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

Bruno Bordoni, Fabiola Marelli, Bruno Morabito, Beatrice Sacconi, Philippe Caiazzo, Roberto Castagna

Research output: Contribution to journalArticle


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.

Original languageEnglish
Pages (from-to)325-334
Number of pages10
JournalInternational Journal of COPD
Publication statusPublished - Jan 17 2018


  • COPD
  • Diaphragm
  • Fascia
  • GERD
  • Low back pain

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Health Policy
  • Public Health, Environmental and Occupational Health

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