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Man Ther. 2016 Dec;26:77-86. doi: 10.1016/j.math.2016.07.011. Epub 2016 Jul 25.

The presence of respiratory disorders in individuals with low back pain: A systematic review.

Author information

1
University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Herestraat 49, 3000 Leuven, Belgium; KU Leuven - University of Leuven, Faculty of Medicine, Herestraat 49, 3000 Leuven, Belgium; University Hospitals Saint-Luc, Department of Physical Medicine and Rehabilitation, Hippokrateslaan 10, 1200 Sint-Lambrecht-Woluwe, Belgium. Electronic address: Nele_Beeckmans@hotmail.com.
2
University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Herestraat 49, 3000 Leuven, Belgium; KU Leuven - University of Leuven, Faculty of Medicine, Herestraat 49, 3000 Leuven, Belgium. Electronic address: Astrid.Vermeersch@gmail.com.
3
University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Herestraat 49, 3000 Leuven, Belgium. Electronic address: Roeland.Lysens@uzleuven.be.
4
University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Herestraat 49, 3000 Leuven, Belgium. Electronic address: Peter.VanWambeke@uzleuven.be.
5
KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Tervuursevest 101 Box 1501, 3001 Leuven, Belgium. Electronic address: Nina.Goossens@kuleuven.be.
6
University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Herestraat 49, 3000 Leuven, Belgium. Electronic address: Tinne.Thys@uzleuven.be.
7
University Hospitals Leuven, Department of Physical Medicine and Rehabilitation, Herestraat 49, 3000 Leuven, Belgium; KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Tervuursevest 101 Box 1501, 3001 Leuven, Belgium. Electronic address: Simon.Brumagne@kuleuven.be.
8
KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Tervuursevest 101 Box 1501, 3001 Leuven, Belgium; Hasselt University, Biomedical Research Institute, Agoralaan A, 3590 Diepenbeek, Belgium. Electronic address: Lotte.Janssens@kuleuven.be.

Abstract

BACKGROUND:

Inspiratory muscles, such as the diaphragm, play a key role in both respiration and spinal control. Therefore, diaphragm dysfunctions are often related to low back pain (LBP). However, few is known on the association between the presence of LBP and the presence of respiratory disorders (RD).

OBJECTIVES:

To perform a systematic review on the relation between RD and LBP.

STUDY DESIGN:

Systematic review.

METHODS:

Two reviewers searched on PubMed/MEDLINE for studies concerning LBP and RD, from 1950 up to January 2016. The search string consisted of the following key words: low back pain, dyspnea, respiratory problems, lung diseases, comorbidity, pulmonary disease, chronic obstructive, smoking, asthma, allergy, sinusitis, respiratory tract infection and hyperventilation. The aim was to evaluate a potential correlation, co-occurrence or causality between RD and LBP.

RESULTS:

A total of 16 articles were included. A significant correlation between the presence of LBP and the presence of RD such as dyspnea, asthma, different forms of allergy, and respiratory infections was found. No correlation was found between Chronic Obstructive Pulmonary Disease (COPD) and LBP, and no articles were found on the correlation between hyperventilation and LBP.

CONCLUSIONS:

This is the first study providing an overview of the literature on the relation between LBP and RD. Immunological, biomechanical, psychosocial and socio-economic factors might explain this correlation. Smoking is likely to contribute. Future studies must reveal the causative relationship.

LEVEL OF EVIDENCE:

Therapy, level 2a.

KEYWORDS:

Asthma; Back pain; Comorbidities; Respiratory disorder; Smoking

PMID:
27501326
DOI:
10.1016/j.math.2016.07.011
[Indexed for MEDLINE]

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