scholarly journals Influence of heat and moisture exchanger use on measurements performed with manovacuometer and respirometer in healthy adults

2015 ◽  
Vol 11 ◽  
Author(s):  
Jeanette Janaina Jaber Lucato ◽  
Thiago Marraccini Nogueira da Cunha ◽  
Sara Solange Oliveira Costa Rocha ◽  
Fernanda Maria Palmieri de Carvalho ◽  
Daniele Cristina Botega ◽  
...  

Background: The use of evaluation tools such as the manovacuometer and respirometer is frequent and disinfection is usually limited to the external surfaces, which is insufficient and raises concerns because of the potential spread of infectious diseases. Hydrophobic heat and moisture exchangers (HME) are used in mechanical ventilation and have microbiological filters, which can possibly reduce contamination, increasing the safety of related procedures. It is unknown, however, if the addition of an exchanger affects the measurements obtained. Aim of this study was to verify if the use of an HME interferes in maximal inspiratory and expiratory pressures assessed using the manovacuometer and vital capacity evaluated using the respirometer in healthy adults. Methods: A controlled transversal trial was carried out. Twenty healthy young adults were included in the study. Vital capacity by respirometer and, maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were assessed with and without the use of HME. Results: No significant difference was found between the values pre and post HME use in vital capacity measurements: (3878.8 ± 202.2 mL vs. 3925.5 ± 206.0 mL, p = 0.116) and the respiratory muscle strength measurements: MIP (−99.0 ± 8.9 vs −95.5 ± 9.0 cm H2O, p = 0.149) and MEP (92.5 ± 7.5 vs 92.5 ± 7.7 cm H2O, p = 1.0) respectively. Conclusion: We conclude that the use of HME does not modify the lung volumes or respiratory muscle strength, and can be used in order to reduce the occurrence of pulmonary infection.

2021 ◽  
Vol 13 (3) ◽  
pp. 31-36
Author(s):  
OZGUR BOSTANCI ◽  
MENDERES KABADAYI ◽  
MUHAMMET HAKAN MAYDA ◽  
ALI KERIM YILMAZ ◽  
COSKUN YILMAZ

Introduction: The aim of this study is to investigate the relationship between shooting performance and pulmonary functions and respiratory muscle strength in archers. Material and methods: The research was conducted with 31 boy and 11 girl archers aged 9-12. The forced vital capacity (FVC), forced expiration volume in one second (FEV1), FEV1/FVC, peak expiratory flow (PEF), maximum voluntary ventilation (MVV), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP) of the archers were measured. To determine the shooting performance, a total of 30 shots (15+15) were taken from an 18-meter distance in closed shooting range. Results: A significant difference was found between the 15 shots done in each half and the total shot point and the averages of FVC (r=0.375, 0.353, 0.378 respectively) and FEV1 (r=0.368, 0.339, 0.367 respectively). However, a significant difference was not found among these shot points and other respiratory parameters (p>0.05). A relationship was detected between the second 15-shot points of boy archers and MEP (r=0.370). Conclusions: A strong correlation was not found between the respiratory parameters and shooting performances of the archers in this study. However, it is thought that this level of relationship will rise as training level and age increases.


Author(s):  
Danilo de Macêdo Moura ◽  
Suenny Marrocos de Lima Moura ◽  
Alessandra Feitosa Gonçalves ◽  
Maria Alessandra Sipriano da Silva ◽  
Georgia Freire Paiva Winkeler ◽  
...  

Background: Chronic Obstructive Pulmonary Disease (COPD) treatment includes a multidisciplinary approach, with physiotherapy a prominent role that promotes a positive impact on the quality of life (QOL) of these patients. Objective: To analyze the effects of physiotherapeutic interventions on QOL, lung volumes and capacities, and respiratory muscle strength in COPD patients. Methods: 17 subjects participated in the study, randomly divided into 2 groups: 1) Maneuvers: 62.7 ± 15.4 years, 1.65 ± 0.12 m, 81.4 ± 18.2 kg, body Mass Index (BMI) 29.9± 5.0 kg/m2 ; 2) Threshold: 64.4 ± 11.2 years, 1.58 ± 0.08 m, 70.7 ± 9.4 kg, BMI 28.6 ± 3.7 kg/m2 , with COPD, without neurological, musculoskeletal, cardiovascular or cognitive impairment, which made it impossible to participate in the physiotherapeutic intervention programs. QOL was analyzed using the Saint George Hospital questionnaire on Respiratory Disease (SGRQ); spirometry and respiratory muscle strength were analyzed by manovacuometry using a pneumotachograph. Data were analyzed in SPSS (20.0), Student’s t-test (paired) and Wilcoxon test were used for pre and post-intervention comparison of the SGRQ domains and total score, Vital Capacity (VC), Forced Vital Capacity (FVC), Forced Expiratory Volume (FEV1 ), Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP); and Student’s t-tests (independent) and Mann-Whitney were used in the intergroup comparison, all with a significance level of 5%. Results: There was a significant difference in both groups (P<0.05) in the pre- and post-intervention comparison of the three domains (Symptoms, Activities and Psychosocial Impact) and total SGRQ score, but this did not occur with spirometric variables. In the manovacuometry, the Wilcoxon test showed a significant difference in the pre and post-intervention values of MIP and MEP. Conclusion: Improved QOL and MIP and MEP muscle strength of all COPD patients was observed, regardless of the groups Maneuvers or Threshold.


Spine ◽  
2006 ◽  
Vol 31 (12) ◽  
pp. E367-E372 ◽  
Author(s):  
Telma Lissandra Di Pietro ◽  
Luciana Machado Sogame ◽  
Milena C. Vidotto ◽  
José R. Jardim

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ali Albarrati ◽  
Hamayun Zafar ◽  
Ahmad H. Alghadir ◽  
Shahnwaz Anwer

Objective. The present study compared the effects of upright and slouched sitting postures on the respiratory muscle strength in healthy young males. Methods. A total of 35 adult male subjects aged 18–35 years participated in this study. Respiratory muscle strength was determined by measurement of sniff nasal inspiratory pressure (SNIP) using a MicroRPM device in the upright and slouched sitting positions. The subjects were asked to perform the pulmonary function test including peak expiratory flow (PEF), forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio at baseline. Body composition was also determined. Results. There was a significant difference of SNIP score between upright sitting and slouched sitting positions (p=0.04). The mean difference of SNIP score between upright sitting and slouched sitting positions was 8.7 cmH2O. Significant correlations were found between SNIP in upright sitting and FEV1% predicted values [R = .651], SNIP in slouched sitting and FEV1% predicted values [R = .579], and SNIP in upright sitting and SNIP in slouched sitting positions [R = .926] (p<0.05 for all). There were no significant correlations between SNIP scores, demographic variables, and other baseline clinical data (p>0.05). Conclusions. The slouched sitting position had a lower SNIP score compared to upright sitting position suggesting a reduced diaphragm tension and movement as a result of altered body posture.


Author(s):  
Darling Kescia Araújo Peixoto Braga ◽  
Débora Fortes Marizeiro ◽  
Ana Carolina Lins Florêncio ◽  
Mariana Dias Teles ◽  
Ítalo Caldas Silva ◽  
...  

Introduction: Manual therapy uses the hands as a form of healing, being a manipulation for therapeutic purposes. However, there is little evidence of its effects on the respiratory system. Objective: To describe the effect of manual therapy on the diaphragm, on respiratory muscle strength and on the mobility of the thoracic cavity. Method: Descriptive, longitudinal, interventional and quantitative research, performed at the Cardiopneumofunctional Physical Therapy Laboratory of the Federal University of Ceará (UFC). The sample consisted of 40 sedentary female students, aged between 18 and 35 years of the Physiotherapy course of the UFC. The following techniques were performed: “diaphragm lift” and double diaphragm. Data collection was performed in three steps, on the same day and by the same researcher, under a homogeneous verbal command. It was considered statistically significant value of p≤0,05. Results: After applying the techniques, a comparative analysis was performed, which demonstrated a statistically significant difference in the maximum expiratory pressure, with p< 0,0001, and all the coefficients of the cirtometry, being p<0,0025 (axillary), p<0,0085 (xiphoid) and p<0,0005 (basal). Conclusion: Manual therapy techniques performed on the diaphragm exert an influence on muscle strength due to the increase in maximum expiratory pressure and in the mobility of the thoracic cavity, reflected in the increase of the coefficients of the cirtometry.


2018 ◽  
Vol 63 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Charlini S. Hartz ◽  
Márcio A. G. Sindorf ◽  
Charles R. Lopes ◽  
José Batista ◽  
Marlene A. Moreno

Abstract Inspiratory muscle training (IMT) is a strategy that has been used to improve performance in different sports modalities. This study investigated the effects of an IMT program on respiratory muscle strength and resistance as well as aerobic physical performance (PP) of handball athletes. Nineteen 20 ± 3 year-old male athletes were allocated into an experimental (EG, n = 10) or a placebo group (PG, n = 9). Their respiratory muscle strength was evaluated by measuring the maximum inspiratory and expiratory pressures (MIP and MEP), muscular respiratory resistance by maximum voluntary ventilation (MVV) and aerobic PP by the cardiopulmonary exercise test. The study was designed to evaluate the effects of a 12-week IMT program with five sessions a week. A significant difference was observed in the pre and post IMT values of the MIP (170 ± 34 to 262 ± 33 cmH2O) and MEP (177 ± 36 to 218 ± 37 cmH2O) in the EG, and MIP (173 ± 45 to 213 ± 21 cmH2O) in the PG, with a large effect size for the MIP, when the groups were compared. MVV showed a significant increase (162 ± 24 to 173 ± 30 L) in the EG, with a small effect size. There was a significant difference in maximum oxygen uptake (54 ± 8 to 60 ± 7 ml/kg/min) in aerobic PP. Oxygen uptake at the respiratory compensation point (RCP) (46 ± 6 to 50 ± 5 ml/kg/min), with a moderate effect size for both variables, was observed in the EG after IMT. We concluded that IMT provided a significant increase in respiratory muscle strength and resistance, contributing to increased aerobic PP in the EG, which suggests that IMT could be incorporated in handball players’ training.


1995 ◽  
Vol 133 (6) ◽  
pp. 680-685 ◽  
Author(s):  
Bartolomeo Merola ◽  
Matteo Sofia ◽  
Salvatore Longobardi ◽  
Serafino Fazio ◽  
Assunta Micco ◽  
...  

Merola B, Sofia M, Longobardi S, Fazio S, Micco A, Esposito V, Colao A, Biondi B, Lombardi G. Impairment of lung volumes and respiratory muscle strength in adult patients with growth hormone deficiency. Eur J Endocrinol 1995;133:680–5. ISSN 0804–4643 Little is known of the respiratory function in patients with growth hormone (GH) deficiency. The aim of the present study was to evaluate lung volumes and respiratory muscle strength in patients diagnosed as GH deficient in childhood. Ten patients diagnosed as GH deficient in childhood and ten healthy subjects entered the study. For each subject the evaluation of respiratory function followed the same standard approach, consisting of respiratory muscle strength assessment, recording of flowvolume curves, measurement of static lung volumes and lung diffusing capacity. Both maximal inspiratory and expiratory mouth pressures were decreased in GH deficiency. Vital capacity, N2 functional residual capacity and total lung capacity were significantly reduced when compared to healthy subjects. Conversely, the residual volume and diffusing lung capacity to CO did not show any significant change. No significant change of percentage forced expiratory volume in 1 s/forced vital capacity ratio was observed. The decrease of respiratory mouth pressures was not correlated to the decrease of lung volumes. In conclusion, the results of this study show that adult patients affected with childhood onset GH deficiency suffer from impairment of ventilatory function and a decrease of respiratory muscle pressures, probably due to reduction of respiratory muscle strength. Gaetano Lombardi, Via G Santacroce 40/1, 80 129 Naples, Italy


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