Confiabilidad en la medición de la presión inspiratoria máxima y de la capacidad inspiratoria de un fisioterapeuta en entrenamiento

Cofré, Rodrigo; Calderón, Mariano Del Sol; Gonzalez, Paul; Saavedra, Nicolás; Cabello, Máximo Escobar

doi:10.1590/1809-2950/18007825042018

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…The greatest value of 2 reproducible measures was used for data analysis [22]. This protocol showed excellent interexaminer reliability, presenting an ICC that varied from 0914 to 0.925 [42].…”

Section: Respiratory Pressuresmentioning

confidence: 99%

A Secondary Analysis of Gender Respiratory Features for Ultrasonography Bilateral Diaphragm Thickness, Respiratory Pressures, and Pulmonary Function in Low Back Pain

Molina-Hernández,

Rodríguez-Sanz,

Chicharro

et al. 2024

Tomography

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The aim of the present study was to determine the gender respiratory differences of bilateral diaphragm thickness, respiratory pressures, and pulmonary function in patients with low back pain (LBP). A sample of 90 participants with nonspecific LBP was recruited and matched paired by sex (45 women and 45 men). Respiratory outcomes included bilateral diaphragm thickness by ultrasonography, respiratory muscle strength by maximum inspiratory (MIP) and expiratory (MEP) pressures, and pulmonary function by forced expiratory volume during 1 s (FEV1), forced vital capacity (FVC) and FEV1/FVC spirometry parameters. The comparison of respiratory outcomes presented significant differences (p < 0.001), with a large effect size (d = 1.26–1.58) showing means differences (95% CI) for MIP of −32.26 (−42.99, −21.53) cm H2O, MEP of −50.66 (−64.08, −37.25) cm H2O, FEV1 of −0.92 (−1.18, −0.65) L, and FVC of −1.00 (−1.32, −0.69) L, with lower values for females versus males. Gender-based respiratory differences were presented for maximum respiratory pressures and pulmonary function in patients with nonspecific LBP. Women presented greater inspiratory and expiratory muscle weakness as well as worse lung function, although these differences were not linked to diaphragm thickness during normal breathing.

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Section: Respiratory Pressuresmentioning

confidence: 99%

A Secondary Analysis of Gender Respiratory Features for Ultrasonography Bilateral Diaphragm Thickness, Respiratory Pressures, and Pulmonary Function in Low Back Pain

Molina-Hernández,

Rodríguez-Sanz,

Chicharro

et al. 2024

Tomography

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“…Quanto à confiabilidade das referidas medidas em abril de 2017, as bases de dados Pubmed, Cochrane, PEDro, Scirus, Lilacs e Scielo disponibilizaram dez pesquisas [3,[11][12][13][14][15][16][17][18][19] publicadas entre 1987 e 2011. Dessas, 60% [3,13,15,[17][18][19] buscaram verificar a confiabilidade da PImáx ou de ambas pressões em indivíduos saudáveis, também população de interesse da presente pesquisa.…”

Section: Introductionunclassified

Pressões inspiratória e expiratória máximas: confiabilidade intra e interexaminadores

2019

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Introdução: Pressões estáticas ventilatórias máximas são mensuradas pelo manômetro/ manovacuômetro, expressam a força dos músculos ventilatórios em cmH2O. Objetivos: Verificar a confiabilidade intra e interexaminadores das PImáx e PEmáx. Métodos: Constituiu-se amostra randomicamente (n=70). Dois examinadores independentes, executaram três medições intradia (consistência interna) e duas interdias (estabilidade). O instrumento utilizado para medir as PImáx e PEmáx foi um manovacuômetro digital MDV®300 (MDI/Brasil) de intervalo operacional de ±300 cmH2O. Calcularam-se o coeficiente de correlação intraclasse e o erro típico da medida, a significância adotada foi de P ≤ 0,05 e o pacote estatístico usado foi SPSS 20.0. Resultados: Consistência interna: intra examinador PImáx CCI = 0,97 e ETM(ETM%) = 6,71(6) e PEmáx CCI = 0,95 e ETM(ETM%) = 10,92(8); interexaminadores da PImáx CCI = 0,98 e ETM(ETM%) = 5,41(5) e PEmáx CCI = 0,96 e ETM(ETM%) = 8,82(7). Estabilidade: intra examinador da PImáx CCI = 0,95 e ETM (ETM%) = 7,92(7) e PEmáx CCI = 0,93 e ETM(ETM%) = 12,34(9); interexaminadores da PImáx CCI = 0,96 e ETM(ETM%) = 6,36(6) e PEmáx CCI = 0,93 e ETM(ETM%) = 11,75(9). Todas as análises estatísticas foram (P = 0,0001). Conclusão: PImáx e PEmáx têm confiabilidade intra e interexaminadores adequada à prática clínica.Palavras-chave: força muscular, músculos respiratórios, correlação de dados, fisioterapia, diagnóstico.

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Effectiveness of Ultrasonography Visual Biofeedback of the Diaphragm in Conjunction with Inspiratory Muscle Training on Muscle Thickness, Respiratory Pressures, Pain, Disability, Quality of Life and Pulmonary Function in Athletes with Non-Specific Low Back Pain: A Randomized Clinical Trial

Marugán-Rubio

Chicharro

Becerro-de-Bengoa-Vallejo

et al. 2022

JCM

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Diaphragmatic weakness and thickness reduction have been detected in athletes with lumbopelvic pain (LPP). Strength training of inspiratory muscles may be necessary for athletes with LPP. Inspiratory muscle training (IMT) and visual biofeedback by rehabilitative ultrasound imaging (RUSI) have been proposed as possible interventions. Here, we determine the effectiveness of visual biofeedback by RUSI with a proposed novel thoracic orthotic device to facilitate diaphragmatic contraction in conjunction with high-intensity IMT in athletes with non-specific LPP. A single-blinded, parallel-group, randomized clinical trial was performed (NCT04097873). Of 86 participants assessed for eligibility, 64 athletes with non-specific LPP (39 males and 25 females; mean age, 33.15 ± 7.79 years) were recruited, randomized, analyzed and received diaphragm visual biofeedback by RUSI in conjunction with high-intensity IMT (RUSI+IMT; n = 32) or isolated high-intensity IMT (IMT; n = 32) interventions for 8 weeks. Diaphragmatic thickness during normal breathing, maximum respiratory pressures, pain intensity, pressure pain threshold on lumbar musculature, disability by the Roland–Morris questionnaire, quality of life by the SF-12 questionnaire and spirometry respiratory parameters were assessed at baseline and after the 8-week intervention. There were significant differences (p = 0.015), within a medium effect size (Cohen’s d = 0.62) for the forced expiratory volume in 1-s (FEV1), which was increased in the RUSI+IMT intervention group relative to the IMT alone group. Adverse effects were not observed. The rest of the outcomes did not show significant differences (p > 0.05). Diaphragm visual biofeedback by RUSI with the proposed novel thoracic orthotic device in conjunction with high-intensity IMT improved lung function by increasing FEV1 in athletes with non-specific LPP.

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Confiabilidad en la medición de la presión inspiratoria máxima y de la capacidad inspiratoria de un fisioterapeuta en entrenamiento

Cited by 3 publications

References 26 publications

A Secondary Analysis of Gender Respiratory Features for Ultrasonography Bilateral Diaphragm Thickness, Respiratory Pressures, and Pulmonary Function in Low Back Pain

A Secondary Analysis of Gender Respiratory Features for Ultrasonography Bilateral Diaphragm Thickness, Respiratory Pressures, and Pulmonary Function in Low Back Pain

Pressões inspiratória e expiratória máximas: confiabilidade intra e interexaminadores

Effectiveness of Ultrasonography Visual Biofeedback of the Diaphragm in Conjunction with Inspiratory Muscle Training on Muscle Thickness, Respiratory Pressures, Pain, Disability, Quality of Life and Pulmonary Function in Athletes with Non-Specific Low Back Pain: A Randomized Clinical Trial

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