Response to letter to the Editor ‘Altered breathing pattern valuation relative to dyspnea assessment and treatment for low back pain: Effects of clinical practice’ (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.
Respiratory characteristics of individuals with non-specific low back pain: A cross-sectional study
Nursing & Health Sciences, 2018
Non-specific low back pain (NS-LBP) is known to cause respiratory dysfunction. In this study, we investigated alterations in breathing, respiratory strength and endurance, core stability, diaphragm mobility, and chest expansion among patients with NS-LBP and healthy individuals. The specific aim of the study was to correlate between respiratory function and other variables among NS-LBP patients. Thirty four patients with NS-LBP were matched with 34 healthy participants before undergoing total faulty breathing scale, spirometer, respiratory pressure meter, chest expansion, ultrasound, and pressure biofeedback measurements. There were signs of faulty breathing in the NS-LBP patients when compared to the healthy participants. Diaphragmatic mobility and respiratory muscle endurance were lower in the NS-LBP group. Chest expansion exhibited a significant decrease at the level of the fourth intercostal space in the NS-LBP group, but respiratory muscle strength and core stability were not significant between the two groups. Positive correlations were found to be fairly significant regarding respiratory muscle strength. The findings of this study indicated altered respiratory characteristics in the NS-LBP patients, and suggested that they would improve through respiratory exercises.
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.
European Spine Journal, 2009
The objective of the study was to evaluate the breathing pattern in patients with chronic non-specific low back pain (LBP) and in healthy subjects, both at rest and during motor control tests. Ten healthy subjects and ten patients with chronic LBP participated at this case-control study. The breathing pattern was evaluated at rest (standing and supine position during both relaxed breathing and deep breathing) and while performing clinical motor control tests, i.e. bent knee fall out and active straight leg raise. A blinded observer analyzed the breathing pattern of the participants using visual inspection and manual palpation. Costo-diaphragmatic breathing was considered as optimal breathing pattern. Subjects filled in visual analog scales for the assessment of pain intensity during the tests. At rest, no significant differences were found between the breathing pattern of patients and healthy subjects (P [ 0.05). In contrast, significantly more altered breathing patterns were observed in chronic LBP-patients during motor control tests (P = 0.01). Changes in breathing pattern during motor control tests were not related to pain severity (P [ 0.01), but were related to motor control dysfunction (P = 0.01).
Prevalence of Breathing Dysfunction in Musculoskeletal Complaints: A Cross Sectional Study
https://www.ijhsr.org/IJHSR\_Vol.12\_Issue.2\_Feb2022/IJHSR-Abstract.020.html, 2022
Breathing is the most vital and important function of our body which helps in the maintenance of homeostasis of our body. Breathing being the multifactorial function dependant on Biochemical, Biomechanical, Psychosocial and Neuromusculoskeletal components. The vector of all components results breathing as the complex yet crucial function of our body. This breathing can be affected in any of the conditions affecting any of the above mentioned components. One of the reason being the imbalance between parasympathetic (PNS) and sympathetic (SNS) component of Autonomous Nervous System(ANS). Imbalance between PNS and SNS can result in the “Flight and Fight mode” which keeps the Pain factor on resulting in faulty breathing leading to Breathing Dysfunction. In the present observational cross sectional study, 200 individuals with various musculoskeletal complaints were identified and given, “Self assessment of breathing questionnaire” and “Nijmegen Questionnaire” as these questionnaires covers Biomechanical and Psychosocial aspects of breathing respectively. Scoring for both the questionnaires were done for each individual and data was recorded and analysed using pie chart. we concluded that breathing dysfunction is present in various musculoskeletal complaints predominantly in back pain, followed by neck pain, shoulder pain, and knee pain. Most affected gender is female affecting the Biomechanical as well as psychosocial component. We recommend further research for detailed assessment of breathing in various musculoskeletal conditions.
BMC Musculoskeletal Disorders
Background Chronic low back pain (CLBP) is a leading cause of disability globally. Exercise therapies are one of the commonly prescribed treatment options for CLBP. The specific exercise therapies for CLBP most commonly target movement dysfunction, but seldom brain-based pain modulation. Exercise therapies with specific breathing techniques (SBTs) have been shown to influence and enhance brain-based structural and functional pain modulation. Aims and objectives To assess the feasibility of the SBTs protocol, eligibility criteria, randomization, and dropout rates. To quantify the changes in patient outcome measures and choose the most relevant measure for larger-scale study. To quantify self-adherence levels to home exercise and monitor and record possible pain medication and other treatment modality usage, and adverse events during exercise. Design A parallel randomised analyst-blinded feasibility trial with two-month follow-up. Outcome measures Feasibility related to aims and objec...
Randomized, controlled trial of breath therapy for patients with chronic low-back pain
Alternative therapies in health and medicine
Patients suffering from chronic low back pain (cLBP) are often unsatisfied with conventional medical care and seek alternative therapies. Many mind-body techniques are said to help patients with low back pain by enhancing body awareness, which includes proprioception deficit in cLBP, but have not been rigorously studied in cLBP. Breath therapy is a western mind-body therapy integrating body awareness, breathing, meditation, and movement. Preliminary data suggest benefits from breath therapy for proprioception and low back pain. To assess the effect of breath therapy on cLBP. Randomized, controlled trial. Academic medical center. Thirty-six patients with cLBP. Six to eight weeks (12 sessions) of breath therapy versus physical therapy. Pain by visual analog scale (VAS), function by Roland Scale, overall health by Short Form 36 (SF-36) at baseline, six to eight weeks, and six months. Balance as a potential surrogate for proprioception and body-awareness measured at the beginning and en...