Forti Meire, Zamunér Antonio R, Andrade Carolina P, Silva Ester
Department of Physical Therapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil.
Respir Care. 2016 Oct;61(10):1384-90. doi: 10.4187/respcare.04401. Epub 2016 Apr 19.
Fibromyalgia syndrome (FMS) is associated with a variety of symptoms, such as fatigue and dyspnea, which may be related to changes in the respiratory system. The objective of this work was to evaluate pulmonary function, respiratory muscle strength, and thoracoabdominal mobility in women with FMS and its association with clinical manifestations.
The study included 23 women with FMS and 23 healthy women (control group). Pulmonary function, respiratory muscle strength, and thoracoabdominal mobility were assessed in all participants. Clinical manifestations such as number of active tender points, pain, fatigue, well-being, and general pressure pain threshold and pressure pain threshold in regions involved in respiratory function were also assessed. For data analysis, the Mann-Whitney test and Spearman correlation coefficient were used.
The FMS group showed lower values of maximum voluntary ventilation (P = .030), maximal inspiratory pressure (P = .003), and cirtometry at the axillary and xiphoid levels (P < .001 and P < .001, respectively) as well as higher cirtometry at the abdominal level (P = .005) compared with the control group. However, there was no significant difference between groups for maximum expiratory pressure. In predicted percentage, maximal inspiratory pressure showed significant positive correlation with axillary cirtometry (r = 0.41, P = .049) and negative correlation with the number of active tender points (r = -0.44, P = .031) and fatigue (r = -0.41, P = .049).
Subjects with FMS had lower respiratory muscle endurance, inspiratory muscle strength, and thoracic mobility than healthy subjects. In addition, inspiratory muscle strength was associated with the number of active tender points, fatigue, and axillary mobility.
纤维肌痛综合征（FMS）与多种症状相关，如疲劳和呼吸困难，这些症状可能与呼吸系统的变化有关。本研究的目的是评估FMS女性患者的肺功能、呼吸肌力量和胸腹活动度及其与临床表现的关系。
本研究纳入23例FMS女性患者和23例健康女性（对照组）。对所有参与者进行肺功能、呼吸肌力量和胸腹活动度评估。还评估了如活跃压痛点数量、疼痛、疲劳、幸福感以及呼吸功能相关区域的一般压痛阈值和压痛阈值等临床表现。数据分析采用Mann-Whitney检验和Spearman相关系数。
与对照组相比，FMS组的最大自主通气量（P = 0.030）、最大吸气压力（P = 0.003）以及腋窝和剑突水平的胸围呼吸动度（分别为P < 0.001和P < 0.001）较低，而腹部水平的胸围呼吸动度较高（P = 0.005）。然而，两组之间的最大呼气压力无显著差异。在预测百分比方面，最大吸气压力与腋窝胸围呼吸动度呈显著正相关（r = 0.41，P = 0.049），与活跃压痛点数量呈负相关（r = -0.44，P = 0.031），与疲劳呈负相关（r = -0.41，P = 0.049）。
FMS患者的呼吸肌耐力、吸气肌力量和胸廓活动度低于健康受试者。此外，吸气肌力量与活跃压痛点数量、疲劳和腋窝活动度相关。
