Avaliação ultra-sonográfica da mobilidade do diafragma em diferentes posturas em sujeitos saudáveis

Yamaguti, Wellington Pereira; Paulin, Elaine; Shibao, Simone; Kodaira, Sérgio Keidi; Chammas, Maria Cristina; Carvalho, Celso Ricardo Fernandes

doi:10.1590/s1806-37132007000400009

Cited by 30 publications

(11 citation statements)

References 27 publications

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“…The movement of the diaphragm can also be evaluated by the displacement of abdominal organs in contact with the muscle [71,72,73,74]. The underlying rationale is that during breathing the liver and spleen undergo a translational motion with minimal alteration in shape [75].…”

Section: Review Findingsmentioning

confidence: 99%

A Review of the Ultrasound Assessment of Diaphragmatic Function in Clinical Practice

et al. 2016

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Ultrasonography is the only non-invasive, non-ionizing imaging technique widely available to directly assess diaphragmatic function. Two different sonographic approaches permit the assessment of muscle thickening in the zone of apposition and excursion of the dome of the diaphragm. Thanks to the new hand-held ultrasound instruments, the morphology and function of the diaphragm can be assessed in different settings, such as outpatient clinic, pulmonary function test laboratory, hospital department and intensive care unit, and under different conditions. Despite the existence of different acoustic views and several codified approaches, a comprehensive sonographic examination has never been standardized for clinical use. In this review, we summarize the clinical indications, methods and perspectives of the technique in adults.

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Section: Review Findingsmentioning

confidence: 99%

A Review of the Ultrasound Assessment of Diaphragmatic Function in Clinical Practice

et al. 2016

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“…Following study selection 26 papers were included in this scoping review (Table 1): five randomised controlled trials (RCTs) [13][14][15][16][17], nine cross-sectional studies [18][19][20][21][22][23][24][25][26], two case series [27][28], four case reports [29][30][31][32], five conference abstracts [33][34][35][36][37], one audit [38] ( Table 1). Five papers were in conference abstract form only [33][34][35][36][37] without a corresponding full published paper therefore only minimal methodological information could be gathered.…”

Section: Resultsmentioning

confidence: 99%

“…Of the twenty-six papers nine were performed on healthy subjects [17,20,22,23,25,28,[33][34][35] which accounted for 220 of the total 849 study participants (26%). Pathologies or conditions investigated included; post-operative upper abdominal surgery [15,26], chronic obstructive pulmonary disease (COPD) [13,14,24,29,30], critical care patients [19,32,36,37], post cerebral vascular accident (CVA) [21], spinal cord injury (SCI) [27,31], morbidly obese [16], adolescents with scoliosis [18] and healthy infants [35] (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Use of thoracic ultrasound by physiotherapists: a scoping review of the literature

Hayward

Janssen

2017

Physiotherapy

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Background Use of diagnostic thoracic ultrasound (TUS) in medical professions to examine the pleura, lung parenchyma and diaphragm is gaining in popularity, however the ways in which physiotherapists are using TUS is unclear. Objective The aim of this scoping review is to gain an understanding of the emerging evidence base surrounding physiotherapy use of TUS to inform research and clinical practice. Data Sources A systematic search was conducted of the following databases: Cochrane, EPPI centre, PROSPERO, Medline, CINAHL, AMED, EMBASE, HMIC, and BNI. Study Selection Inclusion criteria: primary research reporting the use of diagnostic TUS; a physiotherapist as part of the study design or as the chief investigator; published in English. Synthesis Methods Data regarding demographics, design, type of conditions and anatomical structures investigated and profession leading the TUS of included papers were compiled in a tabular format. Results 2 Of the 26 included papers, 9 studied healthy participants, 4 studied COPD and 4 studied critical care patients. Most papers (n=23) involved scanning the diaphragm. In 8 studies the physiotherapist operated the TUS. Limitations The paper selection process was performed by one author; with no cross-checking by another individual. Conclusion Use of TUS by physiotherapists is an emerging area in both diaphragm and lung diagnostics. A wide range of patient populations may benefit from physiotherapists using TUS. Papers in this review are heterogeneous making any generalisability difficult but does show its potential for varied uses. TUS is an innovative skill in the hands of physiotherapists, but more research is needed.

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“…Em decorrência da musculatura respiratória estar sempre ativa, e por participar da manutenção do tórax, esta apresenta características de musculatura tônica e, com frequência, está retraída, limitando consideravelmente as possibilidades inspiratórias, sugerindo menor oferta de oxigênio celular (SOUCHARD, 1996). Yamaguti et al (2007) também mostraram que existem diferenças na mobilidade diafragmática conforme o posicionamento mesmo em indivíduos saudáveis. Farkas, Cerny e Rochester (1996) ressaltam que além de compartilhar todas as características comuns aos músculos do esqueleto apendicular, os músculos respiratórios estão propensos a se fadigarem e também estão dotados com a capacidade de se adaptarem a condições adversas, incluindo os exercícios físicos, que podem levar ao encurtamento dos músculos inspiratórios acessórios.…”

Section: Introductionunclassified

Influência Das Técnicas De Terapia Manual Osteopática Na Função Respiratória

Santos¹,

Santos²,

Carli³

et al. 2016

Arq. Ciênc. Saúde Unipar

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As técnicas de terapia manual são consideradas como um método sistemático de avaliação e tratamento das disfunções do sistema neuromusculoesquelético, e estas têm como finalidade principal recuperar o movimento fisiológico em áreas onde existe restrição ou disfunção melhorando a função dos sistemas adjacentes. Contudo, na literatura são escassos os estudos sobre a utilização e eficácia destas técnicas, seja manipulativa ou de mobilização, na função respiratória, principalmente como uma forma preventiva de tratamento. O objetivo deste estudo foi avaliar as alterações nas funções pulmonares e na expansibilidade torácica em indivíduos normais submetidos às técnicas osteopáticas. Este estudo foi caracterizado como quase experimental. Fizeram parte da amostra 30 voluntárias, com idade de 18 à 28 anos, sem patologias pulmonares conhecidas associadas. A avaliação da função pulmonar e expansibilidade torácica foram por meio da espirometria e cirtometria respectivamente. A amostra recebeu procedimento de intervenção sendo avaliada em dois momentos, antes e após a aplicação de uma manobra osteopática de manipulação (thrust) em coluna torácica e técnica de músculo energia para peitorais. Os resultados indicam que o protocolo foi capaz de aumentar a mobilidade torácica em todos os parâmetros avaliados, e na função pulmonar houve melhora estatisticamente significativa no pico de fluxo expiratório.

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Avaliação ultra-sonográfica da mobilidade do diafragma em diferentes posturas em sujeitos saudáveis

Cited by 30 publications

References 27 publications

A Review of the Ultrasound Assessment of Diaphragmatic Function in Clinical Practice

A Review of the Ultrasound Assessment of Diaphragmatic Function in Clinical Practice

Use of thoracic ultrasound by physiotherapists: a scoping review of the literature

Influência Das Técnicas De Terapia Manual Osteopática Na Função Respiratória

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