Dimitriadis Zacharias, Kapreli Eleni, Strimpakos Nikolaos, Oldham Jacqueline
Physiotherapy Department, Technological Educational Institute of Lamia, Lamia, Greece.
Respir Care. 2014 Apr;59(4):543-9. doi: 10.4187/respcare.01828. Epub 2013 Sep 11.
Chronic neck pain is one of the most common musculoskeletal pain conditions experienced by many people during their lives. Although patients with neck pain are managed predominantly as musculoskeletal patients, there are indications that they also have poor pulmonary function. The aim of this study was to examine whether patients with chronic neck pain have spirometric abnormalities and whether neck pain problems and psychological states are associated with these abnormalities.
Forty-five participants with chronic neck pain and 45 well-matched healthy controls were recruited. Spirometry was used to assess participants' pulmonary function. Neck muscle strength, endurance of deep neck flexors, cervical range of motion, forward head posture, psychological states, disability, and pain intensity were also evaluated.
The results showed that patients with chronic neck pain yielded significantly reduced vital capacity, FVC, expiratory reserve volume, and maximum voluntary ventilation (P < .05), but peak expiratory flow, FEV1, and FEV1/FVC ratio were not affected (P > .05). Strength of neck muscles, pain intensity, and kinesiophobia were found to be significantly correlated (r > 0.3, P < .05) with respiratory function.
Patients with chronic neck pain do not have optimal pulmonary function. Cervical spine muscle dysfunction in parallel with pain intensity and kinesiophobia are factors that are associated mainly with this respiratory dysfunction.
慢性颈痛是许多人一生中最常见的肌肉骨骼疼痛病症之一。尽管颈痛患者主要作为肌肉骨骼疾病患者进行治疗，但有迹象表明他们的肺功能也较差。本研究的目的是检查慢性颈痛患者是否存在肺量计异常，以及颈痛问题和心理状态是否与这些异常相关。
招募了45名慢性颈痛参与者和45名匹配良好的健康对照者。使用肺量计评估参与者的肺功能。还评估了颈部肌肉力量、颈深屈肌耐力、颈椎活动范围、头部前伸姿势、心理状态、残疾程度和疼痛强度。
结果显示，慢性颈痛患者的肺活量、用力肺活量、呼气储备量和最大自主通气量显著降低（P < .05），但呼气峰值流速、第一秒用力呼气容积和第一秒用力呼气容积/用力肺活量比值未受影响（P > .05）。发现颈部肌肉力量、疼痛强度和运动恐惧与呼吸功能显著相关（r > 0.3，P < .05）。
慢性颈痛患者的肺功能不佳。颈椎肌肉功能障碍与疼痛强度和运动恐惧并行，是主要与这种呼吸功能障碍相关的因素。
