囊性纤维化患者呼吸功能的肌肉骨骼方面:一项横断面比较研究。

IF 1.8 Q3 RESPIRATORY SYSTEM European Clinical Respiratory Journal Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI:10.1080/20018525.2024.2350206
Niklas Sinderholm Sposato, Kristofer Bjerså, Marita Gilljam, Louise Lannefors, Monika Fagevik Olsén
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引用次数: 0

摘要

背景:呼吸是内脏和肌肉骨骼结构之间错综复杂的相互作用。在囊性纤维化(CF)患者中,气道和肺部会受到进行性阻塞和破坏。然而,对于这一患者群体,有关呼吸功能和症状的肌肉骨骼方面的知识仍然有限:在一项横断面比较研究中,哥德堡 CF 中心的 21 名成年 CF 患者与 42 名健康对照者进行了配对。按照预定方案对两组患者的胸廓活动度、呼吸肌力量、肺功能和肌肉骨骼疼痛进行了检查和比较:结果:两组在触痛点数量、胸廓偏移、用力肺活量(FVC)和用力呼气容积(FEV)方面存在显著差异。CF组在其他测量指标上也表现出功能减退的趋势,但在统计学上并不显著:这项横断面研究显示,与健康对照组相比,CF 患者的胸廓活动度降低,肌肉触痛点增加,同时肺功能下降。这些发现强调,有必要更加重视CF护理中经常被忽视的肌肉骨骼方面,尤其是CF患者的寿命越来越长,可能需要更多的肌肉骨骼健康支持。
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Musculoskeletal aspects of respiratory function in cystic fibrosis: a cross-sectional comparative study.

Background: Respiration is an intricate interaction between visceral and musculoskeletal structures. In cystic fibrosis (CF), the airways and lungs are subject to progressive obstruction and destruction. However, knowledge about the musculoskeletal aspects of respiratory function and symptoms is still limited in this patient group.

Methods: In a cross-sectional comparative study, 21 adults with CF enrolled at the Gothenburg CF Centre were matched with 42 healthy controls. The two groups were examined and compared in terms of thoracic mobility, respiratory muscle strength, lung function, and musculoskeletal pain in accordance with a predefined protocol.

Results: Significant differences were observed between the groups in the number of tender points, thoracic excursion, forced vital capacity (FVC), and forced expiratory volume (FEV). The CF group also demonstrated a tendency toward reduced function in other measurements, although these were not statistically significant.

Conclusion: This cross-sectional study revealed that people with CF have reduced thoracic mobility and an increased prevalence of muscular tender points, alongside decreased lung function, compared to healthy controls. These findings stress the need for greater emphasis on the often-overlooked musculoskeletal aspects of CF care, especially as people with CF are living longer and may require more musculoskeletal health support.

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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
15
审稿时长
16 weeks
期刊最新文献
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