Alteración en la biomecánica de la postura sentada afecta la función pulmonar

Autores/as

DOI:

https://doi.org/10.1590/1809-2950/18010326032019

Palabras clave:

Postura, Mecánica Respiratoria, Espirometría, Ergonomía

Resumen

Este estudio tuvo como objetivo caracterizar las posturas inducidas por dos sistemas diferentes de silla-mesa y analizar sus efectos sobre la función pulmonar. Se trata de un estudio transversal, descriptivo, de tipo de un solo sujeto e intraseries (AB, B-A), con recolección en días consecutivos. Quince voluntarios participaron en el estudio, y se utilizaron dos sistemas de sillamesa: convencional (A) y experimental (B). La evaluación postural se realizó mediante fotogrametría en cada uno de los sistemas, con imágenes analizadas por medio del programa AutoCAD 2010. Posteriormente, se calcularon los ángulos de articulación de la postura media de las participantes en cada sistema. Los datos posturales y respiratorios se compararon considerando las diferentes posiciones adoptadas. El sistema de silla-mesa convencional promovió dos patrones posturales diferentes: uno presentó ángulos de articulación similares al sistema experimental, con resultados de espirometría similares, y el otro estándar presentó ángulos corporales de acuerdo con los patrones esperados con resultados de espirometría significativamente más bajos en VEF1 , VEF1 /CVF y FEFmax. El sistema experimental difería de los valores de espirometría de la postura ortostática informados en la literatura solo en FEFmax, lo que sugiere una similitud de la condición postural. Se concluyó que los muebles experimentales pueden mejorar la función respiratoria en la posición sentada cuando se comparaban con los muebles tradicionales, y pueden beneficiar a personas en condiciones especiales, como mujeres embarazadas, personas obesas y personas con enfermedades pulmonares crónicas.

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Referencias

Lis AM, Black KM, Korn H, Nordin M. Association between

sitting and occupational LBP. Eur Spine J. 2007;16(2):283-98.

doi: 10.1007/s00586-006-0143-7

Claus AP, Hides JA, Moseley GL, Hodges PW. Is “ideal” sitting

posture real? Measurement of spinal curves in four sitting postures.

Man Ther. 2009;14(4):404-08. doi: 10.1016/j.math.2008.06.001

Daneshmandi H, Choobineh A, Ghaem H, Karimi M. Adverse

effects of prolonged sitting behavior on the general health of

office workers. J Lifestyle Med. 2017;7(2):69-75. doi: 10.15280/

jlm.2017.7.2.69

Sa RC, Zeman KL, Bennett WD, Prisk GK, Darquenne C. Effect of

posture on regional deposition of coarse particles in the healthy

human lung. J Aerosol Med Pulm Drug Deliv. 2015;28(6):423-31.

doi: 10.1089/jamp.2014.1189

McManus AM, Ainslie PN, Green DJ, Simair RG, Smith K, Lewis

N. Impact of prolonged sitting on vascular function in young

girls. Exp Physiol. 2015;100(11):1379-87. doi: 10.1113/ep085355

Healy GN, Winkler EAH, Owen N, Anuradha S, Dunstan

DW. Replacing sitting time with standing or stepping:

associations with cardio-metabolic risk biomarkers. Eur Heart

J. 2015;36(39):2643-49. doi: 10.1093/eurheartj/ehv308

Lakerveld J, Loyen A, Schotman N, Peeters CFW, Cardon

G, Van Der Ploeg HP, et al. Sitting too much: a hierarchy of

socio-demographic correlates. Prev Med. 2017;101:77-83. doi:

1016/j.ypmed.2017.05.015

Biddle SJH, Bennie JA, Bauman AE, Chau JY, Dunstan D, Owen N,

et al. Too much sitting and all-cause mortality: is there a causal link?

BMC Public Health. 2016;16:635. doi: 10.1186/s12889-016-3307-3

Tremblay MS, Warburton DER, Janssen I, Paterson DH, Latimer

AE, Rhodes RE, et al. New Canadian physical activity guidelines:

Appl Physiol Nutr Metabol. 2011;36(1):36-46. doi: 10.1139/

H11-009

Bull F, Biddle S, Buchner D, Ferguson R, Foster C, Fox

K, et al. Physical activity guidelines in the UK: review and

recommendations. Loughborough: Loughborough University;

[cited 2019 July 5]. Available from: https://mmu.rl.talis.

com/items/C14E750E-74FF-8D6B-6668-2E054926EE97.html

Cavalcanti AG, Lima CS, de Sá RB, Reinaux CM, Braz Júnior DS,

Teixeira Al, et al. Influence of posture on the ventilatory pattern

and the thoraco-abdominal kinematics of patients with chronic

obstructive pulmonary disease (COPD). Physiother Theory

Pract. 2014;30(7):490-94. doi: 10.3109/09593985.2014.901458

Li C-T, Chang C-H, Huang J-H, Tsai K-H. Comparison of various

sitting postures on pulmonary function, lumbar curvature,

and comfort evaluations. Int J Biosci BiochemBioinforma.

;4(5):331.doi: 10.7763/IJBBB.2014.V4.365

Badr C, Elkins MR, Ellis ER. The effect of body position on

maximal expiratory pressure and flow. Aus J Physiother.

;48(2):95-102. doi: 10.1016/S0004-9514(14)60203-8

Lee L-J, Chang AT, Coppieters MW, Hodges PW. Changes

in sitting posture induce multiplanar changes in chest wall

shape and motion with breathing. Respir Physiol Neurobiol.

;170(3):236-45. doi: 10.1016/j.resp.2010.01.001

Ricardo DR, Araújo CGSd. Body mass index: a scientific

evidence-based inquiry. Arq Bras Cardiol. 2002;79:70-8. doi:

1590/S0066-782X2002001000007

Trudelle-Jackson E, Fleisher LA, Borman N, Morrow JR, Jr.,

Frierson GM. Lumbar spine flexion and extension extremes

of motion in women of different age and racial groups: the

WIN Study. Spine (Phila Pa 1976). 2010;35(16):1539-44. doi:

1097/BRS.0b013e3181b0c3d1

Makhsous M, Lin F, Bankard J, Hendrix RW, Hepler M, Press

J. Biomechanical effects of sitting with adjustable ischial and

lumbar support on occupational low back pain: evaluation

of sitting load and back muscle activity. BMC Musculoskelet

Disord. 2009;10:17. doi: 10.1186/1471-2474-10-17

Bettany-Saltikov J, Warren J, Jobson M. Ergonomically designed

kneeling chairs are they worth it? : Comparison of sagittal lumbar

curvature in two different seating postures. Stud Health Technol

Inform. 2008;140:103-6. doi: 10.3233/978-1-58603-888-5-103

Kavak ST, Bumin G. Os efeitos da postura de pega do lápis

e de diferentes modelos de mesa sobre o desempenho na

caligrafia de crianças com paralisia cerebral hemiplégica. J

Pediatr. 2009;85:346-52. doi: 10.2223/JPED.1914

Corlett EN, Bishop RP. A technique for assessing

postural discomfort. Ergonomics. 1976;19(2):175-82. doi:

1080/00140137608931530

Ferreira EAG. Postura e controle postural: desenvolvimento e

aplicação de método quantitativo de avaliação postural [tese].

São Paulo (SP): Universidade de São Paulo. 2005;1-114. doi:

11606/T.5.2006.tde-20092006-142252

Ferreira EAG, Duarte M, Maldonado EP, Burke TN, Marques AP.

Postural assessment software (PAS/Sapo): validation and reliabiliy.

Clinics. 2010;65:675-81. doi: 10.1590/S1807-59322010000700005

Santos MM, Silva MPC, Sanada LS, Alves CRJ. Análise

postural fotogramétrica de crianças saudáveis de 7 a 10

anos: confiabilidade interexaminadores. Rev Bras Fisioter.

;13(4):350-5. doi: 10.1590/S1413-35552009005000047

Domingos-Benício NC, Gastaldi AC, Perecin JC, et al.

Medidas espirométricas em pessoas eutróficas e obesas nas

posições ortostática, sentada e deitada. Rev Assoc Med Bras.

;50(2):142-7.doi: 10.1590/S0104-42302004000200028

Pereira CAC. I Consenso sobre espirometria. J Pneumol.

[cited 2019 July 5];22(3)105-164. Available from:

jornaldepneumologia.com.br/PDF/Suple_179_57_I%20

CONSENSO%20BRASILEIRO%20SOBRE%20ESPIROMETRIA

%201996.pdf

Caromano FA, Nunes Sobrinho FP. Caracterização da postura

sentada em dois mobiliários diferentes e a influência no

desempenho em um teste gráfico: estudos de casos. Rev Ter

Ocup USP. 2001;12: 40-7.

Romero-Franco N, Montano-Munuera JA, Jimenez-Reyes P.

Validity and reliability of a digital inclinometer to assess knee

joint position sense in a closed kinetic chain. J Sport Rehabil.

;26(1):1-5. doi: 10.1123/jsr.2015-0138

Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R,

Coates A, et al. Standardisation of spirometry. Eur Respir J.

;26(2):319-38. doi: 10.1183/09031936.05.00034805

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977:159-74. doi: 10.2307/2529310

Grandjean E, Hunting W. Ergonomics of posture-review of

various problems of standing and sitting posture. Appl Ergon.

;8(3):135-40. doi: 10.1016/0003-6870(77)90002-3

Lee DE, Seo SM, Woo HS, Won SY. Analysis of body imbalance in

various writing sitting postures using sitting pressure measurement.

J Phys Ther Sci. 2018;30(2):343-6. doi: 10.1589/jpts.30.343

Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier

D. Individual and work related risk factors for neck pain

among office workers: a cross sectional study. Eur Spine J.

;16(5):679-86. doi: 10.1007/s00586-006-0269-7

Pheasant S, Haydt R, Gottstein T, Grasso A, Lombard N, Stone

B. Shoulder external rotator strength in response to various

sitting postures: a controlled laboratory study. Int J Sports

Phys Ther. 2018;13(1):50-7. doi: 10.26603/ijspt20180050

Oyewole SA, Haight JM, Freivalds A. The ergonomic design

of classroom furniture/computer work station for first graders

in the elementary school. Int J Ind Ergon. 2010;40(4):437-47.

doi: 10.1016/j.ergon.2010.02.002

Congleton JJ, inventor; Jerome J. Congleton, assignee. Neutral

body posture chair. In: Google Patents; 1985. United States

patent 4552404. 1985 Dec 11. [cited 2019 July 5]. Available

from: www.freepatentsonline.com/4552404.html

de Lima e Sá Resende F, Vanti C, Banchelli F, Trani JGB, Oliveira

JBA, Villafañe JH, et al. The effect of global postural reeducation

on body weight distribution in sitting posture and on

musculoskeletal pain: a pilot study. Med Lav. 2017;108(3):187-96.

doi: 10.23749/mdl.v108i3.5458

Thompson BJ, Whitson M, Sobolewski EJ, Stock MS. Effects

of age, joint angle, and test modality on strength production

and functional outcomes. Int J Sports Med. 2018;39(2):124-32.

doi: 10.1055/s-0043-121149

Babaei H, Razeghi M, Choobineh A, Pakshir H, Rajaeifard A,

Rezaian J. A new method for calculating saddle seat height

with an emphasis on optimal posture based on trigonometric

relations. Int J Occup Saf Ergon. 2016;22(4):565-71. doi:

1080/10803548.2016.1191223

Lin F, Parthasarathy S, Taylor SJ, Pucci D, Hendrix RW, Makhsous

M. Effect of different sitting postures on lung capacity,

expiratory flow, and lumbar lordosis. Arch Phys Med Rehabil.

;87(4):504-9. doi: 10.1016/j.apmr.2005.11.031

Efendiyeva R, Aydemir H, Karasu H, Toygar-Memikoglu U.

Pharyngeal airway space, hyoid bone position, and head posture

after bimaxillary orthognathic surgery in Class III patients:

long-term evaluation. Angle Orthod. 2014;84(5):773-81. doi:

2319/072213-534.1

Gurani SF, Di Carlo G, Cattaneo PM, Thorn JJ, Pinholt EM.

Effect of head and tongue posture on the pharyngeal airway

dimensions and morphology in three-dimensional imaging:

a systematic review. J Oral Maxillofac Res. 2016;7(1):e1. doi:

5037/jomr.2016.7101

Felcar JM, Bueno IR, Massan ACS, Torezan RP, Cardoso

JR. Prevalência de respiradores bucais em crianças de

idade escolar. Ciên Saúde Colet. 2010;15:427-35. doi:

1590/S1413-81232010000200020

Antunes BO, de Souza HC, Gianinis HH, Passarelli-Amaro RC,

Tambascio J, Gastaldi AC. Peak expiratory flow in healthy,

young, non-active subjects in seated, supine, and prone

postures. Physiother Theory Pract. 2016;32(6):489-93. doi:

3109/09593985.2016.1139646

Brown C, Tseng SC, Mitchell K, Roddey T. Body Position

Affects ultrasonographic measurement of diaphragm

contractility. Cardiopulm Phys Ther J. 2018;29(4):166-72. doi:

1097/cpt.0000000000000083

Druz WS, Sharp JT. Activity of respiratory muscles in upright

and recumbent humans. J Appl Physiol Respir Environ Exerc

Physiol. 1981;51(6):1552-61. doi: 10.1152/jappl.1981.51.6.1552

Malbrain ML, De Laet I, De Waele JJ, Sugrue M, Schachtrupp

A, Duchesne J, et al. The role of abdominal compliance, the

neglected parameter in critically ill patients: a consensus review

of 16. Part 2: measurement techniques and management

recommendations. Anaesthesiol Intensive Ther. 2014;46(5):406-

doi: 10.5603/ait.2014.0063

West JB. Fisiologia respiratória: princípios básicos. Porto Alegre:

Artmed; 2013. ISBN-10: 8565852741

Publicado

2019-03-04

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Pesquisa Original

Cómo citar

Alteración en la biomecánica de la postura sentada afecta la función pulmonar. (2019). Fisioterapia E Pesquisa, 26(3), 265-274. https://doi.org/10.1590/1809-2950/18010326032019