Respiratory characteristics of individuals with non-specific low back pain: A cross-sectional study (original) (raw)
Related papers
Review Article: Altered Respiratory Function in Patients With Low Back Pain: A Review Article
JMR Journal, 2021
Low Back Pain (LBP) is a major musculoskeletal complaint and a multidimensional problem. This study aimed to answer whether patients with LBP have an altered pattern or a reduced rate of respiration compared to healthy people. Materials and Methods: Two reviewers searched the PubMed, ScienceDirect, and Google Scholar databases from 2000 to 2020 using the search terms "low back pain" OR "low backache" OR "lumbago" AND "breath" OR "respiration". The methodological quality of articles generated by the search was appraised using the modified version of the Newcastle-Ottawa scale. Results: A total of 7 studies were selected for the final review, with two examining respiratory parameters, one investigating the effects of cognitive tasks on respiratory function, two determining the impact of performing a task on respiratory function, and two observing breathing patterns during different tasks. Conclusion: Respiratory function is sub-optimal in chronic patients with LBP. Thus, respiratory rehabilitation is crucial to managing LBP problems.
Altered Respiratory Function in Patients With Low Back Pain: A Review Article
Negah Institute for Social Research & Scientific Communication , 2021
Low Back Pain (LBP) is a major musculoskeletal complaint and a multidimensional problem. This study aimed to answer whether patients with LBP have an altered pattern or a reduced rate of respiration compared to healthy people. Materials and Methods: Two reviewers searched the PubMed, ScienceDirect, and Google Scholar databases from 2000 to 2020 using the search terms "low back pain" OR "low backache" OR "lumbago" AND "breath" OR "respiration". The methodological quality of articles generated by the search was appraised using the modified version of the Newcastle-Ottawa scale. Results: A total of 7 studies were selected for the final review, with two examining respiratory parameters, one investigating the effects of cognitive tasks on respiratory function, two determining the impact of performing a task on respiratory function, and two observing breathing patterns during different tasks. Conclusion: Respiratory function is sub-optimal in chronic patients with LBP. Thus, respiratory rehabilitation is crucial to managing LBP problems.
The presence of respiratory disorders in individuals with low back pain: A systematic review
Manual Therapy, 2016
Background: Inspiratory muscles, such as the diaphragm, play a key role in both respiration and spinal control. Therefore, diaphragm dysfunctions are often related to low back pain (LBP). However, few is known on the association between the presence of LBP and the presence of respiratory disorders (RD). Objectives: To perform a systematic review on the relation between RD and LBP. Study Design: Systematic review Methods: Two reviewers searched on PubMed/MEDLINE for studies concerning LBP and RD, from 1950 up to January 2016. The search string consisted of the following key words: low back pain, dyspnea, respiratory problems, lung diseases, comorbidity, pulmonary disease, chronic obstructive, smoking, asthma, allergy, sinusitis, respiratory tract infection and hyperventilation. The aim was to evaluate a potential correlation, co-occurrence or causality between RD and LBP. Results: A total of 16 articles were included. A significant correlation between the presence of LBP and the presence of RD such as dyspnea, asthma, different forms of allergy, and respiratory infections was found. No correlation was found between COPD and LBP, and no articles were found on the correlation between hyperventilation and LBP. Conclusions: This is the first study providing an overview of the literature on the relation between LBP and RD. Immunological, biomechanical, psychosocial and socioeconomic factors might explain this correlation. Smoking is likely to contribute. Future studies must reveal the causative relationship.
Journal of Back and Musculoskeletal Rehabilitation, 2016
BACKGROUND: Altered respiratory function has been found to be associated with back pain. Limited chest excursion in subjects with chronic low back pain (CLBP) may be due to co-contraction or bracing of erector spinae and abdominal muscles; their flexed spinal posture; and/or their compromised spinal stability resulting from dysfunctional transversus abdominis. OBJECTIVE: To check for the effects of thoracic mobilization on respiratory parameters in subjects with chronic non-specific low back pain. METHODS: Sixty-two subjects (excluding 11 dropouts) with CLBP of age group 30-60 were randomly allocated to two groups. Both groups received individualized treatment for low back pain (LBP) and HEP (home exercise program) regime of breathing exercises. In addition, group 1 received Maitland's Central postero-anterior vertebral pressure for thoracic spine (T1-T8). Total treatment duration was 10 sessions in 2 weeks (5 sessions/week). RESULTS: Results showed significant improvement in respiratory parameters viz. Forced Vital Capacity (FVC), Sustained Maximal Inspiratory Pressure (SMIP) and Chest Wall Expansion (CWE) and Oswestry Disability Index (ODI) in both groups (p < 0.05) at end of 2 weeks of intervention. However, improvement was significantly more in group 1 (p < 0.05) receiving additional thoracic mobilization. CONCLUSION: Subjects with non-specific chronic low back pain with or without radiation to lower limbs when treated with thoracic central PA mobilization, in addition to LBP specific treatment and breathing exercises, show an improvement in respiratory parameters and reduction in disability.
Reduced Ventilatory Muscle Strength-A Risk Associated With Low Back Pain-A Case-Control Study
https://www.ijhsr.org/IJHSR\_Vol.9\_Issue.12\_Dec2019/IJHSR\_Abstract.010.html, 2019
Background: Non-specific low back pain, which is not attributed to any recognizable cause, is the most common form of low back pain. When this pain persists, it becomes chronic and tends to develop compensatory patterns. These biomechanical alterations have shown to have an association with the respiratory system which has been documented in many studies. However, due to the dearth of literature and contrasting evidences, the present study aimed to find out an objective relationship between the presence of low back pain and reduced ventilatory muscle strength using a reliable and non-invasive technique such as MIP and MEP. Methods: Using convenient sampling technique, 60 subjects who fulfilled the inclusion criteria were recruited and were divided into two groups of 30 each. Group A included individuals with mechanical low back pain and group B included healthy individuals. Each individual was subjected for the assessment of Maximum Inspiratory Pressure (MIP) and Maximum Expiratory Pressure (MEP) Results: The results were obtained using Chi-Square test for presence of low back pain and reduced ventilatory muscle strength which did not show a significant difference with p = 0.69 for MIP and for MEP, p=0.67 with α set at 95%. Conclusion: The findings of the study suggest that the respiratory muscle strength is not affected in patients with non-specific, chronic mechanical low back pain.
Breathing Patterns in Patients with Low Back Pain
2014
Background: Low Back pain is common clinical condition encountered in a day to day Physiotherapy practice. Very few authors has so far documented changes in breathing patterns in low back pain while performing certain motor control tests. Purpose: The aim of the study was to observe the breathing pattern in individuals with low back pain (LBP) both at rest and during motor control tasks. Material and Method: 150 patients with LBP participated in this study and they were subcategorized further in acute, sub-acute and chronic low back pain patients. The breathing pattern was evaluated at rest (standing and supine position during both relaxed breathing and deep breathing) and while performing clinical motor control tasks, i.e. bent knee fall out, knee lift abdominal test and active straight leg raise. Breathing patterns in patients with LBP were assessed by therapist both visually and via palpation and observational findings were noted. Costo-diaphragmatic breathing was considered as normal breathing pattern. Result: Observational findings of this study demonstrates altered breathing pattern in patients with LBP during motor control tasks. Conclusion: At rest, no significant differences were observed in breathing patterns of LBP patients, whereas around 71% patients revealed abnormal breathing pattern during motor control tests.
Physiotherapy Practice and Research, 2021
© 2020 - IOS Press. All rights reserved. PURPOSE: Abnormal breathing patterns, decrease in respiratory muscle strength and endurance are some of the alterations, which are observed in non-specific low back pain (NS-LBP). The purpose of this study was to determine the efficacy of the Feldenkrais method (FM) on respiratory muscle strength, Maximum Voluntary Ventilation (MVV), Total Faulty Breathing Scale (TFBS), Cloth Tape Measure (CTM) and core stability among NS-LBP participants. METHODS: Participants were recruited from a rehabilitation clinic and randomized either to experimental group (EG) or the control group (CG). For the EG (FM and routine physiotherapy), and for the CG routine physiotherapy alone were carried out three days per week over a period of 8 weeks. Outcome measures including Respiratory Muscle Strength, MVV, TFBS, Numeric Rating Scale (NRS), CTM, and Pressure biofeedback device (PBU) were evaluated at baseline and 8 weeks. RESULTS: Forty participants were assigned t...