Is there an association between postural balance and pulmonary function in adults with asthma?

Abstract

OBJECTIVE:Asthma may cause systemic repercussions due to its severity and the effects of treatment. Our objective was to compare posture, balance, functional capacity, and quality of life (QOL) according to the severity of disease, as assessed by pulmonary function levels.METHOD:This cross-sectional study evaluated fifty individuals with asthma. We compared two groups of adult individuals who were divided according to the median of the forced expiratory volume in one second (FEV1) as follows: group A = FEV1>74% predicted; group B = FEV1<74% predicted. All patients underwent the following tests: spirometry, whole-body plethysmography, diffusing capacity for carbon monoxide (DLco), respiratory muscle strength, posture assessment, stabilometry, six-minute walking distance (6MWD), and QOL.RESULTS:All pulmonary function variables exhibited statistically significant differences between the two groups, except for the DLco. The maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and 6MWD were lower in group B. The maximal mediolateral velocity and the mediolateral displacement were significantly different, while the postural changes and QOL were similar between the groups.CONCLUSIONS:In adult individuals with asthma, the pulmonary function is associated with balance control in the mediolateral direction but does not influence the postural changes or QOL.

Postural stability in school-age children with mild bronchial asthma disease (a pilot study)

“…Compared with previous studies that had predominantly focused on postural balance in adults with bronchial asthma [16][17][18], our study highlighted balance differences between children with asthma and healthy children. This is one of the first studies to evaluate postural balance in children with mild bronchial asthma.…”

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

“…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;…”

“…Beyond that, most studies evaluated the frontal and sagittal planes and corporal posture almost completely, that is, evaluated parts of all corporal segments, using several software or protocols to obtain information about the individual posture, highlighting the software PAS/SAPO that was used in 16 studies (Carregaro et al, 2012;Chiao Yi et al, 2008;Coelho et al, 2013;Coelho et al, 2014;de Almeida et al, 2013;Ferreira et al, 2011;Figueiredo et al, 2012;Glaner et al, 2012;Lopes et al, 2014;Milanesi et al, 2011;Pachioni et al, 2011;Pezzan et al, 2011;Santos, Silva, Sanada, & Alves, 2009;Souza et al, 2014;Tavares et al, 2013) (Table 2).…”

“…Every time that there is a change in the photo plane, the mold is rotated to the desired position and the individual is relocated to step on the previously determined drawing. (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;Souza, Pasinato, Corrêa, & da Silva, 2014). This manoeuvre might be efficient in reproducibility studies, nevertheless when adopted to only one evaluation, its standardization may be questioned because the usual intention is to evaluate the individual in its natural posture.…”

Body posture and pulmonary function in mouth and nose breathing children: cross-sectional study

“…By maintaining higher respiratory load, the diaphragm can decrease its activity, and accessory muscle recruitment, such as the sternocleidomastoid muscle, becomes necessary (28). Rib cage biomechanics does not operate independently, but in coordination with global body mechanics, underscoring the ability of the human body to adapt to different conditions (29).…”