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The Kinematic Chain of Arm Elevation Is Impaired in Patients with Chronic Obstructive Pulmonary Disease

2019-07-05Journal article Restricted access
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dc.contributor.authorMorais, Nuno
dc.contributor.authorCruz, Joana
dc.contributor.authorMarques, Alda
dc.date.accessioned2019-07-09T14:19:32Z
dc.date.available2019-07-09T14:19:32Z
dc.date.issued2019-07-05
dc.description.abstractPatients with chronic obstructive pulmonary disease (COPD) often complain about difficulties in performing activities with their arms above shoulders height. These difficulties have been associated with increased cardiorespiratory demand and altered lung mechanics; however, musculoskeletal-related mechanisms may also contribute to constrain the mechanics of the upper body quadrant, increasing the effort to perform the activities. This exploratory research aimed to assess potential changes in the kinematic chain of arm elevation in patients with COPD. A secondary analysis from a cross-sectional exploratory case-control and prediction study was conducted in 15 patients with COPD (2 females) and 15 controls (8 females) matched for age and body mass index. The sagittal alignment and active range of motion (ROM) of the head, thoracic spine and shoulder complex were measured, using a computer software, in digital lateral photographs obtained in three different testing positions: arms at rest, arms at 90° of shoulder flexion and full arm elevation. From rest to full arm elevation, both groups moved from a more flexed to a less flexed or more upright thoracic spine position (∼7°, p < 0.001, 0.419 < ηp2 <0.767). However, the COPD group showed significantly less shoulder flexion (∼12°, p = 0.007, d = 1.05) and thoracic spine extension (∼6°, p = 0.015, ηp2 = 0.139) ROM than the control group in the full arm elevation position. These findings suggest that this population may show changes in the kinematic chain of arm elevation that possibly contribute to arm movement-related complains and limited performance in their daily living.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1080/15412555.2019.1632281pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.8/3987
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectChronic obstructive pulmonary diseasept_PT
dc.subjectRange of motionpt_PT
dc.subjectShoulderpt_PT
dc.subjectThoracic spinept_PT
dc.subjectUpper extremitypt_PT
dc.titleThe Kinematic Chain of Arm Elevation Is Impaired in Patients with Chronic Obstructive Pulmonary Diseasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage6pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleCOPD: Journal of Chronic Obstructive Pulmonary Diseasept_PT
person.familyNameValente Morais
person.familyNameCruz
person.familyNameMarques
person.givenNameNuno Alexandre
person.givenNameJoana
person.givenNameAlda
person.identifierR_whtEEAAAAJ
person.identifier.ciencia-id7D15-1925-242F
person.identifier.ciencia-idE213-7D20-5C3C
person.identifier.ciencia-idDE15-EFBA-4856
person.identifier.orcid0000-0002-8209-3719
person.identifier.orcid0000-0002-4911-4469
person.identifier.orcid0000-0003-4980-6200
person.identifier.ridK-7030-2013
person.identifier.scopus-author-id55317141300
person.identifier.scopus-author-id36715922000
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationfb416f86-0df2-49b6-b414-62fd7e94bfa8
relation.isAuthorOfPublication33428074-748a-4751-b2f7-9f24247715fd
relation.isAuthorOfPublication2b4618ae-9c47-4033-94ea-24c9793d73e7
relation.isAuthorOfPublication.latestForDiscoveryfb416f86-0df2-49b6-b414-62fd7e94bfa8

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