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Systematic Review of Postural Assessment in Individuals With Obstructive Respiratory Conditions
- Source :
- Journal of Cardiopulmonary Rehabilitation and Prevention. 37:90-102
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- Changes in posture in individuals with an obstructive respiratory disease have been reported, but the extent of these deviations and their clinical significance is not well understood. This study aimed to systematically review the literature of the skeletal structural alignment in children and adults with an obstructive respiratory disease, describe the measurement techniques used, and determine the clinical relevance of any alternations.Observational cohort or cross-sectional studies of postural assessment were identified, with 2 reviewers independently assessing study quality.A total of 18 studies were included, 12 in cystic fibrosis (CF), 5 in asthma, and 1 in chronic obstructive pulmonary disease (COPD). The overall quality assessment rating was 12.6 out of 16. Increased thoracic kyphosis or scoliosis was found in both children and adults with CF. Increased shoulder protraction and elevation were evident in asthma and COPD, although changes in spinal curvature were variable. The clinical impact of postural changes was diverse, with an inconsistent influence on lung function. A mix of methods was applied for postural assessment.Skeletal structural malalignment appears to be present in some individuals with an obstructive respiratory disease, although the extent of alterations and its clinical impact is variable. Photogrammetry is used to provide a comprehensive assessment of posture in these populations.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Cystic Fibrosis
Cross-sectional study
Posture
MEDLINE
Cohort Studies
Pulmonary Disease, Chronic Obstructive
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
Clinical significance
030212 general & internal medicine
Respiratory system
Lung
Lung function
business.industry
Rehabilitation
Respiratory disease
medicine.disease
Asthma
Observational Studies as Topic
Cross-Sectional Studies
Scoliosis
030228 respiratory system
Physical therapy
Cardiology and Cardiovascular Medicine
business
Cohort study
Subjects
Details
- ISSN :
- 19327501
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiopulmonary Rehabilitation and Prevention
- Accession number :
- edsair.doi.dedup.....c6599d090132f2dbae5656f2f329b70a