Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/45552 |
Resumo: | The purpose of this study was to determine the influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy (DMD). Twelve non-ambulatory DMD patients, between 10 to 22 years of age, were evaluated. They were assessed in their adapted wheelchairs and in a standard wheelchair without tilt or reclining. The wheelchairs of the participants possessed adaptations in the backrest and the seat, made according to the specifics of each patient. Minute volume (MV), tidal volume (TV), forced vital capacity (FVC), maximum inspiratory (MIP) and expiratory pressures (MEP) and peak expiratory flow (PEF) were measured. For data analysis we used the paired t-test adopting the significance level of 0.05. The positioning aids resulted in statistically significant better values of all respiratory parameters: MV (8,963.3 and 10,762.5 mL/min; p=0.028), TV (319.1 and 433.6 mL; p=0.005), FVC (1,476.3 and 1,850 mL; p=0.005), MIP (-41.2 and -51.2 cmH2O; p=0.022), MEP (29.6 and 36.7 cmH2O; p=0.004) and PEF (162.1 and 185 L/min; p=0.018). These results may suggest that wheelchair positioning aids can positively influence pulmonary function for non-ambulatory DMD patients. |
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Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophyInfluência da adequação postural em cadeira de rodas na função respiratória de pacientes com distrofia muscular de Duchennedistrofia muscular de Duchennecadeiras de rodassistema respiratórioposturaDuchenne muscular dystrophywheelchairsrespiratory systempostureThe purpose of this study was to determine the influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy (DMD). Twelve non-ambulatory DMD patients, between 10 to 22 years of age, were evaluated. They were assessed in their adapted wheelchairs and in a standard wheelchair without tilt or reclining. The wheelchairs of the participants possessed adaptations in the backrest and the seat, made according to the specifics of each patient. Minute volume (MV), tidal volume (TV), forced vital capacity (FVC), maximum inspiratory (MIP) and expiratory pressures (MEP) and peak expiratory flow (PEF) were measured. For data analysis we used the paired t-test adopting the significance level of 0.05. The positioning aids resulted in statistically significant better values of all respiratory parameters: MV (8,963.3 and 10,762.5 mL/min; p=0.028), TV (319.1 and 433.6 mL; p=0.005), FVC (1,476.3 and 1,850 mL; p=0.005), MIP (-41.2 and -51.2 cmH2O; p=0.022), MEP (29.6 and 36.7 cmH2O; p=0.004) and PEF (162.1 and 185 L/min; p=0.018). These results may suggest that wheelchair positioning aids can positively influence pulmonary function for non-ambulatory DMD patients.O objetivo deste estudo foi avaliar a influência da adequação postural em cadeira de rodas na função respiratória de pacientes com distrofia muscular de Duchenne (DMD). Participaram 12 pacientes com diagnóstico de DMD e que possuíam cadeira de rodas adaptada com idade variando de 10 a 22 anos. Cada indivíduo foi avaliado na própria cadeira de rodas e em uma cadeira de rodas padrão, ou seja, sem reclinação ou tilt. As cadeiras dos participantes possuíam adaptações no encosto e no assento, confeccionados de acordo com as especificidades de cada paciente. A avaliação consistiu em mensurar o volume minuto (VM), volume corrente (VC), capacidade vital forçada (CVF), pressões inspiratória (PImax) e expiratória (PEmax) máximas e pico de fluxo expiratório (PFE). Para análise dos dados, foi utilizado o teste t pareado, adotando-se o nível de significância de 0,05. As adaptações resultaram em melhores valores estatisticamente significativos de todos os parâmetros respiratórios: VM (8.963,3 e 10.762,5 mL/min; p=0,028), VC (319,1 e 433,6 mL; p=0,005), CVF (1.476,3 e 1.850 mL; p=0,005), PImax (-41,2 e -51,2 cmH2O; p=0,022), PEmax (29,6 e 36,7 cmH2O; p=0,004) e PFE (162,1 e 185 L/min; p=0,018). Nossos resultados sugerem que a adequação postural em cadeira de rodas influenciou positivamente a função respiratória de pacientes com DMD.Universidade de São Paulo. Faculdade de Medicina2012-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/4555210.1590/S1809-29502012000200002Fisioterapia e Pesquisa; Vol. 19 No. 2 (2012); 97-102Fisioterapia e Pesquisa; Vol. 19 Núm. 2 (2012); 97-102Fisioterapia e Pesquisa; v. 19 n. 2 (2012); 97-1022316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/45552/49161Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessRodini, Carolina OliveiraCollange, Luanda AndréJuliano, YaraOliveira, Claudia SantosIsola, Alexandre MariniAlmeida, Sabrina BauléoMisao, Maria Harue2012-10-04T20:57:40Zoai:revistas.usp.br:article/45552Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2012-10-04T20:57:40Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy Influência da adequação postural em cadeira de rodas na função respiratória de pacientes com distrofia muscular de Duchenne |
title |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy |
spellingShingle |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy Rodini, Carolina Oliveira distrofia muscular de Duchenne cadeiras de rodas sistema respiratório postura Duchenne muscular dystrophy wheelchairs respiratory system posture |
title_short |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy |
title_full |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy |
title_fullStr |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy |
title_full_unstemmed |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy |
title_sort |
Influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy |
author |
Rodini, Carolina Oliveira |
author_facet |
Rodini, Carolina Oliveira Collange, Luanda André Juliano, Yara Oliveira, Claudia Santos Isola, Alexandre Marini Almeida, Sabrina Bauléo Misao, Maria Harue |
author_role |
author |
author2 |
Collange, Luanda André Juliano, Yara Oliveira, Claudia Santos Isola, Alexandre Marini Almeida, Sabrina Bauléo Misao, Maria Harue |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Rodini, Carolina Oliveira Collange, Luanda André Juliano, Yara Oliveira, Claudia Santos Isola, Alexandre Marini Almeida, Sabrina Bauléo Misao, Maria Harue |
dc.subject.por.fl_str_mv |
distrofia muscular de Duchenne cadeiras de rodas sistema respiratório postura Duchenne muscular dystrophy wheelchairs respiratory system posture |
topic |
distrofia muscular de Duchenne cadeiras de rodas sistema respiratório postura Duchenne muscular dystrophy wheelchairs respiratory system posture |
description |
The purpose of this study was to determine the influence of wheelchair positioning aids on the respiratory function of patients with Duchenne muscular dystrophy (DMD). Twelve non-ambulatory DMD patients, between 10 to 22 years of age, were evaluated. They were assessed in their adapted wheelchairs and in a standard wheelchair without tilt or reclining. The wheelchairs of the participants possessed adaptations in the backrest and the seat, made according to the specifics of each patient. Minute volume (MV), tidal volume (TV), forced vital capacity (FVC), maximum inspiratory (MIP) and expiratory pressures (MEP) and peak expiratory flow (PEF) were measured. For data analysis we used the paired t-test adopting the significance level of 0.05. The positioning aids resulted in statistically significant better values of all respiratory parameters: MV (8,963.3 and 10,762.5 mL/min; p=0.028), TV (319.1 and 433.6 mL; p=0.005), FVC (1,476.3 and 1,850 mL; p=0.005), MIP (-41.2 and -51.2 cmH2O; p=0.022), MEP (29.6 and 36.7 cmH2O; p=0.004) and PEF (162.1 and 185 L/min; p=0.018). These results may suggest that wheelchair positioning aids can positively influence pulmonary function for non-ambulatory DMD patients. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-06-01 |
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://www.revistas.usp.br/fpusp/article/view/45552 10.1590/S1809-29502012000200002 |
url |
https://www.revistas.usp.br/fpusp/article/view/45552 |
identifier_str_mv |
10.1590/S1809-29502012000200002 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/45552/49161 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Fisioterapia e Pesquisa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 19 No. 2 (2012); 97-102 Fisioterapia e Pesquisa; Vol. 19 Núm. 2 (2012); 97-102 Fisioterapia e Pesquisa; v. 19 n. 2 (2012); 97-102 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
_version_ |
1787713734430425088 |