Evaluation of pulmonary function in patients of non-specific low back pain

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e5364

Keywords:

Low Back Pain, Lung Function, Respiratory Muscles, Spirometry

Abstract

INTRODUCTION: Diaphragm is the primary inspiratory muscle and it plays an essential role in controlling the spine during postural control. In nonspecific low back pain, the diaphragm muscle becomes weak, due to which the pulmonary functions may decrease. To the best of our knowledge there is a scarcity of literature in regard to the effect of low back pain on pulmonary parameters. Thus, the study is aimed to evaluate the pulmonary function in patients with non-specific low back pain. METHODS: One hundred and thirteen patients with non-specific low back pain and 113 BMI matched normal individuals as a comparison group aged 18-40 years of male and female genders were recruited by purposive sampling method for this prospective cross-sectional study. The non-specific back pain group included participants diagnosed with non-specific low back pain with pain intensity > 3 on VAS scale and duration > 3 months. After initial screening and assessment, anthropometric characteristics were recorded. Then, the pulmonary function test (FEV1, FVC, FEV1/FVC, PEFR, SVC, MVV) were recorded in both groups. RESULT: Kolmogorov-Smirnov test was used for normality assessment and data was found to be not normally distributed. Non parametric data was represented as median and IQR (Inter Quartile Range). Between groups data analysis was performed by using Mann-Whitney U test and the effect size was computed for the study variables. P < 0.05 was considered as statistically significant. There was a significant difference in pulmonary function values of FEV1, FEV1/FVC, PEFR, SVC, MVV. There was no significant difference in age and BMI of the participants of both groups. CONCLUSION: There exist significant differences in pulmonary function in patients with non-specific low back pain.

Downloads

Download data is not yet available.

References

(1) Rasmussen-Barr E, Magnusson C, Nordin M, Skillgate E. Are respiratory disorders risk factors for troublesome low-back pain? A study of a general population cohort in Sweden. Eur Spine J. 2019;28(11):2502-9. https://doi.org/10.1007/s00586-019-06071-5

(2) Kato S, Murakami H, Demura S, Yoshioka K, Shinmura K, Yokogawa N, et al. Abdominal trunk muscle weakness and its association with chronic low back pain and risk of falling in older women. BMC Musculoskelet Disord. 2019;20(1):273. https://doi.org/10.1186/s12891-019-2655-4

(3) Kim BR, Lee HJ. Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. J Exerc Rehabil. 2017;13(4):486-90. https://doi.org/10.12965/jer.1735030.515

(4) Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020;8(6):299. https://doi.org/10.21037/atm.2020.02.175

(5) Finta R, Nagy E, Bender T. The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain. J Pain Res. 2018;11:3031-45. https://doi.org/10.2147/jpr.s181610

(6) Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736-47. https://doi.org/10.1016/s0140-6736(16)30970-9

(7) Mohan V, Paungmali A, Sitilerpisan P, Hashim UF, Mazlan MB, Nasuha TN. Respiratory characteristics of individuals with non-specific low back pain: A cross-sectional study. Nurs Health Sci. 2018;20(2):224-30. https://doi.org/10.1111/nhs.12406

(8) Janssens L, McConnell AK, Pijnenburg M, Claeys K Goossens N, Lysens R, et al. Inspiratory muscle training affects proprioceptive use and low back pain. Med Sci Sports Exerc. 2015;47(1):12-19. https://doi.org/10.1249/mss.0000000000000385

(9) Baruaa A, Pattnaik M, Mohanty P. Comparison of Lung Function of normal and persons with chronic low back pain and its relation with duration and severity of Chronic Low Back Pain. J Nov Physiother Rehabil. 2017;1:137-43. https://dx.doi.org/10.29328/journal.jnpr.1001015

(10) Hamaoui A, Do MC, Poupard L, Bouisset S. Does respiration perturb body balance more in chronic low back pain subjects than in healthy subjects?. Clin Biomech. 2002;17(7):548-50. https://doi.org/10.1016/s0268-0033(02)00042-6

(11) Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of Spirometry 2019 Update: An Official American Thoracic Society and European Respiratory Society Technical Statement. Am J Respir Crit Care Med. 2019;200(8):e70-e88. https://doi.org/10.1164/rccm.201908-1590st

(12) Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al. General considerations for lung function testing. Eur Respir J. 2005;26(1):153-61. https://doi.org/10.1183/09031936.05.00034505

(13) Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). New York: Lawrence Erlbaum Associates; 1988.

(14) Portney LG, Watkins MP. Foundations of clinical research applications to practice (3rd ed.). New Jersey: Prentice Hall Health; 2009.

(15) Memoalia J, Anjum B, Singh N, Gupta M. Decline in Pulmonary Function Tests after Menopause. J Menopausal Med. 2018;24(1):34-40. https://doi.org/10.6118/jmm.2018.24.1.34

(16) Shah SG, Choezom T, Prabu Raja G. Comparison of respiratory parameters in participants with and without chronic low back pain. J Bodyw Mov Ther. 2019;23(4):894-900. https://doi.org/10.1016/j.jbmt.2019.03.008

(17) Soundararajan LRA, Irani A, Borade N, Palekar TJ, Thankappan MS, Alshammari QT. Clinical Evaluation of the Peak Expiratory Flow Rate in Patients with Chronic Low Back Pain: A cross-sectional study. J Clin Diagnostic Res. 2021;15(11):YC01-YC03. https://doi.org/10.7860/JCDR/2021/50259.15623

(18) Perrin C, Unterborn JN, Ambrosio CD, Hill NS. Pulmonary complications of chronic neuromuscular diseases and their management. Muscle Nerve. 2004;29(1):5-27. https://doi.org/10.1002/mus.10487

(19) Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Pulmonary function of patients with chronic neck pain: a spirometry study. Respir Care. 2014;59(4):543-49. https://doi.org/10.4187/respcare.01828

(20) Janssens L, Brumagne S, McConnell AK, Hermans G, Troosters T, Gayan-Ramirez G. Greater diaphragm fatigability in individuals with recurrent low back pain. Respir Physiol Neurobiol. 2013;188(2):119-23. https://doi.org/10.1016/j.resp.2013.05.028

(21) Rathinaraj L, Irani A, Sharma SK, Borada NG, Sreeja MT. Forced Expiratory Volume in the first second [FEV1] in patients with chronic low back pain. J Res Med Dent Sci [Internet]. 2017;5(1):27-32. Available from: https://www.jrmds.in/abstract/forced-expiratory-volume-in-the-first-second-fev1-in-patients-with-chronic-low-back-pain-1483.html

(22) Kim E, Lee H. The effects of deep abdominal muscle strengthening exercises on respiratory function and lumbar stability. J Phys Ther Sci. 2013;25(6):663-5. https://doi.org/10.1589%2Fjpts.25.663

(23) Kaneko H, Satou H, Maruyama H. Reliability of Lateral Abdominal Muscles Thickness Measurement Using Ultrasonography. Rigakuryoho Kagaku. 2005;20(3):197-201. http://dx.doi.org/10.1589/rika.20.197

(24) Teixeira-Salmela LF, Parreira VF, Britto RR, Brant TC, Inácio EP, Alcântara TO, et al. Respiratory pressures and thoracoabdominal motion in community-dwelling chronic stroke survivors. Arch Phys Med Rehabil. 2005;86(10):1974-8. https://doi.org/10.1016/j.apmr.2005.03.035

(25) Key J, Clift A, Condie F, Harley C. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 1. J Bodyw Mov Ther. 2008;12(1):7-21. https://doi.org/10.1016/j.jbmt.2007.04.005

(26) Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70(5):1009-13. https://doi.org/10.1016/j.mehy.2007.07.050

(27) Sharma G, Goodwin J. Effect of aging on respiratory system physiology and immunology. Clin Interv Aging. 2006;1(3):253-60. https://doi.org/10.2147%2Fciia.2006.1.3.253

(28) Lee SH, Yim SJ, Kim HC. Aging of the respiratory system. Kosin Med J. 2016;31(1):11-18. https://doi.org/10.7180/kmj.2016.31.1.11

(29) Zakaria R, Harif N, Al-Rahbi B, Aziz CBA, Ahmad AH. Gender Differences and Obesity Influence on Pulmonary Function Parameters. Oman Med J. 2019;34(1):44-8. https://doi.org/10.5001/omj.2019.07

(30) Kaur P, Vaish H. Prevalence of work-related musculoskeletal disorders in women cultivators. J Physiother Res. 2022;12:e4236. http://dx.doi.org/10.17267/2238-2704rpf.2022.e4236

(31) Hong JY, Song KS, Cho JH, Lee JH, Kim NH. An Updated Overview of Low Back Pain Management. Asian Spine J. 2022;16(6):968-82. https://doi.org/10.31616/asj.2021.0371

(32) Vaish H, Saha S. Letter to the Editor: An Updated Overview of Low Back Pain Management. Asian Spine J. 2022;16(6):1034-5. https://doi.org/10.31616%2Fasj.2022.0399.r1

Published

12/01/2023

Issue

Section

Original Articles

How to Cite

1.
Uddin B, Vaish H. Evaluation of pulmonary function in patients of non-specific low back pain. Rev Pesq Fisio [Internet]. 2023 Dec. 1 [cited 2024 Dec. 22];13:e5364. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/5364