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Revue du rhumatisme
Volume 71, n° 3
pages 231-234 (mars 2004)
Doi : 10.1016/S1169-8330(03)00138-8
Received : 12 Mars 2002 ;  accepted : 6 June 2002
L'ampliation thoracique est-elle le reflet de la force musculaire pulmonaire dans la fibromyalgie primitive ?
Is chest expansion a determinant of pulmonary muscle strength in primary fibromyalgia? " onClick="javascript:init_clueTip($j(this));" rel=".tooltip-art-idFN1">

Günþah  Þahýn a * ,  Bahar  Ulubaþ b ,  Mukadder  Çalikod lu b ,  Özlem  Bölgen Çýmen,  Hayal  Güler
aDepartment of physical medicine and rehabilitation, school of medicine, Mersin university, Mersin, Turkey 
bDepartment of chest diseases, school of medicine, Mersin university, Mersin, Turkey 

*Auteur correspondant. Fatih mah, 13, sokak, Istanbul Evleri, C blok, Kat 1/1, Mezitli-Mersin, 33170Turkey.
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Objectif. - Examiner le rapport possible entre l'expansion de la cage thoracique et la force musculaire pulmonaire chez les patients souffrant de fibromyalgie primitive.

Méthodes. - Les épreuves fonctionnelles respiratoires, l'ampliation thoracique et la pression pulmonaire totale qui sont le reflet de la force pulmonaire et d'endurance (capacité pulmonaire totale, CPT). La douleur a été cotée grâce à l'échelle visuelle analogique (EVA). La douleur thoracique a été cotée sur une échelle verbale à 10 points.

Résultats. - Il n'y avait pas de différence significative sur l'ampliation pulmonaire entre les groupes de patients. Les pressions maximales inspiratoires (MIP) et expiratoires (MEP) étaient plus basses chez les patients fibromyalgiques par rapport aux contrôles (p < 0,05). Cependant, il n'y avait pas de différence significative entre l'ampliation thoracique et la dyspnée.

Conclusion. - La baisse des pressions respiratoires maximales (MIP, MEP) peut être la conséquence d'un défaut de fonction des muscles thoraciques qui serait dû à une déficience physique observée chez les patients souffrant de fibromyalgie même si aucune différence significative d'ampliation thoracique et de dyspnée n'a été observée chez les patients contrôlés.

Mots clés  : Ampliation thoracique ; Fibromyalgie ; Force musculaire pulmonaire.

Abstract

Objective. - To examine the possible relationship between chest expansion and pulmonary muscle strength in patients with primary fibromyalgia.

Methods. - Forty-one consecutive women with primary fibromyalgia were compared with age and body mass index matched 40 healthy women concerning pulmonary function tests, chest expansion, and maximum respiratory pressures indicating pulmonary muscle strength, and endurance (MVV). Pain was scored according to visual analog scale (VAS). Chest pain was scored on a 10 point scale.

Results. - There was no significant difference between groups regarding chest expansion (P > 0.05). Maximum inspiratory and expiratory pressures (MIP, MEP) were lower in fibromyalgia patients than controls (P < 0.05). However, chest expansion and dyspnea score were insignificant between groups (P > 0.05).

Conclusion. - Reduced maximum respiratory pressures (MIP, MEP) may result from isometric type pulmonary muscle dysfunction as a result of low physical performance in fibromyalgia patients despite insignificant finding of chest expansion and dyspnea score according to controls.

Mots clés  : Chest expansion ; Fibromyalgia ; Respiratory muscle strength.


1  Pour citer cet article, utiliser ce titre en anglais et sa référence dans le même volume de Joint bone spine.




© 2003  Published by Elsevier Masson SAS.

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