Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Heart Lung. 2019 Jul-Aug;48(4):351-355. doi: 10.1016/j.hrtlng.2018.12.009. Epub 2019 Jan 14.
Recent reports have identified pain as a comorbidity in obstructive lung diseases, but data regarding pain in certain obstructive lung diseases such as COPD and bronchiectasis vs. healthy controls and differences in pain between these chronic lung diseases are limited.
The primary aim of this study was to compare pain sensitivity, postural abnormalities, and functional balance in patients with COPD/bronchiectasis vs. healthy controls. The secondary aim was to evaluate differences in these parameters between two different lung diseases (COPD and bronchiectasis).
Twenty-nine patients with moderate to severe COPD/bronchiectasis and 31 healthy age/gender-matched individuals participated in the study. Pain sensitivity was assessed with an algometer. Postural abnormalities were analyzed from the lateral and posterior view. Functional balance was evaluated using the Timed Up and Go test (TUG).
Significantly more patients reported pain compared to the healthy controls (89.7% vs. 19.4%, respectively) (p < 0.05). The pressure pain thresholds of the trapezius and deltoid muscles and pain tolerance of the pectoralis major muscle were significantly lower in patients compared to healthy subjects (p < 0.05). Total and posterior posture scores and TUG time were significantly higher in patients compared to the control group (p < 0.05).
This study showed that pain perception, severity, and sensitivity are increased in patients with COPD or bronchiectasis compared to the healthy population. These patients also have more severe postural abnormalities and functional balance impairment than the healthy population.
最近的报告指出，疼痛是阻塞性肺部疾病的一种合并症，但关于某些阻塞性肺部疾病（如 COPD 和支气管扩张症）与健康对照组之间的疼痛数据以及这些慢性肺部疾病之间的疼痛差异有限。
本研究的主要目的是比较 COPD/支气管扩张症患者与健康对照组之间的疼痛敏感性、姿势异常和功能性平衡。次要目的是评估两种不同肺部疾病（COPD 和支气管扩张症）之间这些参数的差异。
29 名中重度 COPD/支气管扩张症患者和 31 名年龄和性别匹配的健康对照者参加了这项研究。使用压力计评估疼痛敏感性。从侧面和背面分析姿势异常。使用计时起立行走测试（TUG）评估功能性平衡。
与健康对照组相比，患者报告疼痛的比例明显更高（89.7% vs. 19.4%）（p<0.05）。与健康受试者相比，斜方肌和三角肌的压痛阈值以及胸大肌的疼痛耐受力在患者中明显较低（p<0.05）。与对照组相比，患者的总姿势和后位评分以及 TUG 时间明显更高（p<0.05）。
这项研究表明，与健康人群相比，COPD 或支气管扩张症患者的疼痛感知、严重程度和敏感性增加。这些患者的姿势异常和功能性平衡障碍也比健康人群更严重。
