{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T23:00:05Z","timestamp":1752102005875,"version":"3.37.3"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. bras. pneumol."],"abstract":"<jats:p>ABSTRACT  Objective: To compare diaphragmatic mobility, lung function, and respiratory muscle strength between COPD patients with and without thoracic hyperkyphosis; to determine the relationship of thoracic kyphosis angle with diaphragmatic mobility, lung function, and respiratory muscle strength in COPD patients; and to compare diaphragmatic mobility and thoracic kyphosis between male and female patients with COPD.  Methods: Participants underwent anthropometry, spirometry, thoracic kyphosis measurement, and evaluation of diaphragmatic mobility.  Results: A total of 34 patients with COPD participated in the study. Diaphragmatic mobility was significantly lower in the group of COPD patients with thoracic hyperkyphosis than in that of those without it (p = 0.002). There were no statistically significant differences between the two groups of COPD patients regarding lung function or respiratory muscle strength variables. There was a significant negative correlation between thoracic kyphosis angle and diaphragmatic mobility (r = \u22120.47; p = 0.005). In the sample as a whole, there were statistically significant differences between males and females regarding body weight (p = 0.011), height (p &lt; 0.001), and thoracic kyphosis angle (p = 0.036); however, there were no significant differences in diaphragmatic mobility between males and females (p = 0.210).  Conclusions: Diaphragmatic mobility is lower in COPD patients with thoracic hyperkyphosis than in those without it. There is a negative correlation between thoracic kyphosis angle and diaphragmatic mobility. In comparison with male patients with COPD, female patients with COPD have a significantly increased thoracic kyphosis angle.<\/jats:p>","DOI":"10.1590\/s1806-37562016000000248","type":"journal-article","created":{"date-parts":[[2018,3,10]],"date-time":"2018-03-10T14:16:54Z","timestamp":1520691414000},"page":"5-11","source":"Crossref","is-referenced-by-count":11,"title":["Comparison of diaphragmatic mobility between COPD patients with and without thoracic hyperkyphosis: a cross-sectional study"],"prefix":"10.1590","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6518-6227","authenticated-orcid":false,"given":"M\u00e1rcia Aparecida","family":"Gon\u00e7alves","sequence":"first","affiliation":[{"name":"Universidade do Estado de Santa Catarina,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6064-4199","authenticated-orcid":false,"given":"Bruna Estima","family":"Leal","sequence":"additional","affiliation":[{"name":"Universidade do Estado de Santa Catarina,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8834-3339","authenticated-orcid":false,"given":"Liseane Gon\u00e7alves","family":"Lisboa","sequence":"additional","affiliation":[{"name":"Cl\u00ednica L\u00e2mina Medicina Diagn\u00f3stica,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5390-8739","authenticated-orcid":false,"given":"Michelle Gon\u00e7alves de Souza","family":"Tavares","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4943-2085","authenticated-orcid":false,"given":"Wellington Pereira","family":"Yamaguti","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio-Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-2817","authenticated-orcid":false,"given":"Elaine","family":"Paulin","sequence":"additional","affiliation":[{"name":"Universidade do Estado de Santa Catarina,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,2]]},"reference":[{"series-title":"GOLD 2017 Global Strategy for the Diagnosis, Management and Prevention of COPD","key":"ref1"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/j.1440-1843.2007.01194.x","article-title":"Air trapping The major factor limiting diaphragm mobility in chronic obstructive pulmonary disease patients","volume":"13","author":"Dos Santos Yamaguti WP","year":"2008","journal-title":"Respirology"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1016\/j.rmed.2007.05.024","article-title":"Influence of diaphragmatic mobility on exercise tolerance and dyspnea in patients with COPD","volume":"101","author":"Paulin E","year":"2007","journal-title":"Respir Med"},{"issue":"4","key":"ref4","first-page":"341","article-title":"Postural assessment in patients with chronic obstructive pulmonary disease [Article in Portuguese] Fisioter Pesqui (S\u00e3o","volume":"18","author":"Pachioni CA","year":"2011","journal-title":"Paulo)"},{"issue":"6","key":"ref5","first-page":"889","article-title":"The accuracy of the roentgenologic diagnosis of chronic pulmonary emphysema","volume":"93","author":"Nicklaus TM","year":"1966","journal-title":"Am Rev Respir Dis"},{"issue":"3","key":"ref6","first-page":"143","article-title":"Intoler\u00e2ncia ao exerc\u00edcio em pacientes com doen\u00e7a pulmonar obstrutiva cr\u00f4nica","volume":"18","author":"Soares SM","year":"2009","journal-title":"Rev Cienc Med (Campinas)"},{"key":"ref7","first-page":"30","article-title":"Orientation and position of the scapula, head and kyphosis thoracic in male patients with COPD","author":"Dias CS","year":"2009","journal-title":"Can J Resp Ther"},{"year":"2000","series-title":"Obesity: preventing and managing the global epidemic: report of a WHO consultation","key":"ref8"},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1183\/09031936.05.00034805","article-title":"Standardisation of spirometry","volume":"26","author":"Miller MR","year":"2005","journal-title":"Eur Respir J"},{"issue":"4","key":"ref10","first-page":"397","article-title":"New reference values for forced spirometry in white adults in Brazil","volume":"33","author":"Pereira CA","year":"2007","journal-title":"J Bras Pneumol,"},{"key":"ref11","first-page":"S1","article-title":"Diretrizes para testes de fun\u00e7\u00e3o pulmonar","volume":"28","year":"2002","journal-title":"J Pneumol"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1590\/S0100-879X1999000600007","article-title":"Reference values for lung function tests II. Maximal respiratory pressures and voluntary ventilation","volume":"32","author":"Neder JA","year":"1999","journal-title":"Braz J Med Biol Res"},{"issue":"3","key":"ref13","first-page":"199","article-title":"Reliability and validity of thoracic kyphosis measurements using flexicurve method","volume":"11","author":"Teixeira FA","year":"2007","journal-title":"Rev Bras Fisioter"},{"issue":"5","key":"ref14","first-page":"381","article-title":"Comparison of thoracic kyphosis between sedentary and physically active older adults by the flexicurve method [Article in Portuguese] Rev Bras Cineantropom Desempenho","volume":"12","author":"Bandeira FM","year":"2010","journal-title":"Hum"},{"issue":"2","key":"ref15","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1590\/S1413-35552012005000076","article-title":"High reliability of measure of diaphragmatic mobility by radiographic method in healthy individuals","volume":"17","author":"Saltiel RV","year":"2013","journal-title":"Braz J Phys 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