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https://ptsldigital.ukm.my/jspui/handle/123456789/460412
Title: | Correlation between thoracolumbar curvatures and respiratory function among community dwelling older adults |
Authors: | Nor Najwatul Akmal binti Ab. Rahman (P57741) |
Supervisor: | Devinder Kaur Ajit Singh, Dr. |
Keywords: | Ageing Thoracolumbar curvatures Respiratory function Older adults Dissertations, Academic -- Malaysia |
Issue Date: | 10-Mar-2014 |
Description: | Ageing is associated with alterations in thoracolumbar curvatures and respiratory function that includes increased thoracic curvature, a decreased or increased lumbar curvature, decreased respiratory muscle strength, declined lung function and respiratory rate. The impact of these changes among older adults is detrimental and may lead to further complications. Research information regarding the association between thoracolumbar curvatures (thoracic and lumbar curvature) and a comprehensive examination of respiratory function parameters (lung function, respiratory rate, respiratory muscle strength and thickness) among community dwelling older adults is not available. In depth knowledge is important to ensure evidence based practice and effective management of respiratory conditions. The aim of the present study was to examine the correlation between thoracolumbar curvatures and respiratory function among community dwelling older adults. Measurements of thoracolumbar curvatures using a motion tracker, lung function using a spirometer, respiratory rate using a tri-axial accelerometer, respiratory muscle strength using a respiratory pressure meter and respiratory (diaphragm and intercostal) muscle thickness using ultrasound imaging were performed among sixty-eight community dwelling older males and females with mean (standard deviation) age of 66.63(5.16) years. The results showed that mean (standard deviation) thoracic curvature angle and lumbar curvature angle were -46.30(14.66) and 14.10(10.58) degrees, respectively. There was a negative significant correlation between thoracic curvature angle and lung function (FEV1 r= -0.23, p<0.05; FVC r=-0.32, p<0.05), quiet expiration intercostal thickness (r=-0.22, p<0.05) and deep expiration diaphragm muscle thickness (r=-0.21, p<0.05). Lumbar curvature angle was negatively correlated with respiratory muscle strength (r=-0.29, p<0.05) and diaphragm muscle thickness at deep inspiration (r=-0.22, p<0.05). However, respiratory rate was not correlated with thoracic nor lumbar curvature. The findings of this study suggest that increase in both, thoracic and lumbar curvatures are associated with decrease in respiratory muscle strength, respiratory muscle thickness and some parameters of lung function. Clinically, thoracic and lumbar curvatures, respiratory muscles and lung function should be taken into consideration in the holistic management of respiratory function among older adults.,Master in Health Science (Biomedical Science) |
Pages: | 110 |
Call Number: | WH170.N8225c 2014 9 |
Publisher: | UKM, Kuala Lumpur |
Appears in Collections: | Faculty of Health Sciences / Fakulti Sains Kesihatan |
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ukmvital_83940+Source01+Source010.PDF Restricted Access | 255.05 kB | Adobe PDF | View/Open |
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