Influence of physiotherapy programme on peak expiratory flow rate (PEFR) and chest expansion in patients with neck and low back pain
Titel:
Influence of physiotherapy programme on peak expiratory flow rate (PEFR) and chest expansion in patients with neck and low back pain
Auteur:
Yozbatiran, Nuray Gelecek, Nihal Karadibak, Didem
Verschenen in:
Journal of back and musculoskeletal rehabilitation
Paginering:
Jaargang 19 (2006) nr. 1 pagina's 35-40
Jaar:
2006-07-17
Inhoud:
The objective of this study was to determine whether there are changes in peak expiratory flow rate (PEFR) and chest expansion after a standardized physical therapy program in patients with chronic neck and back pain. In a university-based, out-patient physiotherapy department, thirty-three patients were assigned into the study (9 cervical disc herniation and 24 lumbar disc herniation, mean age respectively 45.0 ± 12.85 (30-72 years), 41.33 ± 11.69 (22-63 years). Data on pain intensity, PEFR and chest expansion were collected before and after physiotherapy programme. A combination of hot-pack, massage, interferential current and exercise were applied for two weeks. None of the patients were given any breathing exercises. In both groups, a significant reduction in pain intensity and increase in PEFR occurred (p<0.05) after therapy. Although considerable increases were obtained in chest expansion, only CDH group showed significant improvement at axillary level (p<0.05). No significant relation was found between changes in pain intensity and PEFR in both of the groups (CDH group r=0.045, p=0.908, LDH group r=0.014, p=0.947). This study suggests that physiotherapy programmes aimed to reduce pain and improve postural alignment of the patients have shown positive effects on respiratory functions too.