Spinal Structure and Mobility in Chronic Obstructive Pulmonary Disease

Study Overview
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Brief Summary
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In recent studies with musculoskeletal system disorders in chronic respiratory patients, it has been reported that postural control is affected in COPD patients. The aim of this study to investigate relationship between spinal structure and mobility an severity of dyspnea in patients with COPD.

Detailed Description
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Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable disease characterized by irreversible airway limitation. In recent studies with musculoskeletal system disorders in chronic respiratory patients, it has been reported that postural control is affected in COPD patients.It has been observed that balance systems, functional balance tests, posturography, posture assessment systems, force platform and inclinometer measurements are used in studies on postural control assessment in COPD patients.There are a limited number of studies in which devices that objectively present the degree of deviation in spinal curves are used in patients with COPD, and posture and lung volume and capacities are evaluated. Therefore, the aim of this study is to investigate the changes in spine structure and mobility in COPD patients and to reveal their relationship with static and dynamic lung volumes and capacities.

Official Title
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Investigation of The Relationship Between Spinal Structure and Mobility and Respiratory Functions in Chronic Obstructive Pulmonary Disease

Conditions
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COPD, Postural; Defect, Respiratory Function Impaired, Dyspnea

Intervention / Treatment
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* Other: Postural Assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteer to participate in the study Be over 18 years old Being clinically stable Not having a COPD attack in the last 3 months at least Exclusion Criteria: Refusing to participate in the research Having had spinal surgery Presence of back and shoulder pain Idiopathic scoliosis Ankylosing spondylitis Presence of respiratory disease other than COPD Difficulty understanding verbal commands

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| COPD Patients<br>The respiratory functions of the participants will be measured in accordance with the ATS-ERS criteria. After measurement; forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, total lung capacity (TLC), residual volume (RV), inspiratory capacity (IC), vital capacity (VC) parameters will be recorded. Spinal structure and mobility will be evaluated with the Spinal Mouse device in the sagittal and frontal planes in standing and sitting positions. For the sagittal plane, the measurements were first in the neutral, then in the maximum flexion and extension positions, for the frontal plane; neutral, right and left lateral flexions will be performed. Patients will be asked to mark the level of activity that causes dyspnea on the Medical Council Research Scale (MMRC) Dyspnea Score. | Other: Postural Assessment<br>* Spinal mouse measurement<br>* Other names: MMRC Dyspnea measurement;|
| Control Group<br>The respiratory functions of the participants will be measured in accordance with the ATS-ERS criteria. After measurement; forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, total lung capacity (TLC), residual volume (RV), inspiratory capacity (IC), vital capacity (VC) parameters will be recorded. Spinal structure and mobility will be evaluated with the Spinal Mouse device in the sagittal and frontal planes in standing and sitting positions. For the sagittal plane, the measurements were first in the neutral, then in the maximum flexion and extension positions, for the frontal plane; neutral, right and left lateral flexions will be performed. Patients will be asked to mark the level of activity that causes dyspnea on the Medical Council Research Scale (MMRC) Dyspnea Score. | Other: Postural Assessment<br>* Spinal mouse measurement<br>* Other names: MMRC Dyspnea measurement;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spinal Structure and Mobility | Spinal mouse measurement | 15 minutes (single application) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pulmonary Functions | Respiratory Function Test | 10 minutes (single application) | 
| Dyspnea Severity | Modified Medical Research Dyspnea Scale | 5 minutes (single application) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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copd, posture, respiratory function, dyspnea