Relação entre função pulmonar e ângulos posturais da coluna cervical e cintura escapular de crianças asmáticas respiradores bucais
Introduction: Patients with asthma are more likely to develop a predominantly mouth breathing pattern and a change in the breathing pattern by the mouth breathing syndrome (MBS) implies in postural adjustments. Objective: The purpose of this study was to evaluate the correlation between lung func...
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| Formato: | Dissertação |
| Idioma: | por |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/22278 |
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| Resumo: | Introduction: Patients with asthma are more likely to develop a predominantly
mouth breathing pattern and a change in the breathing pattern by the mouth
breathing syndrome (MBS) implies in postural adjustments. Objective: The
purpose of this study was to evaluate the correlation between lung function and
postural angles of mouth breathing asthmatic children. Method: This is a crosssectional
study of analytical character, conducted in accordance with the
STROBE recommendations. 31 mouth breathing asthmatic children aged
between 7 and 12 years were evaluated. A speech therapist evaluation was
performed which consisted of: Glatzel mirror test; predominantly mouth
breathing confirmation during the last six months, and at least one of the
following findings: skeletal crossbite, high palate, anterior open bite, shortened
upper lip and lower everted and lack of lip seal. The diagnostic confirmation of
oral breathing pattern was verified by otoscopy, rhinoscopy, oropharyngoscopy
and fibronasopharyngolaryngoscopy. The physical therapy evaluation consisted
of anthropometric data, spirometry and assessment of postural pattern by the
Qualisys Motion Movement Analysis System Capture Systems. Data were
analyzed using SPSS software version 17.0 with a significance level of 5%. The
normality distribution of the data was tested with the Kolmogorov-Smirnov (KS)
test. The one-way ANOVA followed by Tukey's Post Hoc were used to assess
differences in postural angles and spirometric variables in the age groups
between 7-8; 9-10 and 11-12 years. Multiple linear regression analysis was
performed to identify predictors of lung function of asthmatic children with mouth
breathing pattern. Results: The variables left shoulder protrusion, FVC, FEV1
and PEF showed significant differences between the age groups: 7-8 and 11-12
years and 9-10 and 11-12 years. The multiple linear regression models found
that: 1) the time variable height, right acromion alignment and left acromion
alignment are predictors of FVC in the age groups of 7-8 years; 2) the variable
right alignment of the acromion, left alignment acromion, right shoulder
protrusion, left shoulder protrusion FVC were predictors in the age group
between 9-10 years; 3) Left alignment acromion, right shoulder and left
shoulder protrusion are FEV1 predictors aged 9-10 years; 4) the height, right
alignment of the acromion, the left alignment of the acromion and left shoulder
protrusion are predictors of PFE in the age group of 9-10 years. Conclusion:
The left shoulder protrusion, FVC, FEV1, FEF25-75% and PEF may be influenced
by age. The weight, height, and the cervical and the shoulder girdle posture
angles are predictors of lung function of mouth breathing asthmatic children
aged 7 and 10 years. |
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