Association between preterm birth and thoracic musculoskeletal static alterations in adolescents.

Abstract:

OBJECTIVE:To compare thoracic musculoskeletal static alterations in adolescents born prematurely with those born at term and investigate neonatal and post-neonatal variables associated with thoracic alterations. METHOD:This is a cross-sectional study with 57 adolescents aged 10-15 years born prematurely and 57 adolescents born at term paired by gender and age. Photographs of the head and thorax in the front, back, and right side views were studied using a computer program. The two groups were compared in regards to: elevation of clavicles, elevation of shoulders, protrusion of the head, and anteroposterior and mediolateral thoracic length. Factor associated with thoracic disorders were evaluated by linear regression analysis. RESULTS:The Preterm group had mean gestational age of 32.0±2.8 weeks and the birth weight was 1462±338 and 3342±430 g for the Preterm and Term adolescents, respectively. Preterm adolescents had higher elevation of the left shoulder (22.7±5.4° vs. 20.6±5.3°;sim, p=0.038) and the right shoulder (22.2±4.4° vs. 18.5±5.7°; p<0.001). Smaller protrusion of the head (27.8±6.1° vs. 32.4±7.9°; p=0.008), mediolateral thoracic length (22.9±2.3 cm vs. 25.1±3.1 cm; p<0.001) and anteroposterior thoracic length (19.7±2.2 cm vs. 21.1±3.4 cm; p<0.001) were found in preterm adolescents. By multiple regression analysis, factors associated with higher shoulder elevation were birth weight <1500 g (p<0.001) and mechanical ventilation during neonatal period >5 days (p=0.009). CONCLUSION:Adolescents born prematurely presented greater thoracic musculoskeletal static alterations compared to those born at term. Factors associated with these alterations were: very low birth weight and longer duration of mechanical ventilation in the neonatal unit.

journal_name

Braz J Phys Ther

authors

Garcia KM,Davidson J,Goulart AL,dos Santos AM

doi

10.1590/bjpt-rbf.2014.0074

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

10-7

issue

1

eissn

1413-3555

issn

1809-9246

pii

S1413-35552015005040074

journal_volume

19

pub_type

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