1.40 cm).

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Avaliação postural em pacientes com doença pulmonar obstrutiva crônica

Abstract: Background: oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease.

Cited by 23 publications

References 9 publications

Postural alignment of patients with Chronic Obstructive Pulmonary Disease

Postural alignment of patients with Chronic Obstructive Pulmonary Disease

Feet positioning in the semi-static postural evaluation through photogrammetry: a systematic review

Postural abnormalities in phenotypes of chronic obstructive pulmonary disease

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