Association between thoracic musculoskeletal abnormalities and lung function in preterm infants
Ana Sílvia Scavacini1, Josy Davidson1, Gustavo Falbo Wandalsen2
1Neonatal Division of Medicine, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil.
The Clinical Respiratory Journal
|November 28, 2019
Summary
Preterm infants often have abnormal lung function, with many showing obstructive patterns. Thoracic musculoskeletal abnormalities are linked to these lung function changes, suggesting a potential connection.
Area of Science:
- Pediatric Pulmonology
- Neonatology
- Biomedical Engineering
Background:
- Lung function tests in infants are challenging and carry risks.
- Abnormal pulmonary function in children may correlate with thoracic musculoskeletal alterations.
Purpose of the Study:
- To determine the frequency of abnormal lung function in preterm infants.
- To investigate the relationship between lung function and thoracic musculoskeletal development.
Main Methods:
- Cross-sectional study involving 38 infants (corrected age 6-12 months) born preterm (<37 weeks) with low birthweight (≤1500 g).
- Utilized lung function testing and photogrammetry (an objective, non-invasive procedure).
- Univariate linear regression analyzed the association between thoracic musculoskeletal abnormalities and lung function changes (P < 0.05).
Main Results:
- 31.6% of infants exhibited abnormal lung function (9 obstructive, 3 restrictive).
- Significant associations found between specific lung function parameters (e.g., forced expiratory volume, forced vital capacity) and thoracic angles (e.g., acromion/xiphoid process/acromion angle).
Conclusions:
- Preterm infants with very low birthweight have a high incidence of abnormal lung function, predominantly obstructive.
- Thoracic musculoskeletal abnormalities are associated with altered lung function in this population.
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