Breathing Movements of the Chest and Abdominal Wall in Healthy Subjects.
BACKGROUND: Physical assessment of breathing is an important component of physical therapy evaluations. However, there are no standardized reference values of breathing movements available for use in clinical practice. The purpose of this study was to determine the 3-dimensional distances of observa...
| Publicado en: | Respiratory Care Vol. 57; no. 9; pp. 1442 - 1452 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Sep2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104496647&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104496647 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Sep2012 vid: 57 iid: 9 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 104496647 79201712 10.4187/respcare.01655 NLM22348414 104496647 ppf: 1442 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Breathing Movements of the Chest and Abdominal Wall in Healthy Subjects. aug: au: Kaneko, Hideo Horie, Jun affil: Department of Physical Therapy, School of Rehabilitation Sciences at Fukuoka, International University of Health and Welfare, Fukuoka, Japan; Department of Physical Therapy, Faculty of Rehabilitation, Kobe International University, Hyogo, Japan sug: subj: Respiration Physiology Thorax Abdomen Human Male Female Motion Analysis Systems One-Way Analysis of Variance Multiple Regression Sex Factors Age Factors Posture Academic Medical Centers Japan Adult Middle Age Aged Young Adult Spirometry Data Analysis Software Anthropometry Descriptive Statistics Intraclass Correlation Coefficient Interrater Reliability Intrarater Reliability Paired T-Tests Unpaired T-Tests Post Hoc Analysis Clavicle Ribs Funding Source Physical Therapy Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Physical assessment of breathing is an important component of physical therapy evaluations. However, there are no standardized reference values of breathing movements available for use in clinical practice. The purpose of this study was to determine the 3-dimensional distances of observational points on the thorax and abdomen during breathing in healthy subjects and to assess the effects of age, posture, and sex on breathing movements. METHODS: We studied the 3-dimensional breathing movement distances of the thorax and abdomen in 100 healthy subjects (50 males, 50 females). Breathing movements were measured with a 3-dimensional motion system during quiet and deep breathing with subjects in supine and sitting positions. Thirteen reflective markers were placed on the upper (the clavicles, 3rd ribs, and sternal angle) and lower thorax (the 8th ribs, 10th ribs, and xiphoid process) and the abdomen (upper abdomen and lateral abdomen). Range of movement in both breathing conditions was measured as the 3-dimensional distance at half respiratory cycle. Respiratory rates were calculated based on the breathing movements analyzed. One-way analysis of variance, t tests, and multiple regression were used for statistical analysis. RESULTS: The average marker distances for the thorax and abdomen during quiet breathing were less than one third of those during deep breathing. Upper thoracic movement was significantly decreased with age. There was less abdominal movement in females than in males, except during quiet breathing in the supine position. The distances between the thoracic markers were greater and those of the abdomen were less during quiet and deep breathing in the sitting position, compared with those in the supine position. CONCLUSIONS: We found that the observed breathing movements were related to the effects of age, sex, and posture. These findings are in agreement with those reported in previous studies. The results may be helpful in assessing breathing movement by physical examination. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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