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Published on: August 25, 2017
Postural abnormalities in phenotypes of chronic obstructive pulmonary disease
Ansari Muhammed1, Jamal Ali Moiz1, Deepika Singla1
1Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India.
Individuals with emphysema exhibit more significant postural abnormalities, including head and shoulder protraction and thoracic kyphosis, compared to those with chronic bronchitis and healthy individuals. This highlights the need for postural assessments in chronic obstructive pulmonary disease patients, especially with emphysema.
Area of Science:
- Pulmonary Medicine
- Orthopedics
- Physiotherapy
Background:
- Limited research exists on postural abnormalities in chronic obstructive pulmonary disease (COPD).
- No studies have specifically compared postural abnormalities across different COPD phenotypes.
Purpose of the Study:
- To compare thoracic posture between COPD phenotypes (emphysema and chronic bronchitis) and healthy individuals.
- To identify specific postural differences related to emphysema and chronic bronchitis.
Main Methods:
- Photogrammetric measurements were used for postural assessment.
- Evaluated parameters included head protraction, shoulder protraction, thoracic kyphosis, coronal shoulder angle, and scapular elevation.
- Study included 40 COPD patients (20 emphysema, 20 chronic bronchitis) and 20 age-matched healthy controls.
Main Results:
- Emphysema patients showed significantly greater head and shoulder protraction compared to both chronic bronchitis patients and healthy individuals.
- Increased thoracic kyphosis was observed in both emphysema and chronic bronchitis patients versus healthy controls.
- Significant differences in coronal shoulder angle and scapular elevation were noted between emphysema and chronic bronchitis patients, and between emphysema patients and healthy individuals.
Conclusions:
- Emphysema is associated with more pronounced postural malalignments (head/shoulder protraction, thoracic kyphosis, shoulder symmetry, scapular elevation) than chronic bronchitis and healthy states.
- Postural assessment is crucial for COPD patients, particularly those with emphysema.
- Findings suggest phenotype-specific postural management strategies may be beneficial for COPD patients.
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