A Secondary Analysis of Gender Respiratory Features for Ultrasonography Bilateral Diaphragm Thickness, Respiratory Pressures, and Pulmonary Function in Low Back Pain

The aim of the present study was to determine the gender respiratory differences of bilateral diaphragm thickness, respiratory pressures, and pulmonary function in patients with low back pain (LBP). A sample of 90 participants with nonspecific LBP was recruited and matched paired by sex (45 women an...

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Detalhes bibliográficos
Autores: Molina Hernández, Nerea, Rodríguez Sanz, David, López Chicharro, José, Becerro De Bengoa Vallejo, Ricardo, Losa Iglesias, Marta Elena, Vicente Campos, Davinia, Marugán Rubio, Daniel, Gutiérrez Torre, Samuel Eloy, Calvo Lobo, César
Tipo de documento: artigo
Data de publicação:2024
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositório:Docta Complutense
Idioma:espanhol
OAI Identifier:oai:docta.ucm.es:20.500.14352/106104
Acesso em linha:https://hdl.handle.net/20.500.14352/106104
Access Level:Acceso aberto
Palavra-chave:615.8
diaphragm
disability
low back pain
quality of life
respiration
ultrasonography
Fisioterapia (Enfermería, Fisioterapia y Podología)
3213.11 Fisioterapia
Descrição
Resumo:The aim of the present study was to determine the gender respiratory differences of bilateral diaphragm thickness, respiratory pressures, and pulmonary function in patients with low back pain (LBP). A sample of 90 participants with nonspecific LBP was recruited and matched paired by sex (45 women and 45 men). Respiratory outcomes included bilateral diaphragm thickness by ultrasonography, respiratory muscle strength by maximum inspiratory (MIP) and expiratory (MEP) pressures, and pulmonary function by forced expiratory volume during 1 s (FEV1), forced vital capacity (FVC) and FEV1/FVC spirometry parameters. The comparison of respiratory outcomes presented significant differences (p < 0.001), with a large effect size (d = 1.26–1.58) showing means differences (95% CI) for MIP of −32.26 (−42.99, −21.53) cm H2O, MEP of −50.66 (−64.08, −37.25) cm H2O, FEV1 of −0.92 (−1.18, −0.65) L, and FVC of −1.00 (−1.32, −0.69) L, with lower values for females versus males. Gender-based respiratory differences were presented for maximum respiratory pressures and pulmonary function in patients with nonspecific LBP. Women presented greater inspiratory and expiratory muscle weakness as well as worse lung function, although these differences were not linked to diaphragm thickness during normal breathing