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Low back pain and gastroesophageal reflux in patients with COPD: the disease in the breath

Authors Bordoni B, Marelli F, Morabito B, Sacconi B, Caiazzo P, Castagna R

Received 30 August 2017

Accepted for publication 10 November 2017

Published 17 January 2018 Volume 2018:13 Pages 325—334

DOI https://doi.org/10.2147/COPD.S150401

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Charles Downs

Peer reviewer comments 2

Editor who approved publication: Dr Richard Russell


Bruno Bordoni,1 Fabiola Marelli,2,3 Bruno Morabito,2,3 Beatrice Sacconi,4,5 Philippe Caiazzo,6 Roberto Castagna2

1Foundation Don Carlo Gnocchi IRCCS, Department of Cardiology, Scientific Institute of Hospitalization and Care, Milan, 2Department of Fascial Osteopathic Research, CRESO, School of Osteopathic Centre for Research and Studies, Gorla Minore, 3Department of Fascial Osteopathic Research, CRESO, School of Osteopathic Centre for Research and Studies, Fano, 4Department of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, 5Department of Radiological, Oncological and Anatomopathological Sciences, Center for Life Nano Science@Sapienza, Istituto Italiano di Tecnologia, Rome, 6Department of Osteopathic Research, AITOP, Italian Academy of Postural Osteopathic Therapy, Levizzano Rangone – Castelvetro, Italy

Abstract: COPD is a worsening condition that leads to a pathologic degeneration of the respiratory system. It represents one of the most important causes of mortality and morbidity in the world, and it is characterized by the presence of associated comorbidity. This article analyzes gastroesophageal reflux disease (GERD) and low back pain (LBP) in patients with COPD and tries to produce anatomo-clinical considerations on the reasons of the presence of these comorbidities. The considerations of the authors are based on the anatomic functions and characteristics of the respiratory diaphragm that are not always considered, from which elements useful to comprehend the symptomatic status of the patient can be deduced, finally improving the therapeutic approach. The information contained in the article can be of help to the clinician and for physiotherapy, and to all health professionals who gravitate around the patient’s care, improving the approach to the diaphragm muscle.

Keywords: COPD, diaphragm, low back pain, GERD, fascia

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