Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid; IdISSC, Madrid, Spain.
Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid.
Disabil Rehabil. 2023 Jul;45(15):2422-2433. doi: 10.1080/09638288.2022.2096126. Epub 2022 Jul 8.
To determine the differences in respiratory muscle strength and pulmonary function between patients with chronic neck pain (CNP) and asymptomatic individuals.
Databases were MEDLINE, CINAHL, Scopus, Web of Science and EMBASE up to the end of September 2021. Studies with cross-sectional and longitudinal design were selected, with adult patients with CNP and asymptomatic individuals with reports respiratory function.
11 studies met the inclusion criteria and 10 were included in the meta-analysis showing a statistically significant reduction in inspiratory/expiratory muscle strength (MIP/MEP) in the patients with CNP compared with the asymptomatic individuals (mean difference (MD) for MIP, -11.67 [-14.57 to -8.77]; MD for MEP, -11.80 [-14.99 to -8.60]) and pulmonary function: vital capacity (standardized mean difference (SMD), -0.31 [-0.56 to -0.06]); maximum voluntary ventilation (SMD, -0.36 [-0.59 to -0.14]); forced vital capacity (SMD, -0.53 [-0.99 to -0.06]); peak expiratory flow (SMD, -0.58 [-1.03 to -0.12]); and forced expiratory volume in the first second (SMD, -0.28 [-0.51 to -0.05]).
Patients with CNP have reduced respiratory muscle strength and pulmonary function compared with asymptomatic individuals, and this difference could be clinically meaningful. However, more studies of high methodological quality and longitudinal studies are needed to strengthen the results of this meta-analysis. IMPLICATIONS FOR REHABILITATIONRespiratory dysfunction has been observed in patients with chronic neck pain.Patients with chronic neck pain present a decrease in respiratory muscle strength and pulmonary function compared with asymptomatic individuals.Respiratory pattern disorders should be considered in the clinical context of chronic neck pain.Interventions focused on respiratory muscle training could be helpful for this population.
确定慢性颈痛（CNP）患者与无症状个体之间呼吸肌力量和肺功能的差异。
检索 MEDLINE、CINAHL、Scopus、Web of Science 和 EMBASE 数据库，检索时间截至 2021 年 9 月底。纳入了横断面和纵向设计的研究，纳入了患有 CNP 的成年患者和有呼吸功能报告的无症状个体。
符合纳入标准的有 11 项研究，其中 10 项研究被纳入荟萃分析，结果显示 CNP 患者的吸气/呼气肌力量（MIP/MEP）较无症状个体显著降低（MIP 的平均差值（MD），-11.67 [-14.57 至-8.77]；MEP 的 MD，-11.80 [-14.99 至-8.60]）和肺功能：肺活量（标准化均数差（SMD），-0.31 [-0.56 至-0.06]）；最大自主通气量（SMD），-0.36 [-0.59 至-0.14]）；用力肺活量（SMD），-0.53 [-0.99 至-0.06]）；呼气峰流速（SMD），-0.58 [-1.03 至-0.12]）；第一秒用力呼气量（SMD），-0.28 [-0.51 至-0.05]）。
与无症状个体相比，CNP 患者的呼吸肌力量和肺功能降低，这种差异可能具有临床意义。然而，需要更多方法学质量高的研究和纵向研究来加强这项荟萃分析的结果。
慢性颈痛患者存在呼吸功能障碍。与无症状个体相比，慢性颈痛患者的呼吸肌力量和肺功能下降。在慢性颈痛的临床背景下，应考虑呼吸模式障碍。针对呼吸肌训练的干预措施可能对这一人群有帮助。
