Gonçalves Márcia Aparecida, Leal Bruna Estima, Lisboa Liseane Gonçalves, Tavares Michelle Gonçalves de Souza, Yamaguti Wellington Pereira, Paulin Elaine
. Departamento de Fisioterapia e Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina - UDESC - Florianópolis (SC) Brasil.
. Departamento de Radiologia, Clínica Lâmina Medicina Diagnóstica, Florianópolis (SC) Brasil.
J Bras Pneumol. 2018 Jan-Feb;44(1):5-11. doi: 10.1590/S1806-37562016000000248.
To compare diaphragmatic mobility, lung function, and respiratory muscle strength between COPD patients with and without thoracic hyperkyphosis; to determine the relationship of thoracic kyphosis angle with diaphragmatic mobility, lung function, and respiratory muscle strength in COPD patients; and to compare diaphragmatic mobility and thoracic kyphosis between male and female patients with COPD.
Participants underwent anthropometry, spirometry, thoracic kyphosis measurement, and evaluation of diaphragmatic mobility.
A total of 34 patients with COPD participated in the study. Diaphragmatic mobility was significantly lower in the group of COPD patients with thoracic hyperkyphosis than in that of those without it (p = 0.002). There were no statistically significant differences between the two groups of COPD patients regarding lung function or respiratory muscle strength variables. There was a significant negative correlation between thoracic kyphosis angle and diaphragmatic mobility (r = -0.47; p = 0.005). In the sample as a whole, there were statistically significant differences between males and females regarding body weight (p = 0.011), height (p < 0.001), and thoracic kyphosis angle (p = 0.036); however, there were no significant differences in diaphragmatic mobility between males and females (p = 0.210).
Diaphragmatic mobility is lower in COPD patients with thoracic hyperkyphosis than in those without it. There is a negative correlation between thoracic kyphosis angle and diaphragmatic mobility. In comparison with male patients with COPD, female patients with COPD have a significantly increased thoracic kyphosis angle.
比较有和没有胸椎后凸的慢性阻塞性肺疾病（COPD）患者的膈肌活动度、肺功能和呼吸肌力量；确定COPD患者胸椎后凸角度与膈肌活动度、肺功能和呼吸肌力量之间的关系；并比较男性和女性COPD患者的膈肌活动度和胸椎后凸情况。
参与者接受人体测量、肺量计检查、胸椎后凸测量和膈肌活动度评估。
共有34例COPD患者参与了本研究。有胸椎后凸的COPD患者组的膈肌活动度显著低于无胸椎后凸的患者组（p = 0.002）。两组COPD患者在肺功能或呼吸肌力量变量方面无统计学显著差异。胸椎后凸角度与膈肌活动度之间存在显著负相关（r = -0.47；p = 0.005）。在整个样本中，男性和女性在体重（p = 0.011）、身高（p < 0.001）和胸椎后凸角度（p = 0.036）方面存在统计学显著差异；然而，男性和女性在膈肌活动度方面无显著差异（p = 0.210）。
有胸椎后凸的COPD患者的膈肌活动度低于无胸椎后凸的患者。胸椎后凸角度与膈肌活动度之间存在负相关。与男性COPD患者相比，女性COPD患者的胸椎后凸角度显著增加。
