Chest Wall Mobility Is Related to Respiratory Muscle Strength and Lung Volumes in Healthy Subjects.

BACKGROUND: Chest wall mobility is often measured in clinical practice, but the correlations between chest wall mobility and respiratory muscle strength and lung volumes are unknown. We investigate the associations between chest wall mobility, axillary and thoracic cirtometry values, respiratory mus...

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Publicado en:Respiratory Care Vol. 58; no. 12; pp. 2107 - 2113
Autores principales: de Cordoba Lanza, Fernanda, Alves de Camargo, Anderson, Ferraz Archija, Lilian Rocha, Rodrigues Selman, Jessyca Pachi, Malaguti, Carla, Dal Corso, Simone
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Dec2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2013
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        atl: Chest Wall Mobility Is Related to Respiratory Muscle Strength and Lung Volumes in Healthy Subjects.
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          de Cordoba Lanza, Fernanda
          Alves de Camargo, Anderson
          Ferraz Archija, Lilian Rocha
          Rodrigues Selman, Jessyca Pachi
          Malaguti, Carla
          Dal Corso, Simone
        affil: School of Physiotherapy, Department of Health, Universidade Nove de Julho, São Paulo, Brazil
      sug:
        subj:
          Respiratory Tract Physiology
          Lung Volume Measurements
          Respiratory Muscles
          Respiratory Mechanics
          Muscle Strength
          Thorax
          Human
          Female
          Male
          Young Adult
          Adult
          Vital Capacity
          Forced Expiratory Volume
          Linear Regression
          Descriptive Statistics
          Spirometry Methods
          Prospective Studies
          Brazil
          Anthropometry
          Pearson's Correlation Coefficient
          Data Analysis Software
          Adult: 19-44 years
          Female
          Male
      ab: BACKGROUND: Chest wall mobility is often measured in clinical practice, but the correlations between chest wall mobility and respiratory muscle strength and lung volumes are unknown. We investigate the associations between chest wall mobility, axillary and thoracic cirtometry values, respiratory muscle strength (maximum inspiratory pressure and maximum expiratory pressure), and lung volumes (expiratory reserve volume, FEV1, inspiratory capacity, FEV1/FVC), and the determinants of chest mobility in healthy subjects. METHODS: In 64 healthy subjects we measured inspiratory capacity, FVC, FEV1, expiratory reserve volume, maximum inspiratory pressure, and maximum expiratory pressure, and chest wall mobility via axillary and thoracic cirtometry. We used linear regression to evaluate the influence of the measured variables on chest wall mobility. RESULTS: The subjects' mean_SD values were: age 24±3 years, axillary cirtometry 6.3±2.0 cm, thoracic cirtometry 7.5 ± 2.3 cm; maximum inspiratory pressure 90.4 ± 10.6% of predicted, maximum expiratory pressure 92.8 ± 13.5% of predicted, inspiratory capacity 99.7 ± 8.6% of predicted, FVC 101.9 ± 10.6% of predicted, FEV1 98.2 ± 10.3% of predicted, expiratory reserve volume 90.9 ± 19.9% of predicted. There were significant correlations between axillary cirtometry and FVC (r = 0.32), FEV1 (r = 0.30), maximum inspiratory pressure (r = 0.48), maximum expiratory pressure (r = 0.25), and inspiratory capacity (r = 0.24), and between thoracic cirtometry and FVC (r = 0.50), FEV1 (r = 0.48), maximum inspiratory pressure (r = 0.46), maximum expiratory pressure (r = 0.37), inspiratory capacity (r = 0.39), and expiratory reserve volume (r = 0.47). In multiple regression analysis the variable that best explained the axillary cirtometry variation was maximum inspiratory pressure (R2 0.23), and for thoracic cirtometry it was FVC and maximum inspiratory pressure (R2 0.32). CONCLUSIONS: Chest mobility in healthy subjects is related to respiratory muscle strength and lung function; the higher the axillary cirtometry and thoracic cirtometry values, the greater the maximum inspiratory pressure, maximum expiratory pressure, and lung volumes in healthy subjects.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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