Respiratory muscle training outcomes on swallowing biomechanics and respiratory function measures in normal subjects

Machado, João Rafael Sauzem; Bilheri, Diego Fernando Dorneles; Tomasi, Lidia Lis; Steidl, Eduardo Matias dos Santos; Mancopes, Renata

doi:10.1590/1982-021620182069417

Cited by 7 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No entanto, os resultados demonstraram que o tratamento cirúrgico da gigantomastia não foi tão eficaz para a melhoria dos resultados da espirometria, em que pese o fato de termos constatado, na análise qualitativa, relatos de diminuição das reclamações de dor relacionada ao tamanho da mama. Talvez, com maior tempo de seguimento após a realização da cirurgia, pudéssemos ter encontrado melhores resultados na espirometria (4) .…”

Section: Resultsunclassified

“…Estudos revelam o quanto a gigantomastia concorre para alterar o componente funcional, com transtornos de ordem circulatória, respiratória e postural. Entre os transtornos respiratórios, a disfunção pulmonar é uma complicação associada à gigantomastia, ainda pouco estudada e documentada na literatura, cujas alterações estão relacionadas à função pulmonar, afetando suas capacidades e volumes, que podem ser avaliadas por meio dos testes de função pulmonar: espirometria e medida dos gases sanguíneos arteriais (4)(5)(6) .…”

Section: Introductionunclassified

See 1 more Smart Citation

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

et al. 2019

View full text Add to dashboard Cite

Objetivo: avaliar os efeitos da mamoplastia redutora na função pulmonar e qualidade de vida demulheres com gigantomastia.Método: estudo observacional do tipo série de casos que analisou retrospectivamente o prontuáriode 14 casos de mulheres submetidas à mamoplastia redutora nos últimos 12 meses no serviço declínica cirúrgica de um hospital universitário do Rio de Janeiro.Resultados: a média de idade, altura e peso das mulheres submetidas à mamoplastia foirespectivamente, 44,5 anos, 1,58 m e 93,8 kg. O índice de massa corporal evidenciou obesidadede graus I a III. Em média a espirometria variou de 92,76% do valor teórico predito antes da cirurgia,para 94,74% e 91,77%, 30 e 60 dias após a cirurgia respectivamente.Conclusão: a mamoplastia de redução pode melhorar a qualidade de vida das mulheres, conformeautorrelato. Não houve associação da mamoplastia com a melhora da função respiratória.

show abstract

Section: Resultsunclassified

Section: Introductionunclassified

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

et al. 2019

View full text Add to dashboard Cite

show abstract

“…5,6 When impaired, reductions in respiratory strength can contribute to compromised airway protection, including impairments in both cough and swallowing. 7,8 Conversely, improvements in respiratory strength are associated with subsequent improvements in swallowing [9][10][11] and cough [12][13][14] in people with dysphagia and dystussia. Because of this, it is important for clinicians to objectively assess respiratory strength during routine clinical assessments of cough and swallowing in people with dysphagia and dystussia.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Validity of a Low‐Cost Manometer for Objective Assessments of Respiratory Muscle Strength

Curtis,

Mocchetti,

Rameau

2023

The Laryngoscope

View full text Add to dashboard Cite

Objective(s)This study examined the agreement in maximal expiratory (MEP) and inspiratory (MIP) pressure readings between two digital manometers: (1) the MicroRPM – the gold‐standard manometer for respiratory muscle strength testing; and (2) the LDM – a low‐cost, commercially available, alternative manometer.MethodsPositive (MEP) and negative (MIP) pressures were simultaneously applied to the MicroRPM and LDM using a 3‐liter syringe within a controlled laboratory setting. Pressure readings were compared, and agreement was analyzed using Lin's concordance correlation (ρc). Agreement was interpreted as ‘poor’ if <0.90, ‘moderate’ if 0.90 – <0.95, ‘substantial’ if 0.95 – <0.99, and ‘excellent’ if ≥0.99. Twenty percent of the pressure trials were repeated by a second researcher to examine test–retest reliability.ResultsA total of 150 trials were completed, ranging from −167 to +208 cmH2O. There was a median absolute difference of 0.3 cmH2O in pressure readings between the MicroRPM and the LDM. Lin's concordance correlation revealed ‘excellent’ agreement between the LDM and MicroRPM devices, with test–retest reliability assessment revealing ‘substantial‐to‐excellent’ agreement between the LDM and MicroRPM devices, with a concordance correlation coefficient of ρc = 0.999 (95% CI: 0.999–0.999).ConclusionsThere was a median difference of 1.0% in MEP and MIP pressure readings consistently observed between the LDM and MicroRPM. Despite these relatively small differences, excellent agreement between the two manometers was present. These data suggest the LDM may be a valid, lower cost alternative to the MicroRPM for objectively assessing respiratory strength in clinical practice; however, additional research is needed in healthy adults and in patient populations.Level of EvidenceN/A Laryngoscope, 2023

show abstract

Chronic Obstructive Pulmonary Disease and Dysphagia: What Have We Learned So Far and What Do We Still Need to Investigate?

et al. 2021

View full text Add to dashboard Cite

Purpose Dysphagia is an underrecognized concern in people with chronic obstructive pulmonary disease (COPD) and may contribute to disease exacerbations. In this review article, we share information regarding dysphagia in people with COPD, synthesizing knowledge both from the literature and from studies performed in the context of a multidisciplinary clinical pulmonary rehabilitation program at the Federal University of Santa Maria in Brazil. Results This narrative review presents evidence showing that awareness of dysphagia and patient-reported symptoms of dysphagia are rare in individuals with stable COPD. However, evidence from the routine collection of patient-reported symptom data using the Eating Assessment Tool 10 and about dysphagia-related quality of life using the Swallowing Quality of Life questionnaire do suggest that dysphagia is experienced by some individuals with COPD. Several studies suggest that patients with stable COPD present with altered swallowing physiology on videofluoroscopic exams, including silent aspiration in a small number of these individuals. However, both patient self-report and clinical screening using the Volume–Viscosity Swallowing Test have been found to be poor predictors of these videofluoroscopic findings. We discuss the possibility that altered laryngeal sensation and respiratory–swallow discoordination play a role in dysphagia in people with COPD, and highlight assessment tasks that appear to have the highest sensitivity for detecting penetration–aspiration in this population. Finally, we review preliminary evidence suggesting that physical therapy techniques targeting altered respiratory muscle biomechanics may benefit swallowing in people with COPD. Knowledge gaps requiring further research are identified, and implications for clinical practice are discussed.

show abstract

Respiratory muscle training outcomes on swallowing biomechanics and respiratory function measures in normal subjects

Cited by 7 publications

References 15 publications

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

Efeitos Da Mamoplastia Redutora Na Função Pulmonar E Qualidade De Vida De Mulheres Submetidas À Gigantoplastia

Concurrent Validity of a Low‐Cost Manometer for Objective Assessments of Respiratory Muscle Strength

Chronic Obstructive Pulmonary Disease and Dysphagia: What Have We Learned So Far and What Do We Still Need to Investigate?

Contact Info

Product

Resources

About