Effects of Arm Bracing on Expiratory Flow Limitation and Lung Volume in Elderly COPD Subjects.
BACKGROUND: Although it is useful for COPD patients to relieve their dyspnea by bracing their arms, the relationships between the arm bracing posture and expiratory flow limitation (EFL) and lung volume are unknown. Whether arm bracing affects dyspnea, EFL, and lung volume in elderly COPD patients w...
| Publicado en: | Respiratory Care Vol. 60; no. 9; pp. 1282 - 1288 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Sep2015
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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=109512483&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109512483 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Sep2015 vid: 60 iid: 9 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 109512483 109512483 109512483 10.4187/respcare.03945 NLM26306736 109512483 ppf: 1282 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Effects of Arm Bracing on Expiratory Flow Limitation and Lung Volume in Elderly COPD Subjects. aug: au: Tomoyuki Ogino Kyoshi Mase Masafumi Nozoe Tomohiro Wada Yuki Uchiyama Yoshihiro Fukuda Kazuhisa Domen affil: Department of Rehabilitation, Hyogo College of Medicine Sasayama Medical Center, Kurooka 5, Sasayama, Hyogo, Japan sug: subj: Pulmonary Disease, Chronic Obstructive Physiopathology Lung Volume Measurements Equipment and Supplies Arm Respiratory Function Tests Human Descriptive Statistics Aged Aged, 80 and Over Clinical Assessment Tools Japan Data Analysis Software Mann-Whitney U Test Chi Square Test Friedman Test Post Hoc Analysis Male Female Analysis of Variance Aged: 65+ years Aged, 80 & over Male Female ab: BACKGROUND: Although it is useful for COPD patients to relieve their dyspnea by bracing their arms, the relationships between the arm bracing posture and expiratory flow limitation (EFL) and lung volume are unknown. Whether arm bracing affects dyspnea, EFL, and lung volume in elderly COPD patients was investigated. METHODS: Sixteen elderly subjects (median [interquartile range] age 81 [77-85] y) with stable COPD (percent-of-predicted FEV, 50.9 [31.3-64.9] %) and 16 age-matched healthy subjects were studied. Breathing patterns, EFL, lung volume, ..., and heart rate during quiet breathing were randomly evaluated in 3 standing postures: erect, leaning forward, and arm bracing. Dyspnea was also assessed for each posture with a Borg dyspnea score at the end of the test. RESULTS: Lung volume was significantly higher with arm bracing than with the other postures in both groups (P < .05). Breathing patterns, ..., and pulse rate were not significantly different among the 3 postures in both groups. However, EFL and Borg dyspnea scores were significantly lower with arm bracing than with the other postures in COPD subjects (P < .01). CONCLUSIONS: The decreased EFL in the arm bracing position may be caused by breathing at a higher lung volume than in the erect position, which may be one of the factors relieving dyspnea in elderly COPD patients. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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