The effect of unsupported arm elevations on regional chest wall volumes and thoracoabdominal asynchrony in patients with chronic obstructive pulmonary disease.
To compare the effect of unsupported arm elevation (UAE) in different planes on chest wall volumes, thoracoabdominal asynchrony (TAA), ventilatory demands, dyspnea, and arm fatigue in patients with chronic obstructive pulmonary disease (COPD) and healthy subjects. Twenty-one patients with COPD and h...
| Publicado en: | Physiotherapy Theory & Practice Vol. 38; no. 11; pp. 1602 - 1615 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2022
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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=159687153&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159687153 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Nov2022 vid: 38 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 159687153 159687153 159687153 10.1080/09593985.2021.1882018 159687153 ppf: 1602 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The effect of unsupported arm elevations on regional chest wall volumes and thoracoabdominal asynchrony in patients with chronic obstructive pulmonary disease. aug: au: Kruapanich, Chathipat Tantisuwat, Anong Thaveeratitham, Premtip Lertmaharit, Somrat Ubolnuar, Nutsupa Chimpalee, Jaturong Mathiyakom, Witaya affil: Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Pathumwan, Bangkok, Thailand sug: subj: Arm Physiology Plethysmography Methods Pulmonary Disease, Chronic Obstructive Physiopathology Thorax Dyspnea Respiration, Artificial Pulmonary Disease, Chronic Obstructive Complications Human Matched Case Control Shoulder Physiology Abduction Respiratory Mechanics Abdomen Comparative Studies Flexion Fatigue Kinematics Cross Sectional Studies Thailand Clinical Assessment Tools Questionnaires Scales Descriptive Statistics Data Analysis Software T-Tests Chi Square Test Two-Way Analysis of Variance Post Hoc Analysis Male Aged Middle Age Funding Source Aged: 65+ years Middle Aged: 45-64 years Male ab: To compare the effect of unsupported arm elevation (UAE) in different planes on chest wall volumes, thoracoabdominal asynchrony (TAA), ventilatory demands, dyspnea, and arm fatigue in patients with chronic obstructive pulmonary disease (COPD) and healthy subjects. Twenty-one patients with COPD and healthy-matched subjects performed UAE in shoulder flexion, scaption, abduction, and resting. Pulmonary total and regional chest wall volumes (VRCp), abdominal rib cage volume, abdominal volume, TAA, and ventilatory demands during arm positions were measured using optoelectronic plethysmography. In both groups, VRCp and TAA were significantly affected during UAEs compared with the resting position. The healthy subjects had significantly decreased VRCp (L) (p < 0.05) during scaption (0.14 ± 0.07) and abduction (0.15 ± 0.06) than during flexion (0.18 ± 0.07) and no significantly different TAA between UAEs. The COPD group had no significantly different VRCp between UAEs, had significantly increased TAA (p < 0.05) during scaption (31.1°±9.5°) and abduction (32.3°±9.9°) than during flexion (29.7°±9.1°); and had significantly worse VRCp (p = 0.007), TAA (p = 0.0001), ventilatory demands (p < 0.05), dyspnea ((p = 0.03), and arm fatigue (p = 0.002). In patients with COPD, UAE in different planes similarly restricted the upper chest wall volume. Shoulder scaption and abduction significantly impaired TAA, ventilation, dyspnea, and arm fatigue compared with flexion. These results may help to select the appropriate UAE during physical activities. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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