Stephen Sarah, Brandt Corlia, Olivier Benita
Physiotherapy Department, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Wits Sport and Health (WiSH) Research Group, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Physiother Can. 2021 Oct 20;74(2):158-164. doi: 10.3138/ptc-2020-0085. eCollection 2022 May.
People with neck pain are likely to have negative respiratory findings. The purpose of this study was to investigate the relationship between neck pain and dysfunctional breathing and to examine their relationship to stress. This cross-sectional study included 49 participants with neck pain and 49 age- and sex-matched controls. We measured neck pain using the numeric rating scale (NRS); neck disability using the Neck Disability Index (NDI); dysfunctional breathing using the Nijmegen Questionnaire (NQ), Self-Evaluation of Breathing Questionnaire (SEBQ), breath hold time, and respiratory rate (RR); and stress using the Perceived Stress Scale (PSS). Participants with neck pain scored higher on the NQ ( < 0.01) and the SEBQ ( < 0.01) than controls. NQ and SEBQ scores correlated moderately with NDI scores ( > 0.50; 95% CI: 0.25, 0.68 and 0.33, 0.73, respectively) and PSS scores ( > 0.50; 95% CI: 0.29, 0.78 and 0.31, 0.73, respectively). SEBQ scores showed a fair correlation with NRS scores and RR a fair correlation with NDI scores. Participants with neck pain had more dysfunctional breathing symptoms than participants without neck pain, and dysfunctional breathing was correlated with increased neck disability and increased stress. The NQ and SEBQ can be useful in assessing dysfunctional breathing in patients with neck pain.
颈部疼痛的人可能有呼吸方面的不良表现。本研究的目的是调查颈部疼痛与呼吸功能障碍之间的关系，并探讨它们与压力的关系。这项横断面研究纳入了49名颈部疼痛患者和49名年龄及性别匹配的对照组。我们使用数字评分量表（NRS）测量颈部疼痛；使用颈部功能障碍指数（NDI）测量颈部功能障碍；使用奈梅亨问卷（NQ）、呼吸自我评估问卷（SEBQ）、屏气时间和呼吸频率（RR）测量呼吸功能障碍；使用感知压力量表（PSS）测量压力。颈部疼痛患者在NQ（<0.01）和SEBQ（<0.01）上的得分高于对照组。NQ和SEBQ得分与NDI得分中度相关（>0.50；95%CI：分别为0.25，0.68和0.33，0.73）以及与PSS得分中度相关（>0.50；95%CI：分别为0.29，0.78和0.31，0.73）。SEBQ得分与NRS得分呈中等程度相关，RR与NDI得分呈中等程度相关。颈部疼痛患者比无颈部疼痛的患者有更多的呼吸功能障碍症状，且呼吸功能障碍与颈部功能障碍增加和压力增加相关。NQ和SEBQ可用于评估颈部疼痛患者的呼吸功能障碍。
