Forward Head Posture Examination and its Association with Lung Expiratory Function in Chronic Obstructive Pulmonary Disease (COPD) Patient: A Case Series

Siti Chandra Widjanantie, Kevin Triangto

2019

Abstract

Expiratory function of lung measured using peak flow meter recorded aspeak flow rate (PFR). This known to be effectively correlated with mucus clearance and effective cough. COPD patients generally have altered body structures to chronic hyperventilation condition. Structural adaptations include thoracic kyphosis with forward head posture (FHP). This study aimed to quantify severity of FHP and observe its impacts on PFR in COPD patients. We recruited a small cohort of COPD patients in the outpatient clinic of the Medical Rehabilitation Department, Persahabatan Hospital, Jakarta. Peak flow meter used to measure PFR, while FHP measured occiput to wall distance in centimeters. Additional records such as submaximal exercise testing, peak cough flow (PCF) and COPD Assessment Test (CAT) score obtained. Independent T-test obtain the difference of PFR among severity grades of FHP. Eight patients all above the age of 60. Underweight median Body Mass Index (BMI) 18.29 kg/m2 (15.05-22.04), COPD GOLD A to C, limited chest expansion, and median CAT score of 14 (4-30). This study exhibited a median OWD of 8.10 cm (6.80-9.30), PFR 227.50 ml (70-400), and PCF 255 ml (180-410). These showed that postural changes could simply be measured and may have impact on respiratory biomechanics, comprehensive COPD care.

Paper Citation

in Harvard Style

Widjanantie S. and Triangto K. (2019). Forward Head Posture Examination and its Association with Lung Expiratory Function in Chronic Obstructive Pulmonary Disease (COPD) Patient: A Case Series.In Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI, ISBN 978-989-758-409-1, pages 231-237. DOI: 10.5220/0009088602310237

in Bibtex Style

@conference{konas xi and pit xviii perdosri19,
author={Siti Chandra Widjanantie and Kevin Triangto},
title={Forward Head Posture Examination and its Association with Lung Expiratory Function in Chronic Obstructive Pulmonary Disease (COPD) Patient: A Case Series},
booktitle={Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI,},
year={2019},
pages={231-237},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009088602310237},
isbn={978-989-758-409-1},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association - Volume 1: KONAS XI and PIT XVIII PERDOSRI,
TI - Forward Head Posture Examination and its Association with Lung Expiratory Function in Chronic Obstructive Pulmonary Disease (COPD) Patient: A Case Series
SN - 978-989-758-409-1
AU - Widjanantie S.
AU - Triangto K.
PY - 2019
SP - 231
EP - 237
DO - 10.5220/0009088602310237