脊柱对齐,胸部移动性,肩关节和结性脊柱炎患者的呼吸系统参数之间是否存在联系?
Daniel Szewczyk1, Teresa Sadura-Sieklucka2, Beata Tarnacka3
1Department of Rehabilitation, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Rheumatology international
|June 24, 2024
概括
结性脊柱炎患者的呼吸功能和运动能力降低. 胸部物理治疗是改善这些人的肺透气和功能的关键.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 物理治疗 物理治疗
背景情况:
- 结性脊柱炎是一种慢性,进展性疾病,影响肌肉骨功能,特别是胸部区域.
- 这种功能障碍会影响呼吸机制和肺透气.
- 了解这些影响对于患者管理至关重要.
研究的目的:
- 评估结性脊柱炎患者的功能和呼吸系统参数.
- 为了确定这个人群中的功能和呼吸系统参数之间的关系.
主要方法:
- 研究了45名结性脊柱炎患者.
- 使用JAGGER MasterScreen Body评估胸部和上肢的移动性,脊柱对齐和呼吸系统参数.
- 包括后壁测试,用于前进的头部姿势.
主要成果:
- 患者表现出下呼吸道参数 (sReff,FRC) 和行动能力受限.
- 在功能和呼吸系统参数 (MIP,MEP,sReff,Rtot,TLC,ERV) 之间发现了相关性.
- 胸部功能障碍显著恶化呼吸系统参数.
结论:
- 与标准患者相比,结性脊柱炎患者的功能和呼吸能力下降.
- 治疗策略应侧重于改善呼吸功能和减少功能障碍.
- 胸部专注的物理治疗对于增强结椎炎患者的功能至关重要.
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