An evaluation of diaphragmatic movements in hemiplegic patients
| Autor: | G Karataş, S Oktar, N Voyvoda, I Oğuzülgen, C Yücel |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
Spirometry Adult Male Vital capacity Movement Diaphragm Vital Capacity Diaphragmatic breathing Hemiplegia Maximum expiratory pressure Functional Laterality Pulmonary function testing Lesion Forced Expiratory Volume Correspondence Medicine Humans Radiology Nuclear Medicine and imaging Aged Ultrasonography Aged 80 and over medicine.diagnostic_test Full Paper business.industry Significant difference General Medicine Middle Aged eye diseases nervous system diseases body regions Anesthesia Respiratory Physiological Phenomena Female medicine.symptom business |
| Zdroj: | The British journal of radiology. 85(1012) |
| ISSN: | 1748-880X |
| Popis: | The aim of this study was to evaluate the effect of hemiplegia on diaphragmatic movements using motion-mode ultrasonography.23 hemiplegic patients who were diagnosed with a single-hemisphere lesion (mean age 60.5 years; 13 males and 10 females) and a control group of 20 patients (13 males and 7 females) were all evaluated by ultrasonography. Ultrasonography recordings were made of the amplitude of diaphragmatic movement during spontaneous and deep breathing. The patients underwent lung function tests.When the hemiplegic and control groups were compared, the forced vital capacity, forced expired volume in 1 s, maximum inspiratory pressure and maximum expiratory pressure values were significantly lower in the groups with right and left hemiplegia (p0.05). When a comparison was made between the right hemiplegic group and the control group and between the left hemiplegic group and the control group in terms of diaphragmatic excursions, for both groups, no significant difference was determined between the movements of the right hemidiaphragm during spontaneous and deep breathing and those of the left hemidiaphragm in spontaneous respiration. In contrast, for both hemiplegic groups, a significant decrease was noted in the movements of the left hemidiaphragm in deep respiration.The diaphragm is both contralaterally innervated and ipsilaterally innervated, and innervation exhibits marked variations from person to person. This provides an explanation for varying diaphragmatic movements in hemiplegic cases during deep respiration. |
| Databáze: | OpenAIRE |
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