Respiratory dysfunction in patients with chronic neck pain – Influence of thoracic spine and chest mobility
| Autor: | M. Perk, U. Boutellier, M. Amstalden, Barry Kim Humphreys, Brigitte Wirth |
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| Přispěvatelé: | University of Zurich, Wirth, B |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Spirometry medicine.medical_specialty Posture 610 Medicine & health Physical Therapy Sports Therapy and Rehabilitation Thoracic Vertebrae Disability Evaluation Maximal Voluntary Ventilation Endurance training Respiratory muscle medicine Humans Respiratory function Range of Motion Articular 3612 Physical Therapy Sports Therapy and Rehabilitation Neck pain Neck Pain medicine.diagnostic_test business.industry General Medicine Middle Aged Thorax Anesthesia Forward head posture Respiratory Mechanics Physical therapy Female 10046 Balgrist University Hospital Swiss Spinal Cord Injury Center Chronic Pain medicine.symptom business Range of motion |
| Zdroj: | Manual Therapy. 19:440-444 |
| ISSN: | 1356-689X |
| Popis: | Patients with chronic neck pain exhibit various musculoskeletal deficits and respiratory dysfunction. As there is a link between thoracic and cervical spine motion, the aim of this study was to investigate the relationship between thoracic spine and chest mobility with respiratory function and neck disability. Nineteen patients with chronic neck pain (7 male, 46.6 ± 10.5 years) and 19 healthy subjects (7 male, 46.5 ± 9.9 years) participated. Spirometry was conducted to determine maximal voluntary ventilation (MVV), maximal inspiratory (Pimax) and maximal expiratory pressure (Pemax). Thoracic spine mobility was measured using the Spinal Mouse(®). Chest expansion was assessed by subtracting chest circumference during maximal inspiration and expiration. Neck function was investigated by examining range of motion, forward head posture, neck flexor muscle synergy endurance and self-assessment (Neck disability index (NDI)). Correlation analyses and multiple linear regression analyses were conducted using MVV, Pimax and Pemax as independent variables. Thoracic spine mobility during flexion and chest expansion correlated significantly to MVV (r = 0.45 and 0.42), all neck motions (r between 0.39 and 0.59) and neck muscle endurance (rS = 0.36). Pemax and Pimax were related to NDI (r = -0.58 and -0.46). In the regression models, chest expansion was the only significant predictor for MVV, and Pemax was determined by neck muscle endurance. These results suggest that chronic neck pain patients should improve the endurance of the neck flexor muscles and thoracic spine and chest mobility. Additionally, these patients might benefit from respiratory muscle endurance training, possibly by increasing chest mobility and Pemax. |
| Databáze: | OpenAIRE |
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