A Study Protocol on Effect of Postural Deviation on Functional Capacity in Patients with Chronic Respiratory Disease
Keywords:chronic respiratory disease, 6 minute walk test, postural deviation
Background: According to WHO Chronic respiratory diseases are diseases of the airways and lung.
Chronic obstructive pulmonary disease , asthma, occupational lung diseases and pulmonary hypertension
are among the most severe. Chronic respiratory disease is generally divided among adults into obstructive
and restrictive conditions. Restrictive lung disorders are characterized by decreased volumes of the lung,
either due to a lung parenchyma change or due to pleura, chest wall or neuromuscular apparatus disease.
Unlike obstructive lung diseases such as asthma and chronic obstructive pulmonary disease, which exhibit
normal or elevated total lung capacity (TLC), restrictive diseases are correlated with a reduced (TLC). These
presenting symptoms of chronic respiratory disease results in the postural deviations. It mainly affect the
cervical and lumbar region of the spine which include forward head posture, upper thoracic kyphosis which
occurs due to continues use of accessory muscles of breathing.The functional capacity of the patients are
assessed by performing the 6-minute walk test (6MWT) it is fairly easy for evaluating the status of cardiac
and pulmonary diseases.
Methoud/Design: The study is designed as observational and correlation study. The participants will be
selected as per inclusion and exclusion criteria from AVBRH , sawangi Meghe for the study. The duration
of the study will be 6 months. Study include evaluation of the posture with the help of kinect azure and
evaluation of functional capacity using 6 MWT. Correlation of 6MWT,Vo2 peak with severity of the postural
Discussion: This study details about effect of postural deviation on functional capacity in patients with
chronic respiratory disease. Many studies have been done on assessment of the postural deviation in COPD
patients but there is scarcity of literature which focus on the other respiratory conditions also. Kinect azure is
the objective measure for assessment and gives the detail evaluation of posture. Since deviated posture puts
extra load on musculoskeletal system which indirectly affects the functional capacity. So the this study aims
to observe degree of postural deviation and relate it to the functional capacity. The present study can provide
us the baseline idea data about the importance of maintaining good posture in chronic respiratory diseases
patients for improving functional capacity and also importance of good postural habit in exercise program.
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