Belli Juliana Fernanda Canhadas, Chaves Thaís Cristina, de Oliveira Anamaria Siriani, Grossi Débora Bevilaqua
Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Eur J Pediatr. 2009 Oct;168(10):1207-16. doi: 10.1007/s00431-008-0911-y. Epub 2009 Jan 9.
The mechanical alterations related to the excessive use of accessory respiratory muscles and the mouth breathing observed in children with asthma may lead to the development of alterations in head posture, shoulders, thoracic region and, consequently, in alterations of body posture. The purpose of this study was to assess body posture changes of children with asthma compared to a non-asthmatic control group matched for gender, age, weight, and height. Thirty children with asthma and 30 non-asthmatic children aged 7 to 12 years were enrolled in this study. Digital photographic records were obtained for analysis of the body posture of the children by computed photogrammetry. The intraclass correlation coefficient and Student's t test (p < 0.05) were used for statistical analysis. There were no significant differences between groups for the angles analyzed, except for the knee flexor angle. These results demonstrate that children with asthma did not present postural alterations compared to non-asthmatic controls since the only angle for which there was a significant difference between groups showed weak reproducibility. The findings of this study do not support the notion that children with asthma present alterations in body posture.
在哮喘患儿中观察到的与过度使用辅助呼吸肌及口呼吸相关的机械性改变,可能会导致头部姿势、肩部、胸部区域发生改变,进而引起身体姿势的改变。本研究的目的是评估哮喘患儿与按性别、年龄、体重和身高匹配的非哮喘对照组相比的身体姿势变化。本研究纳入了30名7至12岁的哮喘患儿和30名非哮喘患儿。通过计算机摄影测量法获取数码照片记录,以分析患儿的身体姿势。组内相关系数和学生t检验(p<0.05)用于统计分析。除了屈膝角度外,分析的角度在两组之间没有显著差异。这些结果表明,与非哮喘对照组相比,哮喘患儿没有出现姿势改变,因为两组之间存在显著差异的唯一角度显示出较弱的可重复性。本研究结果不支持哮喘患儿存在身体姿势改变这一观点。