Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/31085 |
Resumo: | Introduction: The study of the diaphragm muscle has aroused the interest of physiotherapists who work with kinesiological ultrasonography, but still little explored; however, its findings can contribute to the clinical practice of hospitalized patients in neonatal intensive care units. Objective: To measure the excursion and thickening of the diaphragm and describe measurements among neonates, preterm, and full-term. Methods: Diaphragmatic kinesiological ultrasonography was performed on hospitalized newborns, in Neonatal Unit Care Unit, placed in supine position in their own bed, on the sixth day of life. Three repeated measurements of the same respiratory cycle were made, both for excursion and for diaphragmatic thickening. Results: 37 newborns participated in the study and 25 were premature. The mean weight at the time of collection was 2,307.0 672.76 grams and the gestational age was 35.7 3.3 weeks. Diaphragmatic excursion increased with increasing gestational age (p = 0.01, df = 0.21) in term infants (p = 0.17, df = 0.35). Conclusion: There was a positive correlation between diaphragmatic excursion and gestational age. There was no statistically significant difference in the measurements of excursion and inspiratory diaphragm thickening between preterm and term newborns, although pointing to higher measurements in the latter group. |
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Fisioterapia em Movimento |
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Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study Espessura e excursão diafragmática em recém-nascidos usando ultrassonografia cinesiológica do diafragma: um estudo observacionalIntroduction: The study of the diaphragm muscle has aroused the interest of physiotherapists who work with kinesiological ultrasonography, but still little explored; however, its findings can contribute to the clinical practice of hospitalized patients in neonatal intensive care units. Objective: To measure the excursion and thickening of the diaphragm and describe measurements among neonates, preterm, and full-term. Methods: Diaphragmatic kinesiological ultrasonography was performed on hospitalized newborns, in Neonatal Unit Care Unit, placed in supine position in their own bed, on the sixth day of life. Three repeated measurements of the same respiratory cycle were made, both for excursion and for diaphragmatic thickening. Results: 37 newborns participated in the study and 25 were premature. The mean weight at the time of collection was 2,307.0 672.76 grams and the gestational age was 35.7 3.3 weeks. Diaphragmatic excursion increased with increasing gestational age (p = 0.01, df = 0.21) in term infants (p = 0.17, df = 0.35). Conclusion: There was a positive correlation between diaphragmatic excursion and gestational age. There was no statistically significant difference in the measurements of excursion and inspiratory diaphragm thickening between preterm and term newborns, although pointing to higher measurements in the latter group.Introdução: O estudo do músculo diafragma tem despertado o interesse dos fisioterapeutas que trabalham com ultrassonografia cinesiológica. Ainda pouco explorado, contudo, seus achados podem contribuir para a prática clínica dos pacientes internados em unidades de terapia intensiva neonatal. Objetivo: Mensurar a excursão e o espessamento diafragmático e descrever as medidas entre recém-nascidos a prematuros e a termo. Métodos: Realizou-se ultrassonografia cinesiológica diafragmática em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal, posicionados em supino em seu próprio leito, no sexto dia de vida. Foram realizadas três medidas repetidas do mesmo ciclo respiratório, tanto da excursão quanto do espessamento diafragmático. Resultados: Participaram do estudo 37 recém-nascidos, dos quais 25 eram prematuros. O peso no momento da coleta foi de 2.307,0 672,76 gramas e a idade gestacional foi de 35,7 3,3 semanas. A excursão diafragmática aumentou de acordo com o aumento da idade gestacional (p = 0,01; df = 0,21) A espessura variou entre 0,10 e 0,16 cm durante a inspiração nos prematuros e entre 0,11 e 0,19 cm nos nascidos a termo (p = 0,17; df = 0,35). Conclusão: Houve correlação positiva entre a excursão diafragmática e a idade gestacional. Não observou-se diferença estatisticamente significativa das medidas de excursão e de espessamento diafragmático inspiratório entre recém-nascidos prematuros e recém-nascidos a termo, embora apontando para maiores medidas neste último grupo.Editora PUCPRESS2024-02-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/3108510.1590/fm.2024.37107Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 37 (2024): n. cont.Fisioterapia em Movimento; v. 37 (2024): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/31085/26553https://periodicos.pucpr.br/fisio/article/view/31085/26554Copyright (c) 2024 PUCPRESSinfo:eu-repo/semantics/openAccessAndreazza, Marimar GorettiBinotto, Cristiane Nogueira da Silva, Regina Paula Guimarãens Vieira CavalcanteValderramas, SilviaLima, Monica Nunes2024-02-15T15:41:49Zoai:ojs.periodicos.pucpr.br:article/31085Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2024-02-15T15:41:49Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study Espessura e excursão diafragmática em recém-nascidos usando ultrassonografia cinesiológica do diafragma: um estudo observacional |
title |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study |
spellingShingle |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study Andreazza, Marimar Goretti |
title_short |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study |
title_full |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study |
title_fullStr |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study |
title_full_unstemmed |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study |
title_sort |
Diaphragmatic and excursion thickness in newborns using using diaphragmatic kinesiology ultrasound: an observational study |
author |
Andreazza, Marimar Goretti |
author_facet |
Andreazza, Marimar Goretti Binotto, Cristiane Nogueira da Silva, Regina Paula Guimarãens Vieira Cavalcante Valderramas, Silvia Lima, Monica Nunes |
author_role |
author |
author2 |
Binotto, Cristiane Nogueira da Silva, Regina Paula Guimarãens Vieira Cavalcante Valderramas, Silvia Lima, Monica Nunes |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Andreazza, Marimar Goretti Binotto, Cristiane Nogueira da Silva, Regina Paula Guimarãens Vieira Cavalcante Valderramas, Silvia Lima, Monica Nunes |
description |
Introduction: The study of the diaphragm muscle has aroused the interest of physiotherapists who work with kinesiological ultrasonography, but still little explored; however, its findings can contribute to the clinical practice of hospitalized patients in neonatal intensive care units. Objective: To measure the excursion and thickening of the diaphragm and describe measurements among neonates, preterm, and full-term. Methods: Diaphragmatic kinesiological ultrasonography was performed on hospitalized newborns, in Neonatal Unit Care Unit, placed in supine position in their own bed, on the sixth day of life. Three repeated measurements of the same respiratory cycle were made, both for excursion and for diaphragmatic thickening. Results: 37 newborns participated in the study and 25 were premature. The mean weight at the time of collection was 2,307.0 672.76 grams and the gestational age was 35.7 3.3 weeks. Diaphragmatic excursion increased with increasing gestational age (p = 0.01, df = 0.21) in term infants (p = 0.17, df = 0.35). Conclusion: There was a positive correlation between diaphragmatic excursion and gestational age. There was no statistically significant difference in the measurements of excursion and inspiratory diaphragm thickening between preterm and term newborns, although pointing to higher measurements in the latter group. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/31085 10.1590/fm.2024.37107 |
url |
https://periodicos.pucpr.br/fisio/article/view/31085 |
identifier_str_mv |
10.1590/fm.2024.37107 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/31085/26553 https://periodicos.pucpr.br/fisio/article/view/31085/26554 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 37 (2024): n. cont. Fisioterapia em Movimento; v. 37 (2024): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
_version_ |
1799138750088871936 |