Article

The aim of this study was to systematically review the evidence on respiratory
function changes in patients with chronic neck pain. MEDLINE, Elsevier, ProQuest,
PubMed, Scopus, Springer,
and Google scholar electronic databases were explored
thorough December 2015. English-language studies investigating cervical
musculoskeletal and respiratory parameters in patients with chronic neck pain
were included. Characteristics of the patients, sampling method and size,
musculoskeletal and respiratory parameters studied, and appropriateness of the
statistical tests were considered. Studies were rated based on study design and
performance. Of the 68 studies reviewed, 9 observational studies met our
inclusion criteria. Significant difference in maximum inspiratory and expiratory
pressures were reported in patients with chronic neck pain compared to
asymptomatic subjects. Some of the respiratory volumes were found to be lower in
patients with chronic neck pain. Muscle strength and endurance, cervical range of
motion, and psychological states were found to be significantly correlated with
respiratory parameters. Lower Pco2 in patients and significant relationship
between chest expansion and neck pain were also shown. Respiratory retraining was
found to be effective in improving some cervical musculoskeletal and respiratory
impairment. Functional pulmonary impairments accompany chronic neck pain. Based
on the observed association, investigation of the effectiveness of management of
CNP on respiratory function is strongly suggested.

Langue : ANGLAIS