Effects of Air Stacking on Dyspnea and Lung Function in Neuromuscular Diseases
| Autor: | Giulia Michela Pellegrino, Paolo Banfi, Raffaele Dellaca, Pasquale P. Pompilio, Giuseppe Francesco Sferrazza Papa, Riccardo Pellegrino, Massimo Corbo, Fabiano Di Marco |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Respiratory Therapy 030506 rehabilitation Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Forced Oscillation Technique medicine Humans Lung volumes Amyotrophic lateral sclerosis Respiratory system Neurorehabilitation Aged Oxygen saturation (medicine) Lung business.industry Rehabilitation lung function Neuromuscular Diseases Middle Aged medicine.disease air stacking Respiratory Muscles Respiratory Function Tests respiratory tract diseases forced oscillation technique Dyspnea medicine.anatomical_structure Spirometry Anesthesia Breathing Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 102:1562-1567 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.01.092 |
| Popis: | Objective To investigate whether the decrease in dyspnea in neuromuscular diseases after air stacking (AS) occurs mostly in patients with decreased inspiratory muscle force and ensuing chest wall restriction or heterogeneous ventilation across the lungs. Design Interventional, before-after study. Setting A neurorehabilitation inpatient and outpatient center. Participants Fifteen consecutive adult patients affected by neuromuscular diseases (N=15). Interventions AS treatment. Main Outcome Measures Patients had vital capacity (VC) and sniff nasal inspiratory pressure (SNIP) measured. We measured Borg score, oxygen saturation, and ventilation heterogeneity across the lung as estimated from the difference between respiratory resistance at 5 and 19 Hz (R5-19) with the forced oscillation technique before and 5, 30, 60, and 120 minutes after applying AS. Results Before AS, Borg score was significantly related to R5-19 (r2 0.46, P Conclusions These findings suggest that dyspnea in neuromuscular diseases is related to heterogeneous ventilation rather than inspiratory muscle force and/or lung volumes decrease. Restoring ventilation distribution across the lungs with AS appears to improve dyspnea. |
| Databáze: | OpenAIRE |
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