腰痛患者存在呼吸系统疾病:一项系统综述

Manual Therapy Pub Date : 2016-12-01 DOI:10.1016/j.math.2016.07.011

Nele Beeckmans , Astrid Vermeersch , Roeland Lysens , Peter Van Wambeke , Nina Goossens , Tinne Thys , Simon Brumagne , Lotte Janssens

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引用次数: 38

摘要

呼吸肌，如横膈膜，在呼吸和脊柱控制中起着关键作用。因此，横膈膜功能障碍常与腰痛有关。然而，很少有人知道腰痛的存在与呼吸系统疾病(RD)的存在之间的关系。目的对腰痛与RD的关系进行系统综述。研究设计:系统评价。方法两名审稿人在PubMed/MEDLINE检索1950年至2016年1月期间有关LBP和RD的研究。搜索字符串包括以下关键词:腰痛、呼吸困难、呼吸问题、肺部疾病、合并症、肺部疾病、慢性阻塞性肺病、吸烟、哮喘、过敏、鼻窦炎、呼吸道感染和换气过度。目的是评估RD和LBP之间的潜在相关性、共发生或因果关系。结果共纳入16篇文献。腰痛的存在与RD(如呼吸困难、哮喘、不同形式的过敏和呼吸道感染)的存在有显著的相关性。慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)与LBP之间没有相关性，也没有关于换气过度与LBP之间相关性的文章。本研究首次综述了有关腰痛和RD之间关系的文献，免疫学、生物力学、社会心理和社会经济因素可能解释了这种相关性。吸烟可能是原因之一。未来的研究必须揭示因果关系。证据治疗水平，2a级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The presence of respiratory disorders in individuals with low back pain: A systematic review

Background

Inspiratory muscles, such as the diaphragm, play a key role in both respiration and spinal control. Therefore, diaphragm dysfunctions are often related to low back pain (LBP). However, few is known on the association between the presence of LBP and the presence of respiratory disorders (RD).

Objectives

To perform a systematic review on the relation between RD and LBP.

Study design

Systematic review.

Methods

Two reviewers searched on PubMed/MEDLINE for studies concerning LBP and RD, from 1950 up to January 2016. The search string consisted of the following key words: low back pain, dyspnea, respiratory problems, lung diseases, comorbidity, pulmonary disease, chronic obstructive, smoking, asthma, allergy, sinusitis, respiratory tract infection and hyperventilation. The aim was to evaluate a potential correlation, co-occurrence or causality between RD and LBP.

Results

A total of 16 articles were included. A significant correlation between the presence of LBP and the presence of RD such as dyspnea, asthma, different forms of allergy, and respiratory infections was found. No correlation was found between Chronic Obstructive Pulmonary Disease (COPD) and LBP, and no articles were found on the correlation between hyperventilation and LBP.

Conclusions

This is the first study providing an overview of the literature on the relation between LBP and RD. Immunological, biomechanical, psychosocial and socio-economic factors might explain this correlation. Smoking is likely to contribute. Future studies must reveal the causative relationship.