The involvement of musculoskeletal system and its influence on postural stability in children and young adults with cystic fibrosis

Coşkun, Özge Keniş; Karadağ-Saygı, Evrim; Bahar-Özdemir, Yeliz; Gökdemir, Yasemin; Karadağ, Bülent; Kayhan, Önder

doi:10.1016/j.rehab.2018.05.767

Cited by 4 publications

(6 citation statements)

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“…The results showed a high prevalence of thoracic kyphosis, which corroborates other studies with children [12,35] and adolescents with CF [12,35,36], and may be responsible for the great anteroposterior imbalance evidenced in this study by the great asymmetry of the projection of the center of gravity on the support base in the sagittal plane (48.98 ± 18.55%), as kyphosis shifts the center of gravity in this direction. However, the postural deviations identified by photogrammetric evaluation, which basically considered the alignment of the head, shoulders and pelvis, can be considered small.…”

Section: Discussionsupporting

confidence: 91%

“…Resultados: En la espirometría se encontraban menores que los valores previstos: VEF 1 , VEF 1 /CVF, PFE y FEF 25-75% . En la evaluación postural se observaron alteraciones en la alineación horizontal de la cabeza (AHC, 2,71 ± 2,23); alineación horizontal de los acromios (AHA, 1,33º± 1,35); alineación horizontal espinas ilíacas antero-superiores (AHEIAS, 1,11º± 0,89); ángulo entre dos acromios y dos espinas ilíacas antero-superiores (AEDAEDEIAS, 0,89 ± 0,39); asimetría horizontal de escápula con respecto a la T3 (AHERT3, 16,95% ± 12,03); asimetría de la proyección del centro de gravedad en la base de sustentación en el plano frontal (11,45±8,10%) y sagital (48,98±18,55%). Se encontró una correlación positiva fuerte entre la función pulmonar y la movilidad…”

Section: Palavras-chave: Fibrose Cística Fotogrametria Mecânica Resunclassified

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Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

et al. 2020

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Introduction: Deterioration of lung function is the main cause of mortality in cystic fibrosis (CF), so it is essential to study different related factors. Objective: To assess the association of pulmonary function with thoracoabdominal mobility and postural alignment in individuals with CF. Method: A cross-sectional study was performed in individuals with CF (8-17 years). Pulmonary function was assessed by spirometry. Thoracoabdominal mobility and postural alignment were evaluated by photogrammetry using the Postural Assessment Software (PAS/Sapo). Pearson correlation coefficient analysis was performed, and p < 0.05 was considered significant. Results: The following spirometric variables showed a decrease compared to predicted values: FEV1, FEV1/FVC, PEF and FEF25-75%. Postural assessment showed alterations in head horizontal alignment (HHA; 2.71 ± 2.23o), acromion horizontal alignment (AHA; 1.33 ± 1.35o), anterior superior iliac spine (ASIS) horizontal alignment (ASISHA; 1.11 ± 0.89o), angle between acromia and ASIS (AAASIS; 0.89 ± 0.39o), scapula horizontal asymmetry - T3 (SHAT3; 16.95 ± 12.03%), and asymmetry of the projection of the center of gravity within the base of support in the frontal (11.45 ± 8.10%) and sagittal (48.98 ± 18.55%) planes. A strong positive correlation was found between pulmonary function and thoracoabdominal mobility in the variables anteroposterior mobility of the upper chest (APMUC) and FVC (r = 0.818, p = 0.024), APMUC and FEV1 (r = 0.874, p = 0.010), and APMUC and FEF25-75% (r = 0.797, p = 0.032). A strong negative correlation was detected between FEV1/FVC and AHA (r = -0.761, p = 0.047). Conclusion: Our study showed in CF a reduction in pulmonary function, strong positive correlation between APMUC and pulmonary function, high prevalence of kyphoscoliosis and strong negative correlation between AHA and pulmonary function.

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Section: Discussionsupporting

confidence: 91%

Section: Palavras-chave: Fibrose Cística Fotogrametria Mecânica Resunclassified

Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

et al. 2020

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“…Ten percentage of the individuals in the non‐CF bronchiectasis group and 5% of typically developing controls had mild scoliosis. Therefore, lower lateral and posterior posture scores of typically developing controls compared to children with CF and non‐CF bronchiectasis justify other findings in the literature 31,32 . These findings can be related to peripheral muscle weaknesses in trunk and hip that were determined in our children with CF and non‐CF bronchiectasis.…”

Section: Discussionsupporting

confidence: 81%

“…The increase in thoracic kyphosis angles ranged from 3% to 62% and is greater compared to healthy controls. Scoliosis was found in 3% to 11% of individuals with CF, with scoliosis located within the cervical, upper and lower thoracic, and lumbar regions 30,31 . In this study, kyphosis was observed in 20% of individuals in the CF group, in 35% of the individuals in the non‐CF bronchiectasis group, and in 15% of typically developing controls.…”

Section: Discussionmentioning

confidence: 46%

Deviations of body functions and structure, activity limitations, and participation restrictions of the International Classification of Functioning, Disability, and Health model in children with cystic fibrosis and non–cystic fibrosis bronchiectasis

özipek

Arıkan

Çalık-Kütükçü

et al. 2020

Pediatric Pulmonology

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Background To the best of our knowledge, there is no study in the literature investigating the extrapulmonary outcomes of children with non–cystic fibrosis (CF) bronchiectasis and CF under the framework of the International Classification of Functioning, Disability, and Health (ICF) model. The purpose of the present study is to evaluate the children with CF and non‐CF bronchiectasis using the ICF model. Materials and Methods Children with CF, non‐CF bronchiectasis, and healthy counterparts were evaluated (20 participants in each group) according to the ICF items in domain b (body functions), domain s (body structures), and domain d (activities and participation). The pulmonary functions, respiratory and peripheral muscle strength tests, and posture analysis were carried out for domain b. For domain d, however, the Glittre‐activities of daily living test and Pediatric Outcome Data Collection were used. Results Muscle strength of shoulder abductors and hip extensors in children with CF was significantly lower than healthy children and adolescents (P < .05). The severity of lateral and posterior postural abnormalities in children with CF and non‐CF bronchiectasis was higher than those of healthy children (P < .05). Among the patient groups, global function, sports/physical function, expectations, transfers/basic mobility, and pain/comfort were the most affected participation dimensions (P < .05). Conclusions This study highlights the need for comprehensive up‐to‐date evaluation methods according to the ICF model for understanding rehabilitation requirements in CF and non‐CF bronchiectasis in different age groups.

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“…In the present study, children with CF and non‐CF bronchiectasis had decreased exercise capacity compared to the healthy children; however, as we did not perform musculoskeletal assessments, we could not hypothesize a relationship between musculoskeletal function, exercise capacity, and dynamic balance in the CF and non‐CF bronchiectasis groups. A previous study also showed that postural stability was affected in patients with CF and it was attributed to decreased muscle oxidative capacity 30 . These results are consistent with our study; however, their CF and control groups were heterogeneous in terms of age and sample size.…”

Section: Discussionsupporting

confidence: 92%

Visuomotor reaction time and dynamic balance in children with cystic fibrosis and non‐cystic fibrosis bronchiectasis: A case‐control study

Dik

Sağlam

Tekerlek

et al. 2020

Pediatric Pulmonology

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Objective Extrapulmonary involvement such as balance and reaction time is unclear in cystic fibrosis (CF) patients. The aim of this study was to evaluate visuomotor reaction time (VMRT) and dynamic balance in children with CF and non‐CF bronchiectasis compared to healthy children. Design/Methods Demographic and clinical characteristics were recorded. All children were evaluated with pulmonary function test (PFT) using a spirometer, incremental shuttle walk test (ISWT) for exercise capacity, Fitlight Trainer for VMRT, and functional reach test (FRT) for dynamic balance. Results Fourteen children with CF (10.71 ± 2.94 years, 7 females), 17 children with non‐CF bronchiectasis (12.75 ± 2.81 years, 8 females), and 21 healthy children (11.36 ± 3.28 years, 11 females) were included. Children with CF had longer total VMRT (P = .027), poorer FRT performance (P = .001), and shorter ISWT distances (P = .03) compared to the children with non‐CF bronchiectasis and controls. Although total VMRT was longest in the CF group, there was no significant difference in mean VMRT among the CF, non‐CF bronchiectasis, and control groups (P > .05). Conclusion Dynamic balance and VMRT show greater impairment in children with CF than in children with non‐CF bronchiectasis compared to healthy controls. Our findings suggest that VMRT and dynamic balance should be taken into consideration for assessments and exercise programs in pulmonary rehabilitation.

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The involvement of musculoskeletal system and its influence on postural stability in children and young adults with cystic fibrosis

Cited by 4 publications

References 0 publications

Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

Association between lung function, thoracoabdominal mobility and posture in cystic fibrosis: pilot study

Deviations of body functions and structure, activity limitations, and participation restrictions of the International Classification of Functioning, Disability, and Health model in children with cystic fibrosis and non–cystic fibrosis bronchiectasis

Visuomotor reaction time and dynamic balance in children with cystic fibrosis and non‐cystic fibrosis bronchiectasis: A case‐control study

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