RT Journal Article
T1 Respiratory dysfunction in patients with chronic neck pain: systematic review and meta-analysis
A1 López De Uralde Villanueva, Ibai Julio
A1 Del Corral Núñez-Flores, Tamara
A1 Salvador Sánchez, Rodrigo
A1 Angulo Díaz-Parreño, Santiago
A1 López Marcos, José Javier
A1 Plaza Manzano, Gustavo
AB Purpose: To determine the differences in respiratory muscle strength and pulmonary function between patients with chronic neck pain (CNP) and asymptomatic individuals.Methods: Databases were MEDLINE, CINAHL, Scopus, Web of Science and EMBASE up to the end of September 2021. Studies with cross-sectional and longitudinal design were selected, with adult patients with CNP and asymptomatic individuals with reports respiratory function.Results: 11 studies met the inclusion criteria and 10 were included in the meta-analysis showing a statistically significant reduction in inspiratory/expiratory muscle strength (MIP/MEP) in the patients with CNP compared with the asymptomatic individuals (mean difference (MD) for MIP, -11.67 [-14.57 to -8.77]; MD for MEP, -11.80 [-14.99 to -8.60]) and pulmonary function: vital capacity (standardized mean difference (SMD), -0.31 [-0.56 to -0.06]); maximum voluntary ventilation (SMD, -0.36 [-0.59 to -0.14]); forced vital capacity (SMD, -0.53 [-0.99 to -0.06]); peak expiratory flow (SMD, -0.58 [-1.03 to -0.12]); and forced expiratory volume in the first second (SMD, -0.28 [-0.51 to -0.05]).Conclusions: Patients with CNP have reduced respiratory muscle strength and pulmonary function compared with asymptomatic individuals, and this difference could be clinically meaningful. However, more studies of high methodological quality and longitudinal studies are needed to strengthen the results of this meta-analysis. IMPLICATIONS FOR REHABILITATION Respiratory dysfunction has been observed in patients with chronic neck pain.Patients with chronic neck pain present a decrease in respiratory muscle strength and pulmonary function compared with asymptomatic individuals.Respiratory pattern disorders should be considered in the clinical context of chronic neck pain.Interventions focused on respiratory muscle training could be helpful for this population.
PB Taylor & Francis
SN 0963-8288
SN 1464-5165
YR 2022
FD 2022-07-08
LK https://hdl.handle.net/20.500.14352/105251
UL https://hdl.handle.net/20.500.14352/105251
LA eng
NO López-de-Uralde-Villanueva, I., Del Corral, T., Salvador-Sánchez, R., Angulo-Diaz-Parreno, S., López-Marcos, J. J., & Plaza-Manzano, G. (2023). Respiratory dysfunction in patients with chronic neck pain: systematic review and meta-analysis. Disability and Rehabilitation, 45(15), 2422-2433.
DS Docta Complutense
RD 6 abr 2025