The presence of respiratory disorders in individuals with low back pain: A systematic review

被引:41
作者
Beeckmans, Nele [1 ,2 ,3 ]
Vermeersch, Astrid [1 ,2 ]
Lysens, Roeland [1 ]
Van Wambeke, Peter [1 ]
Goossens, Nina [4 ]
Thys, Tinne [1 ]
Brumagne, Simon [1 ,4 ]
Janssens, Lotte [4 ,5 ]
机构
[1] Univ Hosp Leuven, Dept Phys Med & Rehabil, Herestr 49, B-3000 Leuven, Belgium
[2] Univ Leuven, KU Leuven, Fac Med, Herestr 49, B-3000 Leuven, Belgium
[3] Univ Hosp St Luc, Dept Phys Med & Rehabil, Hippokrateslaan 10, B-1200 Sint Lambrecht Woluwe, Belgium
[4] Univ Leuven, KU Leuven, Dept Rehabil Sci, Tervuursevest 101 Box 1501, B-3001 Leuven, Belgium
[5] Hasselt Univ, Biomed Res Inst, Agoralaan A, B-3590 Diepenbeek, Belgium
关键词
Back pain; Comorbidities; Smoking; Asthma; Respiratory disorder; CIGARETTE-SMOKING; COMORBIDITY; DIAPHRAGM; DYSPNEA; ASSOCIATION; PREVALENCE; RISK; ABNORMALITIES; DETERMINANTS; ACTIVATION;
D O I
10.1016/j.math.2016.07.011
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Background: Inspiratory muscles, such as the diaphragm, play a key role in both respiration and spinal control. Therefore, diaphragm dysfunctions are often related to low back pain (LBP). However, few is known on the association between the presence of LBP and the presence of respiratory disorders (RD). Objectives: To perform a systematic review on the relation between RD and LBP. Study design: Systematic review. Methods: Two reviewers searched on PubMed/MEDLINE for studies concerning LBP and RD, from 1950 up to January 2016. The search string consisted of the following key words: low back pain, dyspnea, respiratory problems, lung diseases, comorbidity, pulmonary disease, chronic obstructive, smoking, asthma, allergy, sinusitis, respiratory tract infection and hyperventilation. The aim was to evaluate a potential correlation, co-occurrence or causality between RD and LBP. Results: A total of 16 articles were included. A significant correlation between the presence of LBP and the presence of RD such as dyspnea, asthma, different forms of allergy, and respiratory infections was found. No correlation was found between Chronic Obstructive Pulmonary Disease (COPD) and LBP, and no articles were found on the correlation between hyperventilation and LBP. Conclusions: This is the first study providing an overview of the literature on the relation between LBP and RD. Immunological, biomechanical, psychosocial and socio-economic factors might explain this correlation. Smoking is likely to contribute. Future studies must reveal the causative relationship. Level of evidence: Therapy, level 2a. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:77 / 86
页数:10
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