Postural deviations in individuals with chronic obstructive pulmonary disease (COPD)

Lee, Annemarie L.; Goldstein, Roger; Chan, Chrystal; Rhim, Matthew; Zabjek, Karl; Brooks, Dina

doi:10.1080/24745332.2017.1409091

Cited by 17 publications

(20 citation statements)

References 29 publications

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“…The higher pain prevalence registered in the thorax and the lower back in people with COPD can be a result of vertebral deformities and costovertebral arthropathy connected to longterm pharmacologic treatments with inhaled or oral corticosteroids and change in breathing pattern. 12,25,26 In our study this group in particular reported the comorbidities osteoarthritis, osteoporosis, and diseases of the back, which were associated with pain.…”

Section: Discussionmentioning

confidence: 62%

<p>Pain Prevalence, Localization, and Intensity in Adults with and without COPD: Results from the Danish Health and Morbidity Survey (a Self-reported Survey)</p>

Hansen¹,

Mølsted²,

Ekholm³

et al. 2020

COPD

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Introduction Pain is a clinical complication to chronic obstructive pulmonary disease (COPD) that interferes negatively with physical activity level (PAL), quality of life (QOL) and pulmonary interventions. Yet, research in pain characteristics including prevalence, localization, and intensity in people with COPD are sparsely researched. Aim To investigate self-reported pain prevalence, localization and intensity of pain in people with and without COPD, and to investigate the association between pain intensity and PAL among participants with COPD. Methods Data were derived from the Danish Health and Morbidity Survey in 2017. The study population was restricted to individuals aged ≥35 years. Data included pain intensity assessed on the Numeric Rating Scale (NRS) and localization, PAL, QoL, sleep disturbance, comorbidities, sociodemographic and behavioral factors. Results In all, 528 participants with COPD and 8184 participants without COPD (51% females, mean ±SD age 67.1±11.4 years) were analyzed. Pain prevalence within the past 14 days was significantly higher in participants with COPD vs nonCOPD (72.7% vs 57.7%, p <0.001) and mainly located in the limbs, thorax, and lower back. COPD was associated with the prevalence of chronic pain (≥6 months) (OR: 2.78, 95%CI: 2.32; 3.34, p <0.001). Participants with COPD reported a higher pain intensity compared to those with nonCOPD with a mean difference of 1.04 points (95%CI: 0.75; 1.32, p <0.001) on the NRS. In the adjusted multiple logistic regression analysis, pain intensity was negatively associated with odds of being physical active (OR: 0.72, 95%CI: 0.61; 0.85, p <0.001). Conclusion Pain is more prevalent in people with self-reported COPD. After adjustment for age and gender, COPD was associated with an elevated pain intensity. Sleep disturbance and multimorbidity had the most pronounced impacts on pain intensity in the multiple linear regression model. In participants with COPD, increased pain intensity was negatively associated with being physically active.

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Section: Discussionmentioning

confidence: 62%

<p>Pain Prevalence, Localization, and Intensity in Adults with and without COPD: Results from the Danish Health and Morbidity Survey (a Self-reported Survey)</p>

Hansen¹,

Mølsted²,

Ekholm³

et al. 2020

COPD

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“…Previous studies 7,11 demonstrated that patients with COPD have exaggerated kyphotic posture than healthy controls. Furthermore, Lee et al 9 reported more thoracic kyphotic values in patients with COPD than healthy individuals 51.8 vs. 39.1 respectively. In our study, patients with emphysema demonstrated more thoracic kyphotic changes than reported by Gonçalves et al 7 in people with COPD.…”

Section: Discussionmentioning

confidence: 97%

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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“…14,15 They were rated as 'good quality' with the NOS. The 18 analytical cross-sectional studies [1][2][3][4][5][16][17][18][19][20][21][22][23][24][25][26][27][28] received a total of positive responses to items ranging from five (four studies) to eight (nine studies) on the JBI critical appraisal checklist. All of these studies were therefore considered to be at low risk of bias.…”

Section: Quality Score Of the Selected Studiesmentioning

confidence: 99%

Prevalence and risk factors of musculoskeletal pain in patients with chronic obstructive pulmonary disease: A systematic review

Latiers

Vandenabeele

Poncin

et al. 2021

Clinical Respiratory J

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Objectives: This systematic review aimed to discuss the prevalence and the risk factors of the musculoskeletal pain in chronic obstructive pulmonary disease (COPD).Data source and study selection: Four databases were analysed (Scopus, PubMed, Cochrane and EMBASE). We excluded systematic reviews, metaanalyses, conference abstracts and case reports. Two authors independently checked for the eligibility of the relevant articles. The risk of bias was evaluated using the Newcastle Ottawa Quality Assessment Scale and the Joanna Briggs Institute critical appraisal checklist. The selection and evaluation of studies followed the PRISMA guidelines.Results: Twenty studies were retrieved, including from 21 to 7952 patients with COPD. The prevalence of pain was highly heterogeneous across studies: 7-89.7%. Pain was mostly reported in the lumbar (7-69%) and cervical spine (11-48.3%) and the chest (44-82.8%). The main risk factors for developing pain were old age, sex (female), level of physical activity (low) and comorbidities. Conclusion:Pain is a very common symptom in patients with COPD. Despite this, few clinical trials have investigated the pain. It appears to be located primarily in the lumbar, cervical and thoracic regions and facilitated by being a female, a low level of physical activity, comorbidity(ies) and old age.Chronic Obstructive Pulmonary Disease (COPD) is among the four major non-communicable diseases, along with cardiovascular disease, cancer and diabetes, 1 and estimates predict this disease will become the third lead-ing cause of death in 2020. [2][3][4] The main issues are the pulmonary symptoms such as cough, dyspnea and expectoration, but COPD involves also some comorbidities such as diabetes, arthritis and osteoporosis. 1,2,5 Pain is defined as 'an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage; or is described in terms of such damage having physiological Abbreviations list: COPD, chronic obstructive pulmonary disease.

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Postural deviations in individuals with chronic obstructive pulmonary disease (COPD)

Cited by 17 publications

References 29 publications

<p>Pain Prevalence, Localization, and Intensity in Adults with and without COPD: Results from the Danish Health and Morbidity Survey (a Self-reported Survey)</p>

<p>Pain Prevalence, Localization, and Intensity in Adults with and without COPD: Results from the Danish Health and Morbidity Survey (a Self-reported Survey)</p>

Postural abnormalities in phenotypes of chronic obstructive pulmonary disease

Prevalence and risk factors of musculoskeletal pain in patients with chronic obstructive pulmonary disease: A systematic review

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