胸部扩张是原发性纤维肌痛症中肺部肌肉力量的一个决定因素吗？
Is chest expansion a determinant of pulmonary muscle strength in primary fibromyalgia?
作者信息
Sahin Günşah, Ulubaş Bahar, Calikoğlu Mukadder, Bolgen Cime Ozlen, Erdoğan Canan
机构信息
Department of Physical Medicine and Rehabilitation, School of Medicine, Mersin University, Mersin, Turkey.
出版信息
Joint Bone Spine. 2004 Mar;71(2):140-3. doi: 10.1016/S1297-319X(03)00055-1.
OBJECTIVE
To examine the possible relationship between chest expansion and pulmonary muscle strength in patients with primary fibromyalgia (PFM).
METHODS
Forty-one consecutive women with PFM were compared with age and body mass index matched 40 healthy women concerning pulmonary function tests, chest expansion, and maximum respiratory pressures indicating pulmonary muscle strength, and endurance (MVV). Pain was scored according to a visual analog scale (VAS). Chest pain was scored on a 10 point scale.
RESULTS
There was no significant difference between the two groups regarding chest expansion (P > 0.05). Maximum inspiratory and expiratory pressures (MIP, MEP) were lower in fibromyalgia patients than controls (P < 0.05). However, chest expansion and dyspnea score were insignificant between groups (P > 0.05).
CONCLUSION
Reduced maximum respiratory pressures (MIP, MEP) may result from isometric type pulmonary muscle dysfunction as a result of low physical performance in fibromyalgia patients, despite insignificant finding of chest expansion and dyspnea score according to controls.
目的
探讨原发性纤维肌痛（PFM）患者胸部扩张与肺肌力量之间的可能关系。
方法
将41例连续的PFM女性患者与年龄和体重指数相匹配的40例健康女性进行比较，比较内容包括肺功能测试、胸部扩张以及指示肺肌力量和耐力的最大呼吸压力（MVV）。疼痛根据视觉模拟量表（VAS）评分。胸痛采用10分制评分。
结果
两组在胸部扩张方面无显著差异（P>0.05）。纤维肌痛患者的最大吸气和呼气压力（MIP、MEP）低于对照组（P<0.05）。然而，两组之间的胸部扩张和呼吸困难评分无显著差异（P>0.05）。
结论
尽管根据对照组，胸部扩张和呼吸困难评分无显著差异，但纤维肌痛患者由于身体机能低下导致等长型肺肌功能障碍，可能会导致最大呼吸压力（MIP、MEP）降低。
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