DOI QR코드

DOI QR Code

Effect of Scapular Brace on the Pulmonary Function and Foot Pressure of Elderly Women with Forward Head Posture

  • Kim, Eun-Kyung (Department of Physical Therapy, Gangdong University) ;
  • Lee, Dong-Kyu (Department of Physical Therapy, Sunhan Hospital)
  • Received : 2018.07.25
  • Accepted : 2018.08.30
  • Published : 2018.08.31

Abstract

Purpose: Changes in the curvature of the vertebral columns of elderly women with increasing age causes various side effects and disorders. Therefore, this study was conducted to evaluate the effectiveness of the 8-figure scapular brace to improve pulmonary function and balance ability based on lung capacity and foot pressure by increasing the vertebral curvature. Methods: Seventeen elderly women with a forward head posture were selected. Women were asked to wear the 8-figure scapular brace and the forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) were measured, as were changes in foot pressure. Measurements were conducted three times each and the mean values were used for subsequent analyses. For static evaluation, we used the paired t-test to identify differences between pre and post values. Results: There was no significant difference in FEV1 and FVC before and after use of the brace (p>0.05); however, there was a significant decrease in forefoot pressure and an increase in rearfoot pressure following application of the brace (p<0.05). Conclusion: Application of the 8-figure scapular brace to correct vertebral curvature in elderly women influenced pressure distribution change from immediate effect body arrange of cervical and thoracic. However, wearing the 8-figure scapular brace may interfere with expansion of the chest and therefore respiratory muscle activity. Accordingly, it is necessary to apply appropriate treatment when wearing a scapular brace and to allow a sufficient intervention period while also providing therapeutic interventions such as posture correction or respiration training.

Keywords

References

  1. Hinman MR. Comparison of thoracic kyphosis and postural stiffness in younger and older women. Spine J. 2004:4(4):413-7. https://doi.org/10.1016/j.spinee.2004.01.002
  2. Nishiwaki Y, Kikuchi Y, Araya K et al. Association of thoracic kyphosis with subjective poor health, functional activity and blood pressure in the community-dwelling elderly. Environ Health Prev Med. 2007;12(6):246-50. https://doi.org/10.1007/BF02898031
  3. Bartynski WS, Heller MT, Grahovac SZ et al. Severe thoracic kyphosis in the older patient in the absence of vertebral fracture: association of extreme curve with age. AJNR Am J Neuroradiol. 2005;26(8):2077-85.
  4. Fon GT, Pitt MJ, Thies AC Jr. Thoracic kyphosis: range in normal subjects. AJR Am J Roentgenol. 1980;134(5):979-83. https://doi.org/10.2214/ajr.134.5.979
  5. Ko CH, Cynn HS, Lee JH et al. Figure-8 strap application: immediate alteration of pectoralis minor length and scapular alignment during armlifting exercise in participants with forward shoulder posture. J Sport Rehabil. 2016;25(3):273-9. https://doi.org/10.1123/jsr.2015-0002
  6. Briggs AM, van Dieen JH, Wrigley TV et al. Thoracic kyphosis affects spinal loads and trunk muscle force. Phys Ther. 2007;87(5):595-607. https://doi.org/10.2522/ptj.20060119
  7. Kim JS, Choi JH, Lee MY. Effect of self-postural control with visual feedback in the foot pressures in the subject with forward head posture. J Kor Phys Ther. 2017;29(4):153-7. https://doi.org/10.18857/jkpt.2017.29.4.153
  8. Kong YS, Kim YM, Shim JM. Effects of modified cervical exercise on respiratory functions in smartphone users with forward head posture. J Kor Phys Ther. 2016;28(5):292-6. https://doi.org/10.18857/jkpt.2016.28.5.292
  9. Ailon T, Shaffrey CI, Lenke LG et al. Progressive spinal kyphosis in the aging population. Neurosurgery. 2015;77(Suppl 4):S164-72. https://doi.org/10.1227/NEU.0000000000000944
  10. Pfeifer M, Kohlwey L, Begerow B et al. Effects of two newly developed spinal orthoses on trunk muscle strength, posture, and quality-of-life in women with postmenopausal osteoporosis: a randomized trial. Am J Phys Med Rehabil. 2011;90(10):805-15. https://doi.org/10.1097/PHM.0b013e31821f6df3
  11. Katzman WB, Sellmeyer DE, Stewart AL et al. Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil. 2007;88(2)192-9. https://doi.org/10.1016/j.apmr.2006.10.033
  12. Hawes MC, Brooks WJ. Improved chest expansion in idiopathic scoliosis after intensive, multiple-modality, nonsurgical treatment in an adult. Chest. 2001;120(2):672-4. https://doi.org/10.1378/chest.120.2.672
  13. Burr ML, Phillips KM, Hurst DN. Lung function in the elderly. Thorax. 1985;40(1):54-9. https://doi.org/10.1136/thx.40.1.54
  14. Priftis KN, Hager J, Vlachou M et al. Effects of bracing on lung function in idiopathic juvenile kyphosis. Pediatr Pulmonol. 2003;35(2):83-6. https://doi.org/10.1002/ppul.10220
  15. Pawlowsky SB, Hamel KA, Katzman WB et al. Stability of kyphosis, strength, and physical performance gains 1 year after a group exercise program in community-dwelling hyperkyphotic older women. Arch Phys Med Rehabil. 2009;90(2):358-61. https://doi.org/10.1016/j.apmr.2008.07.016
  16. Ebert R, Campbell A, Kemp-Smith K et al. Lumbar spine side bending is reduced in end range extension compared to neutral and end range flexion postures. Man Ther. 2014;19(2):114-8. https://doi.org/10.1016/j.math.2013.08.004
  17. Seacrist T, Saffioti J, Balasubramanian S et al. Passive cervical spine flexion: the effect of age and gender. Clin Biomech (Bristol, Avon). 2012;27(4):326-33. https://doi.org/10.1016/j.clinbiomech.2011.10.012
  18. Aslan UB, Cavlak U, Yagci N et al. Balance performance, aging and falling: A comparative study based on a Turkish sample. Arch Gerontol Geriatr. 2008;46(3):283-92. https://doi.org/10.1016/j.archger.2007.05.003
  19. Chang JS, Lee MH. The comparison of plantar foot pressure distribution in adult and elderly according obstacle heights. J Kor Phys Ther. 2014;26(4):257-61.
  20. Azadinia F, Kamyab M, Behtash H et al. The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis. Prosthet Orthot Int. 2013;37(5):404-10. https://doi.org/10.1177/0309364612474487
  21. Lee JH, Cynn HS, Yoon TL et al. The effect of scapular posterior tilt exercise, pectoralis minor stretching, and shoulder brace on scapular alignment and muscles activity in subjects with round-shoulder posture. J Electromyogr Kinesiol. 2015;25(1):107-14. https://doi.org/10.1016/j.jelekin.2014.10.010
  22. Kim EK, Kim SG. The effect of an active vibration stimulus according to different shoulder joint angles on functional reach and stability of the shoulder joint. J Phys Ther Sci. 2016;28(3):747-51. https://doi.org/10.1589/jpts.28.747
  23. Cole AK, McGrath ML, Harrington SE et al. Scapular bracing and alteration of posture and muscle activity in overhead athletes with poor posture. J Athl Train. 2013;48(1):12-24. https://doi.org/10.4085/1062-6050-48.1.13
  24. Lima IN, Fregonezi GA, Melo R et al. Acute effects of volume-oriented incentive spirometry on chest wall volumes in patients after a stroke. Respir Care. 2014;59(7):1101-7. https://doi.org/10.4187/respcare.02651
  25. Pau M, Leban B, Collu G et al. Effect of light and vigorous physical activity on balance and gait of older adults. Arch Gerontol Geriatr. 2014;59(3):568-73. https://doi.org/10.1016/j.archger.2014.07.008
  26. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002
  27. Legrand A, Schneider E, Gevenois PA et al. Respiratory effects of the scalene and sternomastoid muscles in humans. J Appl Physiol. 2003;94(4):1467-72. https://doi.org/10.1152/japplphysiol.00869.2002
  28. Ovechkin A, Vitaz T, de Paleville DT et al. Evaluation of respiratory muscle activation in individuals with chronic spinal cord injury. Respir Physiol Neurobiol. 2010;173(2):171-8. https://doi.org/10.1016/j.resp.2010.07.013
  29. Bae WS, Lee KC, Park SW et al. Effect of the changes in forward head posture and neutral head posture on respiratory. KSIM. 2017;5(1):67-74.
  30. Sinaki M, Lynn SG. Reducing the risk of falls through proprioceptive dynamic posture training in osteoporotic women with kyphotic posturing: a randomized pilot study. Am J Phys Med Rehabil. 2002;81(4):241-6. https://doi.org/10.1097/00002060-200204000-00001
  31. Choi HI. (A) study on the relationship between scoliosis and foot. Daegu University. Dissertation of Master's Degree. 2001.
  32. Kim YH, Jun SC, Jung DY et al. Biomechanical analysis of different thoracolumbar orthosis designs using finite element method. RWEAT. 2012;6(1):45-50.
  33. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther. 2013;8(1):62-73.
  34. Caro CG, Butler J, DuBois AB. Some effects of restriction of chest cage expansion on pulmonary function in man: an experimental study. J Clin Invest. 1960;39:573-83. https://doi.org/10.1172/JCI104070

Cited by

  1. Comparison of Vital Capacity and Balance between Elderly Women and Young Women with Forward Head Postures According to the Use of Figure-8 brace vol.31, pp.4, 2018, https://doi.org/10.18857/jkpt.2019.31.4.248
  2. Effect of a Five-week Scapular Correction Exercise in Patients with Chronic Mechanical Neck Pain vol.32, pp.2, 2018, https://doi.org/10.18857/jkpt.2020.32.2.126