Effects of non-invasive ventilation and posture on chest wall volumes and motion in patients with amyotrophic lateral sclerosis: a case series
| Autor: | Bruna da Silva Pinto Pinheiro Vieira, Verônica Franco Parreira, Danielle Soares Rocha Vieira, Cristiana M. Magalhães, Mauro Vidigal-Lopes, Guilherme Fregonezi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
amyotrophic lateral sclerosis
medicine.medical_specialty Supine position Posture Diaphragmatic breathing neuromuscular diseases Sitting lung volume measurements rehabilitation 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Plethysmograph Thoracic Wall Rib cage Noninvasive Ventilation business.industry non-invasive ventilation lcsh:RM1-950 Original Articles Biomechanical Phenomena Plethysmography lcsh:Therapeutics. Pharmacology medicine.anatomical_structure 030228 respiratory system Anesthesia Respiratory Mechanics Cardiology Breathing Abdomen business 030217 neurology & neurosurgery Thoracic wall |
| Zdroj: | Brazilian Journal of Physical Therapy v.20 n.4 2016 Brazilian Journal of Physical Therapy Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT) instacron:ABRAPG-FT Brazilian Journal of Physical Therapy, Volume: 20, Issue: 4, Pages: 336-344, Published: 16 JUN 2016 Brazilian Journal of Physical Therapy, Iss 0 (2016) |
| ISSN: | 1809-9246 |
| DOI: | 10.1590/bjpt-rbf.2014.0164 |
| Popis: | Background The effects of non-invasive ventilation (NIV) on the breathing pattern and thoracoabdominal motion of patients with amyotrophic lateral sclerosis (ALS) are unknown. Objectives 1) To analyze the influence of NIV on chest wall volumes and motion assessed by optoelectronic plethysmography in ALS patients and 2) to compare these parameters in the supine and sitting positions to those of healthy individuals (without NIV). Method Nine ALS patients were evaluated in the supine position using NIV. In addition, the ALS patients and nine healthy individuals were evaluated in both sitting and supine positions. Statistical analysis was performed using the paired Student t-test or Wilcoxon test and the Student t-test for independent samples or Mann-Whitney U test. Results Chest wall volume increased significantly with NIV, mean volume=0.43 (SD=0.16)L versus 0.57 (SD=0.19)L (p=0.04). No significant changes were observed for the pulmonary rib cage, abdominal rib cage, or abdominal contribution. The index of the shortening velocity of the diaphragmatic muscle, mean=0.15 (SD=0.05)L/s versus 0.21 (SD=0.05)L/s (p |
| Databáze: | OpenAIRE |
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