Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira em Promoção da Saúde |
Texto Completo: | https://ojs.unifor.br/RBPS/article/view/355 |
Resumo: | bjective: To describe the relationship between the inefficiency of the mechanism of cough and the degradation of respiratory function in patients with Duchenne Muscular Dystrophy (DMD). Methods: A documentary study carried out from the following databases: Pubmed, Cochrane and Scielo. The terms “Duchenne muscular Dystrophy”, “Respiratory Function” and “Peak Cough Flow” were used as descriptors, individually or in association. Articles that addressed other types of muscular dystrophy or were not suitable for the aim of the study were excluded. Results: The search resulted in 294 articles and of these, 40 were selected. The findings were divided into four categories: “Normal mechanism of cough”; “Mechanism and peak cough flow in DMD”; “Pulmonary complications” and “Physiotherapy approach and treatment”. In patients with DMD, the efficiency of cough occur secondary to progressive muscle weakness, making them susceptible to respiratory tract infection. The production of effective cough is a predictor of pulmonary function in these patients. The goals of treatment should include the increase of both maximum insufflation capacity as the peak cough flow and the correction of hypopnea and hypercapnia. Conclusion: The efficiency of the mechanism of cough is associated with both vital capacity and maximum insufflation capacity as with the strength of respiratory muscles to produce peak cough flow. These are issues to be addressed in treatment of patients with DMD and constant evaluation during the course of illness should guide the intervention. |
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Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113Função respiratória e mecanismo da tosse na Distrofia Muscular de Duchenne - doi:10.5020/18061230.2009.p113Distrofia Muscular de DuchenneTestes de Função RespiratóriaPico do FluxoExpiratórioTosse.bjective: To describe the relationship between the inefficiency of the mechanism of cough and the degradation of respiratory function in patients with Duchenne Muscular Dystrophy (DMD). Methods: A documentary study carried out from the following databases: Pubmed, Cochrane and Scielo. The terms “Duchenne muscular Dystrophy”, “Respiratory Function” and “Peak Cough Flow” were used as descriptors, individually or in association. Articles that addressed other types of muscular dystrophy or were not suitable for the aim of the study were excluded. Results: The search resulted in 294 articles and of these, 40 were selected. The findings were divided into four categories: “Normal mechanism of cough”; “Mechanism and peak cough flow in DMD”; “Pulmonary complications” and “Physiotherapy approach and treatment”. In patients with DMD, the efficiency of cough occur secondary to progressive muscle weakness, making them susceptible to respiratory tract infection. The production of effective cough is a predictor of pulmonary function in these patients. The goals of treatment should include the increase of both maximum insufflation capacity as the peak cough flow and the correction of hypopnea and hypercapnia. Conclusion: The efficiency of the mechanism of cough is associated with both vital capacity and maximum insufflation capacity as with the strength of respiratory muscles to produce peak cough flow. These are issues to be addressed in treatment of patients with DMD and constant evaluation during the course of illness should guide the intervention.Objetivo: Descrever a relação entre a ineficiência do mecanismo da tosse e a degradação da função respiratória em pacientes com Distrofia Muscular de Duchenne (DMD). Métodos: Estudo documental realizado a partir das bases de dados Pubmed, Scielo e Cochrane. Os descritores utilizados foram “DMD”, “Função Respiratória” e “Pico de Fluxo da Tosse” individualmente ou em associação. Os artigos que abordavam outros tipos de distrofia muscular ou não se adequavam ao objetivo do estudo foram excluídos. Resultados: A busca resultou em 294 artigos, e dentre estes 40 foram selecionados. Os achados foram divididos em quatro categorias: “Mecanismo normal da tosse”; “Mecanismo e pico de fluxo da tosse na DMD”; “Complicações pulmonares” e “Abordagem e tratamento fisioterapeutico”. Evidenciou-se que no paciente com DMD ocorre redução da eficiência da tosse, secundária à fraqueza muscular progressiva, tornando-os susceptíveis à infecção do trato respiratório. A produção de tosse efetiva é um preditor da função pulmonar nesses pacientes. Os objetivos de tratamento devem incluir o aumento da capacidade de insuflação máxima, do pico de fluxo da tosse, e correção da hipopnéia e da hipercapnia. Conclusão: A eficiência do mecanismo da tosse está relacionada tanto com a capacidade vital e capacidade de insuflação máxima quanto com a força da musculatura respiratória para a produção de pico de fluxo da tosse. Esses são aspectos a serem abordados no tratamento do paciente com DMD e a avaliação constante durante todo o curso da doença deve nortear a intervenção.Universidade de Fortaleza2012-01-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfhttps://ojs.unifor.br/RBPS/article/view/35510.5020/355Brazilian Journal in Health Promotion; Vol. 22 No. 2 (2009); 113-119Revista Brasileña en Promoción de la Salud; Vol. 22 Núm. 2 (2009); 113-119Revista Brasileira em Promoção da Saúde; v. 22 n. 2 (2009); 113-1191806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporhttps://ojs.unifor.br/RBPS/article/view/355/2260Faria, Ingrid de Castro BolinaDalmonch, Renata Menezesinfo:eu-repo/semantics/openAccess2012-01-10T12:19:46Zoai:ojs.ojs.unifor.br:article/355Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2012-01-10T12:19:46Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false |
dc.title.none.fl_str_mv |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 Função respiratória e mecanismo da tosse na Distrofia Muscular de Duchenne - doi:10.5020/18061230.2009.p113 |
title |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 |
spellingShingle |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 Faria, Ingrid de Castro Bolina Distrofia Muscular de Duchenne Testes de Função Respiratória Pico do FluxoExpiratório Tosse. |
title_short |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 |
title_full |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 |
title_fullStr |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 |
title_full_unstemmed |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 |
title_sort |
Respiratory function and the mechanism of cough in Duchenne Muscular Dystrophy - doi:10.5020/18061230.2009.p113 |
author |
Faria, Ingrid de Castro Bolina |
author_facet |
Faria, Ingrid de Castro Bolina Dalmonch, Renata Menezes |
author_role |
author |
author2 |
Dalmonch, Renata Menezes |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Faria, Ingrid de Castro Bolina Dalmonch, Renata Menezes |
dc.subject.por.fl_str_mv |
Distrofia Muscular de Duchenne Testes de Função Respiratória Pico do FluxoExpiratório Tosse. |
topic |
Distrofia Muscular de Duchenne Testes de Função Respiratória Pico do FluxoExpiratório Tosse. |
description |
bjective: To describe the relationship between the inefficiency of the mechanism of cough and the degradation of respiratory function in patients with Duchenne Muscular Dystrophy (DMD). Methods: A documentary study carried out from the following databases: Pubmed, Cochrane and Scielo. The terms “Duchenne muscular Dystrophy”, “Respiratory Function” and “Peak Cough Flow” were used as descriptors, individually or in association. Articles that addressed other types of muscular dystrophy or were not suitable for the aim of the study were excluded. Results: The search resulted in 294 articles and of these, 40 were selected. The findings were divided into four categories: “Normal mechanism of cough”; “Mechanism and peak cough flow in DMD”; “Pulmonary complications” and “Physiotherapy approach and treatment”. In patients with DMD, the efficiency of cough occur secondary to progressive muscle weakness, making them susceptible to respiratory tract infection. The production of effective cough is a predictor of pulmonary function in these patients. The goals of treatment should include the increase of both maximum insufflation capacity as the peak cough flow and the correction of hypopnea and hypercapnia. Conclusion: The efficiency of the mechanism of cough is associated with both vital capacity and maximum insufflation capacity as with the strength of respiratory muscles to produce peak cough flow. These are issues to be addressed in treatment of patients with DMD and constant evaluation during the course of illness should guide the intervention. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-01-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed Article" "Avaliado pelos pares" "Avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/355 10.5020/355 |
url |
https://ojs.unifor.br/RBPS/article/view/355 |
identifier_str_mv |
10.5020/355 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/355/2260 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de Fortaleza |
publisher.none.fl_str_mv |
Universidade de Fortaleza |
dc.source.none.fl_str_mv |
Brazilian Journal in Health Promotion; Vol. 22 No. 2 (2009); 113-119 Revista Brasileña en Promoción de la Salud; Vol. 22 Núm. 2 (2009); 113-119 Revista Brasileira em Promoção da Saúde; v. 22 n. 2 (2009); 113-119 1806-1230 reponame:Revista Brasileira em Promoção da Saúde instname:Universidade de Fortaleza (Unifor) instacron:UFOR |
instname_str |
Universidade de Fortaleza (Unifor) |
instacron_str |
UFOR |
institution |
UFOR |
reponame_str |
Revista Brasileira em Promoção da Saúde |
collection |
Revista Brasileira em Promoção da Saúde |
repository.name.fl_str_mv |
Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor) |
repository.mail.fl_str_mv |
|
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1798313054504484864 |