Assessment of Respiratory Muscle Weakness in Subjects With Neuromuscular Disease.

INTRODUCTION: Neuromuscular diseases (NMD) are a group of rare heterogeneous disorders that may be accompanied by respiratory muscle weakness. The simplest measurements of respiratory muscle strength are maximum inspiratory pressure (PImax) and maximum expiratory pressure (PEmax) of the mouth. Inspi...

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Publicado en:Respiratory Care Vol. 63; no. 10; pp. 1223 - 1231
Autores principales: Oliveira, Maria João P., Rodrigues, Fernanda, Firmino-Machado, João, Ladeira, Inés T., Lima, Ricardo, Conde, Sara D., Guimarães, Miguel
Formato: CEU pictorial research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Oct2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2018
      vid: 63
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      pub: Mary Ann Liebert, Inc.
      place: New Rochelle, New York
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        atl: Assessment of Respiratory Muscle Weakness in Subjects With Neuromuscular Disease.
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        au:
          Oliveira, Maria João P.
          Rodrigues, Fernanda
          Firmino-Machado, João
          Ladeira, Inés T.
          Lima, Ricardo
          Conde, Sara D.
          Guimarães, Miguel
        affil: Department of Pulmonology, Centro Hospitalar de Vila Nova de Gaia e Espinho, Entidade Pública Empresarial (EPE), Vila Nova de Gaia, Portugal
      sug:
        subj:
          Neuromuscular Diseases
          Respiratory Muscles Physiology
          Muscle Strength Evaluation
          Muscle Weakness Diagnosis
          Respiratory Mechanics Evaluation
          Inspiration, Respiratory
          Expiration
          Human
          Plethysmography
          Prospective Studies
          Portable Equipment
          Anthropometry
          T-Tests
          Descriptive Statistics
          Confidence Intervals
          Pearson's Correlation Coefficient
          Data Analysis Software
          P-Value
          Adult
          Middle Age
          Aged
          Female
          Male
          Education, Continuing (Credit)
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: INTRODUCTION: Neuromuscular diseases (NMD) are a group of rare heterogeneous disorders that may be accompanied by respiratory muscle weakness. The simplest measurements of respiratory muscle strength are maximum inspiratory pressure (PImax) and maximum expiratory pressure (PEmax) of the mouth. Inspiratory muscle weakness can also be evaluated by the sniff test (sniff nasal inspiratory pressure method). This study tested the agreements in PImax and PEmax (measured by using a plethysmograph and portable equipment) as well as the correlations of PImax and PEmax by using the sniff nasal inspiratory pressure method, lung function, and arterial blood gas parameters in subjects with NMD. METHODS: This prospective, noninterventional study measured respiratory parameters in all the subjects with NMD who underwent measurement of maximum respiratory pressures. RESULTS: A total of 55 subjects with NMD were included. There were no statistically significant differences in PImax and PEmax measured by using a plethysmograph and portable equipment. Moreover, PImax showed a good correlation with the sniff nasal inspiratory pressure method. CONCLUSIONS: Measurements of PImax and PEmax by using portable equipment were equivalent to those performed by using the accepted standard, plethysmography, in the subjects with NMD. Noninvasive evaluation of the sniff test with the portable equipment correlates with PImax, which makes this approach a good method for measuring the maximum strength of inspiratory muscles in patients with NMD.
      pubtype: Academic Journal
      doctype:
        CEU
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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