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Kim SY, Lee CH, Yoo DM, Min C, Choi HG. Association Between Asthma and Meniere's Disease: A Nested Case-Control Study. Laryngoscope 2021; 132:864-872. [PMID: 34672361 DOI: 10.1002/lary.29917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 10/03/2021] [Accepted: 10/09/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVES/HYPOTHESIS This study aimed to investigate the association between Meniere's disease and prior history of asthma. STUDY DESIGN A nested case-control study. METHODS Among the patients aged ≥40 years from the Korean National Health Insurance Service-Health Screening Cohort 2002-2015, 7,734 diagnosed with Meniere's disease between 2004 and 2015 were enrolled in this study. From the 505,834 participants without a prior history of Meniere's disease, 30,936 control participants were selected based on age, sex, income, and region of residence. The presence of a prior history of asthma before the diagnosis of Meniere's disease was compared between the Meniere's disease group and control group using conditional logistic regression with odds ratios (ORs) and 95% confidence intervals (95% CIs). RESULTS Prior history of asthma was associated with 1.30 (1.21-1.39) times higher odds of Meniere's disease (E-value = 1.92 [1.71]). Both allergic asthma and nonallergic asthma patients demonstrated higher odds of Meniere's disease than the control group (adjusted OR = 1.21 [1.08-1.36] and E-value = 1.72 [1.37] for allergic asthma; adjusted OR = 1.26 [1.17-1.36] and E-value = 1.83 [1.60] for nonallergic asthma). CONCLUSIONS This study is the first to demonstrate a positive relationship between Meniere's disease and prior asthma history in adults. The association between prior asthma history and Meniere's disease was noted in both allergic and nonallergic asthma cases. The potential development of Meniere's disease should be considered when managing the asthma patients with dizziness or vertigo. LEVEL OF EVIDENCE 3 Laryngoscope, 2021.
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Affiliation(s)
- So Young Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, South Korea
| | - Chang Ho Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, South Korea
| | - Dae Myoung Yoo
- Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang, South Korea
| | - Chanyang Min
- Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang, South Korea.,Graduate School of Public Health, Seoul National University, Seoul, South Korea
| | - Hyo Geun Choi
- Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang, South Korea.,Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Anyang, South Korea
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Develi E, Subasi F, Aslan GK, Bingol Z. The effects of core stabilization training on dynamic balance and pulmonary parameters in patients with asthma. J Back Musculoskelet Rehabil 2021; 34:639-648. [PMID: 33720873 DOI: 10.3233/bmr-191803] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND In the literature, novel physiotherapy and rehabilitation approaches are getting significant attention as a way to cope with secondary complications in the management of asthma. OBJECTIVE To investigate the effectiveness of core stabilization exercises combined with the Asthma Education Program (AEP) and breathing exercises in patients with asthma. METHODS The study sample consists of 40 asthmatic patients (age 52.25 ± 11.51 years) who were randomly divided into a Training Group (TG) (n= 20) and a Control Group (CG) (n= 20). All subjects were included in the AEP, and both groups were trained in breathing retraining exercises (2 times/wk, 6-week duration in the clinic). The core stabilization exercise program was also applied in the TG. Respiratory muscle strength (maximum inspiratory and expiratory pressures), physical activity level (International Physical Activity Questionnaire Short Form (IPAQ)), health-related quality of life (Asthma Quality of Life Questionnaire (AQOL)), functional exercise capacity (six-minute walking test (6MWT)), and dynamic balance (Prokin PK200) were assessed before and after the interventions. RESULTS The TG showed more significant improvements in MIP (ΔTG:4.55 cmH2O, ΔCG:0.95 cmH2O), IPAQ (ΔTG:334.15 MET-min/wk., ΔCG:99 MET-min/wk.), 6MWT (ΔTG:24.50 m, ΔCG:11.50 m), and dynamic balance sub-parameters compared to the mean difference between the initial assessment and after a 6-week intervention program, which included twelve exercise sessions (p< 0.01). CONCLUSIONS The findings present greater improvements in inspiratory muscle strength, physical activity level, functional exercise capacity, and dynamic balance when core stabilization exercises are included in the pulmonary rehabilitation program for the management of asthma.
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Affiliation(s)
- Elif Develi
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yeditepe University, Turkey
| | - Feryal Subasi
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yeditepe University, Turkey
| | - Goksen K Aslan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Turkey
| | - Zuleyha Bingol
- Division of Chest Medicine, Istanbul Medical Faculty, Istanbul University, Turkey
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Oliveira JMD, Spositon T, Cerci Neto A, Soares FMC, Pitta F, Furlanetto KC. Functional tests for adults with asthma: validity, reliability, minimal detectable change, and feasibility. J Asthma 2020; 59:169-177. [PMID: 33066708 DOI: 10.1080/02770903.2020.1838540] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVE To verify the validity, reliability, learning effect, Minimal Detectable Change (MDC), and feasibility of four functional tests (4-Meter Gait Speed [4MGS], Timed Up-and-Go [TUG], Sit-To-Stand [STS], and Short Physical Performance Battery [SPPB]) for adults with asthma. METHODS In this cross-sectional study, fifty-two subjects with stable asthma underwent three sets of different functional tests protocols (4MGS, TUG, STS, SPPB) in a random order by two raters. For validation analysis, tests were compared with a sex-age matched control group without asthma and correlated with the Six Minute Walking Test (6MWT), and peripheral muscle strength, as well as with quality of life and asthma control questionnaires. Intra-rater and inter-rater reliability, MDC, and feasibility were verified. RESULTS Adults with asthma presented worse results than controls in the functional tests, except for SPPB. All functional tests were significantly correlated with 6MWT (0.45 < r < 0.67) and peripheral muscle strength (0.32 < r < 0.63), but not with quality of life and asthma control (0.02 < r < 0.17). The tests presented good to excellent intra-rater Intraclass Correlation Coefficients (ICC ≥ 0.75 for all). In all tests, a considerable learning effect and variability of measurement was observed, therefore, the best of two measurements should be used. MDC ranged from 15 to 31% and all tests were performed in a short time, small space, and without clinical adverse events. CONCLUSION Different protocols of 4MGS, TUG, STS, and SPPB are valid, reliable, and feasible to assess the functional capacity of adults with asthma. These tests are quick and practical new alternatives for assessing functional capacity in this population.
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Affiliation(s)
- Joice Mara de Oliveira
- Research and Postgraduate Center, Pitágoras-Unopar University (UNOPAR), Londrina, Paraná, Brazil.,Laboratory of Research in Respiratory Physiotherapy (LFIP), State University of Londrina, Londrina, Paraná, Brazil
| | - Thamyres Spositon
- Research and Postgraduate Center, Pitágoras-Unopar University (UNOPAR), Londrina, Paraná, Brazil.,Laboratory of Research in Respiratory Physiotherapy (LFIP), State University of Londrina, Londrina, Paraná, Brazil
| | - Alcindo Cerci Neto
- Department of Medicine, State University of Londrina (UEL), Londrina, Paraná, Brazil
| | | | - Fabio Pitta
- Research and Postgraduate Center, Pitágoras-Unopar University (UNOPAR), Londrina, Paraná, Brazil.,Laboratory of Research in Respiratory Physiotherapy (LFIP), State University of Londrina, Londrina, Paraná, Brazil
| | - Karina Couto Furlanetto
- Research and Postgraduate Center, Pitágoras-Unopar University (UNOPAR), Londrina, Paraná, Brazil.,Laboratory of Research in Respiratory Physiotherapy (LFIP), State University of Londrina, Londrina, Paraná, Brazil
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Caruso FR, Trimer R, da Luz Goulart C, Ricci PA, Araújo ASG, Carmargo P, Marinho RS, Baptista P, da Silva ALG, Mendes RG, Borghi-Silva A. Thoracoabdominal mobility evaluation of asthmatic patients in physiotherapy practice: Intra-rater reliability. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2020; 25:e1837. [PMID: 32135037 DOI: 10.1002/pri.1837] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 11/03/2019] [Accepted: 02/08/2020] [Indexed: 01/21/2023]
Abstract
BACKGROUND The evaluation of thoracoabdominal mobility is a tool extensively used in the physiotherapy practice in different populations. Photogrammetry may be a simple tool to analyse thoracoabdominal mobility; however, it is unclear whether this assessment can be a reliable method. AIM To test the reliability intra-examinator by photogrammetry in asthmatic patients and in health controls. METHODS Twenty-six asthmatic patients (29 ± 9 years) and 14 healthy matched controls (27 ± 8 years) were assessed by thoracoabdominal mobility. Photographs during rest, during inspiration and expiration maximum were used to calculate latero-lateral and antero-posterior diameters of the thorax (at axillary and xiphoid levels) and umbilical by markers positioned in osseous structures. An evaluator obtained the same measurements in an 8-day interval. RESULTS We found a moderate reliability for axillary, xiphoid and umbilical mobility (average intraclass correlation coefficient [ICC] respectively [0.68, 0.55 and 0.73]) for asthmatic group. In addition, for control group, we found a moderate reliability for axillary mobility (average ICC respectively [0.68] and a good reliability for xiphoid and umbilical mobility) (average ICC 0.81 and 0.70). Bland-Altman plots showed goods limit of agreement in photos 1 and 2 in both groups. CONCLUSION The photogrammetric analysis of thoracoabdominal mobility presented itself as a reliable method and may be used in clinical practice in asthmatic patients and in controls.
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Affiliation(s)
- Flávia R Caruso
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Renata Trimer
- Physical Education and Health Department, University of Santa Cruz do Sul, Rio Grande do Sul, Brazil
| | - Cassia da Luz Goulart
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Paula A Ricci
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Adriana S G Araújo
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Patrícia Carmargo
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Renan S Marinho
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Polliana Baptista
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Andrea L G da Silva
- Physical Education and Health Department, University of Santa Cruz do Sul, Rio Grande do Sul, Brazil
| | - Renata G Mendes
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
| | - Audrey Borghi-Silva
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil
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Vardar-Yagli N, Saglam M, Calik-Kutukcu E, Inal-Ince D, Arikan H, Coplu L. Increased pain sensitivity, postural abnormalities, and functional balance impairment in obstructive lung disease compared to healthy subjects. Heart Lung 2019; 48:351-355. [PMID: 30655003 DOI: 10.1016/j.hrtlng.2018.12.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 12/21/2018] [Accepted: 12/29/2018] [Indexed: 11/17/2022]
Affiliation(s)
- Naciye Vardar-Yagli
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
| | - Melda Saglam
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey
| | - Ebru Calik-Kutukcu
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey
| | - Deniz Inal-Ince
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey
| | - Hulya Arikan
- Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey
| | - Lutfi Coplu
- Hacettepe University, Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey
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Kováčiková Z, Neumannova K, Rydlova J, Bizovská L, Janura M. The effect of balance training intervention on postural stability in children with asthma. J Asthma 2017; 55:502-510. [PMID: 28699850 DOI: 10.1080/02770903.2017.1342257] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE Pulmonary rehabilitation is mainly focused on exercise training and breathing retraining in children with asthma. Conversely, balance training is not usually recommended for the treatment, although postural deficits were found in these patients. Therefore, this study assessed the effect of balance training intervention on postural stability in children with asthma. METHODS Nineteen children with mild intermittent asthma (age 11.1 ± 2.1 years, height 147.6 ± 13.9 cm, weight 41.8 ± 13.3 kg) were randomly assigned to an experimental group or a control group and completed a four-week physiotherapy program including breathing exercises and aerobic physical training (six times/week, 45 minutes). Both groups performed the same training, but only the experimental group underwent exercises on balance devices. The center of pressure (CoP) velocity in the anteroposterior (Vy) and mediolateral (Vx) directions, and total CoP velocity (Vtot) were recorded before and after training in the preferred and the adjusted stances under eyes open (EO) and eyes closed (EC) conditions. RESULTS The addition of balance intervention led to significant improvements of Vtot (p = 0.02, p = 0.04) in both types of stance, Vx in the preferred stance (p = 0.03) and Vy in the adjusted stance (p = 0.01) under EO conditions. Significant improvements were also found in Vy in the adjusted stance (p = 0.01) under EC conditions. CONCLUSIONS Results of this study support the effectiveness of balance training as a part of physiotherapy treatment for improving balance performance, predominantly under EO conditions, in children with mild asthma.
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Affiliation(s)
- Zuzana Kováčiková
- a Department of Sports Kinanthropology, Faculty of Physical Education and Sports , Comenius University in Bratislava , Slovakia.,b Faculty of Physical Culture , Palacky University in Olomouc , Czech Republic
| | - Katerina Neumannova
- b Faculty of Physical Culture , Palacky University in Olomouc , Czech Republic
| | - Jana Rydlova
- c Miramonti Children's Medical Institution, Luhacovice Spa , Luhacovice , Czech Republic
| | - Lucia Bizovská
- b Faculty of Physical Culture , Palacky University in Olomouc , Czech Republic
| | - Miroslav Janura
- b Faculty of Physical Culture , Palacky University in Olomouc , Czech Republic
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Corazza ST, Laux RC, Foesch MLS, Santos DLD, Machado RR, Macedo TL, Piovesan AC, Mezzomo SP. BENEFÍCIOS DO TREINAMENTO FUNCIONAL PARA O EQUILÍBRIO E PROPRIOCEPÇÃO DE DEFICIENTES VISUAIS. REV BRAS MED ESPORTE 2016. [DOI: 10.1590/1517-869220162206164644] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Introdução: A deficiência visual é uma limitação sensorial que afeta 6,5 milhões de pessoas somente no Brasil, chegando a 285 milhões no mundo. Os sujeitos afetados pela deficiência visual têm dificuldade maior para manter o equilíbrio, já que a visão é um dos principais sentidos envolvidos nesse complexo processo. Para melhorar essa capacidade físico-motora e, consequentemente, a qualidade de vida desses sujeitos, é necessário aperfeiçoar os outros sistemas de propriocepção. Um dos métodos para isso é o treinamento funcional. Objetivo: Analisar os efeitos do treinamento funcional sobre a propriocepção e o equilíbrio de pessoas com deficiência visual. Métodos: O presente estudo de caso analisou três sujeitos com cegueira total ou baixa visão, durante um programa de treinamento funcional que teve duração de 12 semanas, com duas sessões semanais. O equilíbrio postural foi avaliado em uma plataforma de força, em condição bipodal e olhos vendados. A avaliação da propriocepção de membros superiores foi realizada com um cinesiômetro e a avaliação de membros inferiores foi realizada com a fixação de um flexímetro na articulação do joelho dominante do participante, ambas com os olhos vendados. Os resultados foram analisados de maneira descritiva e utilizando a técnica de análise de séries temporais. Resultados: Todos os sujeitos apresentaram melhora do equilíbrio postural. Com respeito à propriocepção do membro superior, o sujeito 1 (S1) apresentou melhora e quanto à propriocepção do membro inferior todos os sujeitos apresentaram melhora. Conclusão: Dessa forma, os resultados sugerem que o treinamento funcional influenciou positivamente o equilíbrio e a propriocepção desses indivíduos.
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Kovacikova Z, Neumannova K, Bizovska L, Rydlova J, Siska M, Janura M. Postural stability in school-age children with mild bronchial asthma disease (a pilot study). J Asthma 2015; 53:11-4. [PMID: 26291139 DOI: 10.3109/02770903.2015.1038391] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE This study assessed the postural stability in children with asthma using balance tests under conditions of a comfortable foot placement and with a foot placement provoking instability. METHODS A group of 10 school children from 8 to 10 years old with mild intermittent asthma and 10 healthy children of the same age range performed four balance tests in a randomized order: preferred stance, adjusted stance, and tandem stance each under both conditions of eyes opened (EO) and eyes closed (EC), as well as a one-legged stance with eyes-opened conditions. To determine postural stability, the center of pressure (CoP) movement was recorded. Basic stabilographic parameters were calculated: CoP velocity in the anterior-posterior direction, CoP velocity in the medial-lateral direction, and the total CoP velocity. RESULTS Statistically significant differences between the groups were found only for the one-legged stance. Significantly greater anterior-posterior CoP velocity (p = 0.05) and total CoP velocity (p = 0.03) were found in children with asthma when standing on the preferred foot. A significantly greater medial-lateral velocity (p = 0.02) was also found in the non-preferred foot of children with asthma. CONCLUSIONS We can conclude that standing on one leg might be an appropriate test with which to identify balance differences between young children with mild intermittent asthma and healthy children.
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Affiliation(s)
- Zuzana Kovacikova
- a Faculty of Physical Culture , Palacky University Olomouc , Olomouc , Czech Republic
| | - Katerina Neumannova
- a Faculty of Physical Culture , Palacky University Olomouc , Olomouc , Czech Republic
| | - Lucia Bizovska
- a Faculty of Physical Culture , Palacky University Olomouc , Olomouc , Czech Republic
| | - Jana Rydlova
- b Miramonti Children's Medical Institution, Luhacovice Spa , Luhacovice , Czech Republic , and
| | - Martin Siska
- c Department of Physical Education and Sports , Matej Bel University , Banska Bystrica , Slovakia
| | - Miroslav Janura
- a Faculty of Physical Culture , Palacky University Olomouc , Olomouc , Czech Republic
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Lima TRL, Guimarães FS, Neves RS, Menezes SLS, Lopes AJ. Scleroderma: Assessment of posture, balance and pulmonary function in a cross-sectional controlled study. Clin Biomech (Bristol, Avon) 2015; 30:438-43. [PMID: 25804523 DOI: 10.1016/j.clinbiomech.2015.03.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Revised: 03/10/2015] [Accepted: 03/11/2015] [Indexed: 02/07/2023]
Abstract
BACKGROUND Systemic sclerosis leads to significant physical limitations in patients, such as diffuse weakness, skin sclerosis, loss of joint function and lung damage. This study aimed to assess posture and balance in systemic sclerosis patients and secondarily to verify correlations between such measurements and lung function. METHODS Thirty-one patients and a similar number of control subjects matched for age, gender, weight, height and body mass index underwent postural assessment using photogrammetry, balance measurement using the Berg Balance Scale and stabilometry, and pulmonary function tests. FINDINGS When compared to healthy volunteers, the patients had postural deviations in hip angle (P=0.009 in anterior view and P=0.028 for the right side), horizontal alignment of the pelvis (P=0.002 for the right side and P=0.004 for the left side), vertical alignment of the trunk (P=0.012 for the right side) and ankle angle (P=0.019 for the right side). Postural balance was similar between the two groups as assessed by the Berg Balance Scale and stabilometry. We observed significant correlations between balance measures and posture variables involving the knee and ankle, and between postural control and lung function (ratio between forced vital capacity and diffusing capacity for carbon monoxide). INTERPRETATION Our results suggest that posture and balance should be assessed in systemic sclerosis patients in clinical practice, as significant postural changes and compensations are needed to maintain balance. Furthermore, it is important to monitor lung function because vascular injury impacts on postural control in these patients.
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Affiliation(s)
- Tatiana Rafaela Lemos Lima
- Rehabilitation Sciences Master's Program, Augusto Motta University Center, Praça das Nações, 34, Bonsucesso, 21041-010, Rio de Janeiro, Brazil.
| | - Fernando Silva Guimarães
- Rehabilitation Sciences Master's Program, Augusto Motta University Center, Praça das Nações, 34, Bonsucesso, 21041-010, Rio de Janeiro, Brazil; Physical Therapy Department, Federal University of Rio de Janeiro, Rua Rodolpho Paulo Rocco, 255, Cidade Universitária, Ilha do Fundão, 21941-913, Rio de Janeiro, Brazil.
| | - Rafael Santos Neves
- Rehabilitation Sciences Master's Program, Augusto Motta University Center, Praça das Nações, 34, Bonsucesso, 21041-010, Rio de Janeiro, Brazil.
| | - Sara Lucia Silveira Menezes
- Rehabilitation Sciences Master's Program, Augusto Motta University Center, Praça das Nações, 34, Bonsucesso, 21041-010, Rio de Janeiro, Brazil; Physical Therapy Department, Federal University of Rio de Janeiro, Rua Rodolpho Paulo Rocco, 255, Cidade Universitária, Ilha do Fundão, 21941-913, Rio de Janeiro, Brazil.
| | - Agnaldo José Lopes
- Rehabilitation Sciences Master's Program, Augusto Motta University Center, Praça das Nações, 34, Bonsucesso, 21041-010, Rio de Janeiro, Brazil; Postgraduate Programme in Medical Sciences, State University of Rio de Janeiro, Av. Prof. Manoel de Abreu, 444, Vila Isabel, 20550-170, Rio de Janeiro, Brazil.
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Kuznetsov NA, Luberto CM, Avallone K, Kraemer K, McLeish AC, Riley MA. Characteristics of postural control among young adults with asthma. J Asthma 2014; 52:191-7. [PMID: 25134786 DOI: 10.3109/02770903.2014.954290] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
OBJECTIVE We investigated whether young adults with asthma have impaired balance and whether this impairment is related to altered musculoskeletal function and/or psychological characteristics. METHODS 21 participants with a self-reported asthma diagnosis but no known postural instability or history of falls, and 18 control participants were recruited from undergraduate psychology courses. Participants performed a postural control task of maintaining the center of pressure (COP) in a fixed position with visual feedback (feedback condition) and while standing as still as possible without visual feedback (no-feedback condition). COP variability, regularity and task performance were used to characterize the quality of balance. To document group differences in musculoskeletal function, we measured neck and lower back angles as well as range of motion (ROM) of the neck in the frontal and sagittal planes. To document group differences in psychological state, we administered self-report questionnaires to assess symptoms of anxiety and depression, anxiety sensitivity and negative effect. RESULTS COP variability and task performance were similar between the groups, but participants with asthma exhibited more regular anterior-posterior COP dynamics. Participants with asthma had smaller ROM of neck extension, a more forwardly bent neck, greater thoracic spine angle, and they reported greater levels of the physical concerns facet of anxiety sensitivity. These musculoskeletal and affective variables moderated COP differences between the groups. CONCLUSIONS Young adults with asthma showed a different postural control strategy in the absence of any obvious balance impairment. This change in strategy is related to musculoskeletal and affective characteristics of individuals with asthma.
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Lopes AJ, da Silva DPG, Kasuki L, Gadelha MR, Camilo GB, Guimarães FS. Posture and balance control in patients with acromegaly: results of a cross-sectional study. Gait Posture 2014; 40:154-9. [PMID: 24708904 DOI: 10.1016/j.gaitpost.2014.03.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2013] [Revised: 01/18/2014] [Accepted: 03/12/2014] [Indexed: 02/02/2023]
Abstract
Acromegaly is a chronic debilitating disease that presents with multiple systemic manifestations, including changes in body composition, joint abnormalities, muscular impairment and visual disturbances. This study aimed to assess posture and body balance in acromegalic patients and to establish the correlation between these measures. Twenty-eight acromegalic patients and a similar number of control subjects matched for sex, age, weight, height and body mass index underwent postural evaluation using the photogrammetry and measurement of balance using the stabilometry in two tasks: feet apart, eyes open and feet together, eyes closed. In comparison with the control group, the acromegalic group presented postural deviations in lateral views in the vertical alignment of the trunk (P=0.001 for the right side and P=0.021 for the left), the hip angle (P=0001 for the right side and P=0.016 for the left side) and horizontal alignment of the pelvis (P=0.017 for the right and P<0.001 for the left side). Compared with healthy subjects, the acromegalic patients presented displacement of the centre of pressure in both the anterior-posterior direction and the medial-lateral direction in both evaluated tasks. We observed significant correlations between balance measures and the following posture evaluation variables: distance between the lower limbs, horizontal alignment of the head and vertical alignment of the head. Our results suggest that posture and balance need to be evaluated for acromegalic patients in clinical practice, as there are significant postural imbalances and deviations in these patients.
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Affiliation(s)
- Agnaldo José Lopes
- Rehabilitation Sciences Master's Program, Augusto Motta University Centre, Brazil.
| | | | - Leandro Kasuki
- Department of Endocrinology, Federal University of Rio de Janeiro, Brazil.
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Lopes AJ, Pinto Almeida V, Silveira Menezes SL, Guimarães FS. Balance Deficits are Correlated with Bronchial Obstruction Markers in Subjects with Asthma. J Phys Ther Sci 2014; 26:393-9. [PMID: 24707091 PMCID: PMC3976010 DOI: 10.1589/jpts.26.393] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2013] [Accepted: 10/02/2013] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Balance deficits are increasingly recognized in chronic obstructive pulmonary disease, but little is known regarding this issue in asthma. Our primary aim was to assess the correlation between postural balance and pulmonary function in adults with asthma. Secondarily, we aimed to correlate balance with functional capacity and body mass index in these subjects. [Methods] A cross-sectional study of 26 adults with asthma was performed in which they were subjected to stabilometry, pulmonary function testing, a 6-minute walking test, and nutritional assessment. [Results] We found significant correlations of forced expiratory volume at one second (ρ=-0.49) and total lung capacity (ρ=0.39) with mediolateral displacement with feet apart/eyes open. Significant correlations were observed between peak expiratory flow and a number of stabilometric parameters. There were several significant correlations between airway-specific conductance and the tasks performed on the force platform, especially one with the feet apart/eyes open. The Berg Balance Scale revealed significant correlations with mediolateral displacement, mediolateral range, and anteroposterior range for feet together/eyes closed (ρ=-0.49). There were no significant correlations between stabilometry, body mass index, and six-minute walking distance. [Conclusion] In adults with asthma, there is an association between balance and the bronchial obstruction markers. This finding may contribute to improvement of rehabilitation programs for these subjects.
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Affiliation(s)
- Agnaldo José Lopes
- Rehabilitation Sciences Master’s Program, Augusto Motta
University Center, Brazil
- Postgraduate Programme in Medical Sciences, State
University of Rio de Janeiro, Brazil
| | - Vívian Pinto Almeida
- Rehabilitation Sciences Master’s Program, Augusto Motta
University Center, Brazil
| | - Sara Lucia Silveira Menezes
- Rehabilitation Sciences Master’s Program, Augusto Motta
University Center, Brazil
- Physical Therapy Department, Federal University of Rio de
Janeiro, Brazil
| | - Fernando Silva Guimarães
- Rehabilitation Sciences Master’s Program, Augusto Motta
University Center, Brazil
- Physical Therapy Department, Federal University of Rio de
Janeiro, Brazil
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Almeida VPD, Guimarães FS, Moço VJR, Ferreira ADS, Menezes SLSD, Lopes AJ. Is there an association between postural balance and pulmonary function in adults with asthma? Clinics (Sao Paulo) 2013; 68:1421-7. [PMID: 24270954 PMCID: PMC3812553 DOI: 10.6061/clinics/2013(11)07] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2013] [Accepted: 06/08/2013] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE Asthma may cause systemic repercussions due to its severity and the effects of treatment. Our objective was to compare posture, balance, functional capacity, and quality of life (QOL) according to the severity of disease, as assessed by pulmonary function levels. METHOD This cross-sectional study evaluated fifty individuals with asthma. We compared two groups of adult individuals who were divided according to the median of the forced expiratory volume in one second (FEV1) as follows: group A = FEV1>74% predicted; group B = FEV1<74% predicted. All patients underwent the following tests: spirometry, whole-body plethysmography, diffusing capacity for carbon monoxide (DLco), respiratory muscle strength, posture assessment, stabilometry, six-minute walking distance (6MWD), and QOL. RESULTS All pulmonary function variables exhibited statistically significant differences between the two groups, except for the DLco. The maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and 6MWD were lower in group B. The maximal mediolateral velocity and the mediolateral displacement were significantly different, while the postural changes and QOL were similar between the groups. CONCLUSIONS In adult individuals with asthma, the pulmonary function is associated with balance control in the mediolateral direction but does not influence the postural changes or QOL.
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Silva MCRD, Corazza ST, Katzer JI, Mota CB, Soares JC. Equilíbrio corporal em crianças e adolescentes asmáticos e não asmáticos. MOTRIZ: REVISTA DE EDUCACAO FISICA 2013. [DOI: 10.1590/s1980-65742013000200025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
O objetivo foi analisar e comparar o equilíbrio corporal em crianças e adolescentes asmáticos e não asmáticos. Fizeram parte do grupo de estudos 24 sujeitos com idades de 7 a 14 anos divididos em dois grupos: grupo asmático e grupo controle. Para avaliação do equilíbrio corporal utilizou-se uma plataforma de força. Foram utilizadas as condições, olhos abertos e fechados com três tentativas aleatórias, com duração de 30 segundos cada uma. Os resultados apontaram diferença significativa entre os grupos, no teste de equilíbrio com olhos abertos apresentando maior amplitude de deslocamento na direção ântero-posterior (COPap) (p = 0,04), e médio lateral (COPml) (p = 0,02) no grupo asmático. Enquanto que no teste com olhos fechados a diferença foi significante apenas na amplitude de deslocamento ântero-posterior (COPap) (p = 0,02) e Área de Elipse (p=0,03). Desse modo, a asma com suas limitações e consequências parece influenciar negativamente no equilíbrio corporal de seus portadores quando comparados com crianças sem a patologia e da mesma faixa etária.
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