Preliminaire studie over het belang van de opsporing van ademhalingsproblemen bij patiënten met lage rugpijn

The objective of this article was to investigate whether respiratory problems and signs correlate with the intensity of or disability due to low back pain (LBP). Patients with LBP, aged 20-80 years, were asked to take part in a cross-sectional observational study. The following variables were recorded in 104 patients: age, sex, weight, height, daily medication use that can affect the respiratory system, respiratory problems, smoking history and pack years, allergy that affects the airways, breathing pattern, maximal inspiratory pressure (MIP), isometric handgrip force, Nijmegen Hyperventilation Questionnaire (NHQ) score, numeric rating scale (NRS) of LBP, Oswestry Low Back Pain Disability questionnaire. The total cohort disclosed a low-normal inspiratory muscle strength (79.9%). In 31.8%, a presence of a respiratory problem, mainly hyperventilation, was noted. There was a significant correlation between smoking and NHQ score with the degree of disability due to LBP. By each additional point on the NHQ, the probability of a higher disability due to LBP increased 1.1 times. There was a significant correlation between the intensity of or disability due to LBP and the intake of medication affecting the respiratory system. If an allergy was present, it was six times more likely to have a significant disability because of LBP. Patients with LBP need to be screened and treated for underlying breathing problems. Prevention of LBP in a population with comorbidities might be needed and smoking cessation is recommended in the rehabilitation of LBP. Further studies concerning the link between the respiratory system and LBP have to demonstrate if additional training of inspiratory muscles in a LBP population with low MIP (%) could be beneficial.

Jaar van publicatie:2017

Toegankelijkheid:Open