Respiratory muscle strength the tetraplegic patients
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/77285 |
Resumo: | Most patients with high spinal cord lesion (CÍ-CÓ) present decreased respiratory function, which is the principal cause of mortality among these individuals, especially during the early period pos lesion. These patients usually show reduced pulmonary volumes and capacities, impaired pulmonary function, and decreased respiratory muscle strength. Ten patients with Spinal Cord Injury (C4 to C7) were studied in order to evaluate the maximal inspiratory pressure (PImáx), maximal expiratory pressure (PEmáx), and forced vital capacity (F VC), which were measuredin supine and sitting positions. The measurements were taken according to international standards, and determined in a random order. The researcher was blinded to the measurement values. The obtained data were compared with the predict values in both positions (supine and sitting) according to Wicoxon's Test. The significance was set at 0.05 level. The obtained values of PImax, PEmáx, and FVC, in the sitting position, were smaller than the expected values (PImáx = 60 ± 17,15 cm H20 , 50% predicted; PEmáx = 22 ± 5,69 cm H2O,10% predicted and CVF = 1,60 ± 0,55 L, 41% predicted) (p < 0,05). When the positions were compared, the results in the sitting position were lower than in the supineposition (PImáx = 71 + 25,42 cmH20, 60% predicted; PEmáx = 31 + 15,92 cm H20,14% predicted and CVF =2,22 ± 0,64L, 53% predicted) (p < 0,05). In conclusion, tetraplegic patients presented decreased respiratory muscles strength. In addition, the FVC values were higher in the supine position than in the sitting position. |
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Respiratory muscle strength the tetraplegic patientsForça da musculatura respiratória de pacientes tetraplégicos sentados e em supinoresistência das vias respiratóriasrespiração com pressão positivacapacidade inspiratóriarespiração com pressão positiva intermitentecapacidade pulmonar totalquadriplegiaespirometriamodalidades de projeção.airway resistancepositive-pressure respirationinspiratory capacityintermittent positive-pressure breathingtotal lung capacityquadriplegiamodalitiespositionspirometry.Most patients with high spinal cord lesion (CÍ-CÓ) present decreased respiratory function, which is the principal cause of mortality among these individuals, especially during the early period pos lesion. These patients usually show reduced pulmonary volumes and capacities, impaired pulmonary function, and decreased respiratory muscle strength. Ten patients with Spinal Cord Injury (C4 to C7) were studied in order to evaluate the maximal inspiratory pressure (PImáx), maximal expiratory pressure (PEmáx), and forced vital capacity (F VC), which were measuredin supine and sitting positions. The measurements were taken according to international standards, and determined in a random order. The researcher was blinded to the measurement values. The obtained data were compared with the predict values in both positions (supine and sitting) according to Wicoxon's Test. The significance was set at 0.05 level. The obtained values of PImax, PEmáx, and FVC, in the sitting position, were smaller than the expected values (PImáx = 60 ± 17,15 cm H20 , 50% predicted; PEmáx = 22 ± 5,69 cm H2O,10% predicted and CVF = 1,60 ± 0,55 L, 41% predicted) (p < 0,05). When the positions were compared, the results in the sitting position were lower than in the supineposition (PImáx = 71 + 25,42 cmH20, 60% predicted; PEmáx = 31 + 15,92 cm H20,14% predicted and CVF =2,22 ± 0,64L, 53% predicted) (p < 0,05). In conclusion, tetraplegic patients presented decreased respiratory muscles strength. In addition, the FVC values were higher in the supine position than in the sitting position.A maioria dos indivíduos com lesão medular alta (C4 a C6) apresentam diminuição na sua função respiratória a partir do momento da lesão, sendo esta a principal causa de mortalidade nesses indivíduos, nosprimeiros meses após a lesão. Assim, estes pacientes apresentam diminuição de volumes e capacidades pulmonares, da função pulmonar e da força dos músculos respiratórios, porém o percentual de perda de alguns destes parâmetros, avaliados na posição sentada, varia entre os autores. Dez pacientes com lesão medular (C4 a C7) foram avaliados para mensurar a pressão inspiratória máxima (PImáx), pressão expiratória máxima (PEmáx) e capacidade vital forçada (CVF), nas posições supina e sentada. O método de medidas seguiu padronização internacional, em seqüência aleatória, com o examinador "cego" sobre o valor das medidas. Os dados obtidos foram comparados com os valoresprevistos e entre as duas posições, de acordo com a prova de Wilcoxon, com nível de significância de 0,05 ou 5%. Os valores obtidos de PImáx, PEmáx e CVF, na posição sentada, foram menores que os valores previstos (PImáx = 60 ± 17,15 cm H20, 50% do previsto; PEmáx = 22 ± 5,69 cm H20, 10% do previsto; CVF = 1,60 ± 0,55 L, 4 1% do previsto) (p < 0,05); quando comparadas as posições, os valores na posição sentadaforam menores que na posição supina (PImáx = 71 ± 25,42 cm H20, 60% do previsto; PEmáx = 31 ± 15,92 cmH20,14% do previsto; CVF = 2,22 ± 0,64L, 53% do previsto)(p < 0,05). Concluímos, portanto, que, pacientes tetraplégicos apresentam diminuição da força da musculatura respiratóriae da CVF e que as perdas de CVF são menores na posição supina do que na posição sentada.Universidade de São Paulo. Faculdade de Medicina2004-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/7728510.1590/fpusp.v11i2.77285Fisioterapia e Pesquisa; Vol. 11 No. 2 (2004); 70-76Fisioterapia e Pesquisa; Vol. 11 Núm. 2 (2004); 70-76Fisioterapia e Pesquisa; v. 11 n. 2 (2004); 70-762316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/77285/81153Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessBoaventura, Cristina MatosSilveira, Janne MarquesSantos, Patrícia Roberta dosGastaldi, Ada Clarice2014-05-07T22:40:13Zoai:revistas.usp.br:article/77285Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2014-05-07T22:40:13Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Respiratory muscle strength the tetraplegic patients Força da musculatura respiratória de pacientes tetraplégicos sentados e em supino |
title |
Respiratory muscle strength the tetraplegic patients |
spellingShingle |
Respiratory muscle strength the tetraplegic patients Boaventura, Cristina Matos resistência das vias respiratórias respiração com pressão positiva capacidade inspiratória respiração com pressão positiva intermitente capacidade pulmonar total quadriplegia espirometria modalidades de projeção. airway resistance positive-pressure respiration inspiratory capacity intermittent positive-pressure breathing total lung capacity quadriplegia modalities position spirometry. |
title_short |
Respiratory muscle strength the tetraplegic patients |
title_full |
Respiratory muscle strength the tetraplegic patients |
title_fullStr |
Respiratory muscle strength the tetraplegic patients |
title_full_unstemmed |
Respiratory muscle strength the tetraplegic patients |
title_sort |
Respiratory muscle strength the tetraplegic patients |
author |
Boaventura, Cristina Matos |
author_facet |
Boaventura, Cristina Matos Silveira, Janne Marques Santos, Patrícia Roberta dos Gastaldi, Ada Clarice |
author_role |
author |
author2 |
Silveira, Janne Marques Santos, Patrícia Roberta dos Gastaldi, Ada Clarice |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Boaventura, Cristina Matos Silveira, Janne Marques Santos, Patrícia Roberta dos Gastaldi, Ada Clarice |
dc.subject.por.fl_str_mv |
resistência das vias respiratórias respiração com pressão positiva capacidade inspiratória respiração com pressão positiva intermitente capacidade pulmonar total quadriplegia espirometria modalidades de projeção. airway resistance positive-pressure respiration inspiratory capacity intermittent positive-pressure breathing total lung capacity quadriplegia modalities position spirometry. |
topic |
resistência das vias respiratórias respiração com pressão positiva capacidade inspiratória respiração com pressão positiva intermitente capacidade pulmonar total quadriplegia espirometria modalidades de projeção. airway resistance positive-pressure respiration inspiratory capacity intermittent positive-pressure breathing total lung capacity quadriplegia modalities position spirometry. |
description |
Most patients with high spinal cord lesion (CÍ-CÓ) present decreased respiratory function, which is the principal cause of mortality among these individuals, especially during the early period pos lesion. These patients usually show reduced pulmonary volumes and capacities, impaired pulmonary function, and decreased respiratory muscle strength. Ten patients with Spinal Cord Injury (C4 to C7) were studied in order to evaluate the maximal inspiratory pressure (PImáx), maximal expiratory pressure (PEmáx), and forced vital capacity (F VC), which were measuredin supine and sitting positions. The measurements were taken according to international standards, and determined in a random order. The researcher was blinded to the measurement values. The obtained data were compared with the predict values in both positions (supine and sitting) according to Wicoxon's Test. The significance was set at 0.05 level. The obtained values of PImax, PEmáx, and FVC, in the sitting position, were smaller than the expected values (PImáx = 60 ± 17,15 cm H20 , 50% predicted; PEmáx = 22 ± 5,69 cm H2O,10% predicted and CVF = 1,60 ± 0,55 L, 41% predicted) (p < 0,05). When the positions were compared, the results in the sitting position were lower than in the supineposition (PImáx = 71 + 25,42 cmH20, 60% predicted; PEmáx = 31 + 15,92 cm H20,14% predicted and CVF =2,22 ± 0,64L, 53% predicted) (p < 0,05). In conclusion, tetraplegic patients presented decreased respiratory muscles strength. In addition, the FVC values were higher in the supine position than in the sitting position. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-12-31 |
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/77285 10.1590/fpusp.v11i2.77285 |
url |
https://www.revistas.usp.br/fpusp/article/view/77285 |
identifier_str_mv |
10.1590/fpusp.v11i2.77285 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/77285/81153 |
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. 11 No. 2 (2004); 70-76 Fisioterapia e Pesquisa; Vol. 11 Núm. 2 (2004); 70-76 Fisioterapia e Pesquisa; v. 11 n. 2 (2004); 70-76 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 |
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1787713735782039552 |