Journal of bodywork and movement therapies · 2025
Postural assessment in stable COPD patients and its correlation with disease severity.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
de Abreu Diego Condesso, Silva Bianca do Carmo Figueira, de Souza Yves Raphael, Figueiredo Manoele, Rufino Rogerio, da Costa Claudia Henrique
Аннотация
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) often experience dyspnea, which can lead to postural adaptations. Some studies suggest that these postural alterations may affect balance and gait. However, little is known about the association between postural changes-particularly those involving the shoulder girdle-and COPD severity.
OBJECTIVE: To investigate the relationship between shoulder girdle postural alterations in COPD patients and functionality (assessed by the 6-min walk test [6MWT] and functional reach test [FRT]), dyspnea (measured by the modified Medical Research Council [mMRC] scale), and disease severity (assessed by forced expiratory volume in 1 s [FEV1]).
METHODS: Stable COPD patients underwent postural assessment using the Software for Postural Evaluation (SAPO), spirometry, dyspnea evaluation via the mMRC scale, the FRT, and the 6MWT.
RESULTS: A positive correlation was observed between the head protraction angle-measured from the right and left lateral views-and the distance reached in the FRT (r = 0.64 and r = 0.66, respectively; p < 0.0001). No significant relationship was found between FEV1 and postural changes. Patients reporting dyspnea showed a significantly shorter FRT range (34.67 cm vs. 37.91 cm; p = 0.0061) compared to those without dyspnea. Additionally, a statistically significant correlation was observed between the horizontal head angle and the distance achieved in the 6MWT (r = 0.39, r2 = 0.15; p = 0.004).
CONCLUSION: Although no correlation was found between postural changes and spirometric parameters (FEV1 and FVC), there was a significant association with functional performance in the FRT and 6MWT. These findings suggest that postural assessment may be a valuable tool for planning and monitoring pulmonary rehabilitation in COPD patients.
OBJECTIVE: To investigate the relationship between shoulder girdle postural alterations in COPD patients and functionality (assessed by the 6-min walk test [6MWT] and functional reach test [FRT]), dyspnea (measured by the modified Medical Research Council [mMRC] scale), and disease severity (assessed by forced expiratory volume in 1 s [FEV1]).
METHODS: Stable COPD patients underwent postural assessment using the Software for Postural Evaluation (SAPO), spirometry, dyspnea evaluation via the mMRC scale, the FRT, and the 6MWT.
RESULTS: A positive correlation was observed between the head protraction angle-measured from the right and left lateral views-and the distance reached in the FRT (r = 0.64 and r = 0.66, respectively; p < 0.0001). No significant relationship was found between FEV1 and postural changes. Patients reporting dyspnea showed a significantly shorter FRT range (34.67 cm vs. 37.91 cm; p = 0.0061) compared to those without dyspnea. Additionally, a statistically significant correlation was observed between the horizontal head angle and the distance achieved in the 6MWT (r = 0.39, r2 = 0.15; p = 0.004).
CONCLUSION: Although no correlation was found between postural changes and spirometric parameters (FEV1 and FVC), there was a significant association with functional performance in the FRT and 6MWT. These findings suggest that postural assessment may be a valuable tool for planning and monitoring pulmonary rehabilitation in COPD patients.