Asthma impact on body posture in children aged 8 to 14 years analyzed by biophotogrammetry
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i4a102993Keywords:
Posture, Evaluation, Asthma, PhotogrammetryAbstract
Objective: To compare trunk posture between asthmatic and non-asthmatic children by digital image assessment. Methods: the angles of the main postural axis for trunk alignment and leveling of 50 children, aged 8 to 14 years, at the anterior and posterior views, were measured in Corel Draw-12 software. Results were statistically treated in a descriptive study comparing genders, and a case-control study, which compared trunk posture between asthmatics/AS and non-asthmatics/NA. At the anterior view we measured the pelvis/PL and shoulder/SL leveling; at the posterior view we recorded scapula leveling/SL and the upper/UC and lower/LC spinal column alignment. The final data were interpreted based on previous and specific corollaries, and all results with p<0.05 were considered significant. Results: the normal distribution of data allowed parametric tests to be applied. There was no difference between genders (p>0.05) but the global profile of the AS group was better than the NA group (p<0.05). Conclusions: The Biophotogrammetric Postural Routine/BPR was instrumentally effective. A prospective cohort for NA subjects should clarify the role of muscular overload persistence and an inadequate respiratory pattern in asthma on postural compensations, which are more evident in the adult phase of life.
Downloads
References
Danis CG, Krebs DE, Gill-Body KM, Sahrmann S. Relationship between standing posture and stability. Phys Ther. 1998;78(5):502-17.
Duarte M. Modelagem do controle postural humano. In: IX Congresso Brasileiro de Biomecânica; 2001; Gramado. Anais. São Paulo: Sociedade Brasileira de Biomecânica, 2001.
Martelli RC, Traebert J. Estudo descritivo das alterações posturais de coluna vertebral em escolares de 10 a 16 anos de idade: Tangará-SC, 2004. Rev Bras Epidemiol. 2006;9(1):87-93.
Sociedades Brasileira de Pneumologia e Tisiologia. III Consenso Brasileiro no Manejo da Asma - 2002. J Pneumol. 2002;28(Supl 1):S1-28.
Ferguson AC, Murray AB, Tze WJ. Short stature and delayed skeletal maturation in children with allergic disease. J Allergy Clin Immunol. 1982;69(5):461-6.
American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518-624.
Moudiou T, Theophilatou D, Priftis K, Papadimitriou A. Growth of asthmatic children before long-term treatment with inhaled corticosteroids. J Asthma. 2003;40(6):667-71.
Tigrinho F, Malucelli M, Rosário Filho NA, Riedi CA, Kovalhuk L. Crescimento em asmáticos pré-púberes em uso de corticosteróide inalatório. Rev Bras Alergia Imunopatol. 2008;31(3):119-22.
Covar RA, Spahn JD, Murphy JR, Szefler SJ; Childhood Asthma Management Program Research Group. Progression of asthma measured by lung function in the childhood asthma management program. Am J Respir Crit Care Med. 2004;170(3):234-41.
Bot SD, Caspers M, Van Royen BJ, Toussaint HM, Kingma I. Biomechanical analysis of posture in patients with spinal kyphosis due to ankylosing spondylitis: a pilot study. Rheumatology (Oxford). 1999;38(5):441-3.
Kera T, Maruyama H. The effect of posture on respiratory activity of the abdominal muscles. J Physiol Anthropol Appl Human Sci. 2005;24(4):259-65.
Bettinelli D, Kays C, Bailliart O, Capderou A, Techoueyres P, Lachaud JL, et al. Effect of gravity and posture on lung mechanics. J Appl Physiol. 2002;93(6):2044-52.
Elsberg CA. Pneumothorax and posture. J Exp Med. 1999;11(3):444-52.
Galante GA, Azevedo C, Mello M, Tanaka C, D'Amico EA Avaliação do alinhamento e do desempenho em atividades funcionais de crianças hemofílicas em idade inferior a sete anos, com e sem sinovite crônica: correlação com a incidência de hemartroses. Rev Bras Fisioter. 2006;10(2):171-6.
Azevedo VMGO, Rocha P, Casaes GPE, Lopes RB, Carneiro RL. Alterações posturais em crianças asmáticas. Rev Paul Pediatr. 2005;23(3);130-5.
Stell IM, Polkey M, Rees PJ, Green M, Moxham J. Inspiratory Muscle Strength in Acute Asthma. Chest. 2001;120(3):757-64
Bricot B. Posturologia. 3a ed. São Paulo: Ícone; 2004.
Busquet L. As cadeias musculares.Belo Horizonte: Busquet; 2001. v. 2.
Hall SJ. A Biomecânica básica. Rio de Janeiro: Guanabara Koogan; 1991.
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
