An objective clinical study of chest expansion.

Moll, J. M. H.; Wright, Valena

doi:10.1136/ard.31.1.1

Cited by 172 publications

(129 citation statements)

References 3 publications

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“…However compared to the western population Indians have lesser Chest expansion values [7]. In our study there was age wise difference in the chest expansion both in males and females.…”

Section: Resultscontrasting

confidence: 42%

Assessment of Reference Values of Chest Expansion Among Healthy Adults in Pune, India

Pagare¹

2017

IJPR

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Background: Chest expansion measurements are used to evaluate the patient's baseline status, treatment effectiveness, and progression of respiratory diseases with regards to chest wall mobility and respiratory muscle function. It is important to know the reference values of chest expansion of healthy adult Indian population for precise interpretation. Aim:To determine reference values of chest expansion for healthy adult Indian population. Methodology:Total 576 healthy adults participated in this observational study which was carried out at teaching institute and community in Pune city, India. Participants were apparently healthy and non smoking individuals who are recruited by purposive sampling technique. Data was obtained by measuring chest expansion with participants in standing position, elbows slightly flexed so that the hands rested on hips. Chest was exposed and with the help of an non stretchable inch tape the chest expansion was measured at three levels that is 2 nd intercostal space(ICS), 4 th intercostal space, and zyphoid process.Statistical Analysis: Data was analyzed with descriptive and inferential statistics. Level of significance was set at 0.05 -level.Results: 576 Participants were recruited for the study.293 were females and 283 were males. The mean age of female participants was 38.43 years (SD=16.52 years) , and the mean age of males were 39.99 years (SD= 17.13 years). Results showed that in female participants mean expansion at 2 nd ICS was 2.22 inches (SD=0.76 inches), at 4 th ICS was 2.22 inches (SD=0.73 inches) and at zyphoid process level was 2.27 inches (SD=0.78 inches) while in male participants mean expansion at 2 nd ICS was 2.76 inches (SD=0.90 inches), at 4 th ICS was 2.71 inches (SD=0.82 inches) and at zyphoid process level was 2.99 inches (SD=0.87 inches). Chest expansion in male participants' at all three levels was significantly higher than female participants. There was statistically significant difference between chest expansion at 2 nd , 4 th ICS and zyphoid process level in males but there was no such difference found in females. It was also observed that there was age-wise reduction in chest expansion in both males and females. Conclusion:It was concluded that male chest expansion was significantly higher than female participants. Study has provided the preliminary baseline for the chest expansion measurements obtained from healthy adult Indian population.

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“…However compared to the western population Indians have lesser Chest expansion values [7]. In our study there was age wise difference in the chest expansion both in males and females.…”

Section: Resultscontrasting

confidence: 42%

Assessment of Reference Values of Chest Expansion Among Healthy Adults in Pune, India

Pagare¹

2017

IJPR

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“…the 1970s (15,16). Several factors, most importantly different measurement techniques, hamper a proper comparison with our results (15,16).…”

Section: Discussionmentioning

confidence: 83%

“…Several factors, most importantly different measurement techniques, hamper a proper comparison with our results (15,16). The lack of studies comparing impairment in spinal mobility between patients with axial SpA and normal individuals can partly be explained by the fact that percentile curves from normal individuals did not exist until recently.…”

Section: Discussionmentioning

confidence: 87%

Hierarchy of Impairment of Spinal Mobility Measures in Ankylosing Spondylitis: Twelve‐Year Data

Ramiro

Landewé

Heijde

et al. 2015

Arthritis Care & Research

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Objective. To investigate which spinal mobility measures (SMMs) are most frequently impaired in patients with ankylosing spondylitis (AS), whether a hierarchy of impairment can be established, and whether assessing fewer measures sufficiently captures impairment in spinal mobility. Methods. Patients from the Outcome in Ankylosing Spondylitis International Study were followed up for 12 years. SMMs were considered impaired when falling below predefined cutoffs, derived from normal individuals. The proportion of patients in whom each SMM was impaired was calculated using baseline observation. In patients with ‡1 impaired SMM, we investigated how often impairment in spinal mobility would be missed if only a fixed number of SMMs was assessed. Analyses were repeated using all 12-year observations. Results. A total of 216 patients were included (70% males). Lateral spinal flexion (LSF) was the most frequently impaired measure, followed by the modified Schober (mSchober) test, tragus-to-wall, cervical rotation, intermalleolar distance, and chest expansion measures, respectively. This hierarchy was strikingly consistent over time, and independent of sex, symptom duration, and presence of syndesmophytes. In patients with ‡1 impaired SMM, LSF was impaired most frequently (86%), followed by the mSchober test (58%). If only LSF was measured, 14% of patients with impairment in any SMM would be missed; if additionally the mSchober test was measured, 9% would be missed. Conclusion. LSF followed by the mSchober test are the most frequently impaired mobility measures in AS, reflecting an earlier involvement of the lumbar spine, followed by involvement of the thoracic and cervical spine. In clinical practice LSF and the mSchober test suffice to screen impairment in spinal mobility.

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“…Verschakelen and Demedts, 4 using respiratory inductive plethysmography, showed that males of Ͼ 50 years of age in particular had shorter breathing movement distances for their rib cages. Moll and Wright 21 showed, using calipers, that anteroposterior chest expansion reduced with age in normal subjects. These results appear to be attributed to age-related decreases in chest wall compliance 22 and respiratory muscle strength.…”

Section: Discussionmentioning

confidence: 99%

Breathing Movements of the Chest and Abdominal Wall in Healthy Subjects

2012

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BACKGROUND: Physical assessment of breathing is an important component of physical therapy evaluations. However, there are no standardized reference values of breathing movements available for use in clinical practice. The purpose of this study was to determine the 3-dimensional distances of observational points on the thorax and abdomen during breathing in healthy subjects and to assess the effects of age, posture, and sex on breathing movements. METHODS: We studied the 3-dimensional breathing movement distances of the thorax and abdomen in 100 healthy subjects (50 males, 50 females). Breathing movements were measured with a 3-dimensional motion system during quiet and deep breathing with subjects in supine and sitting positions. Thirteen reflective markers were placed on the upper (the clavicles, 3rd ribs, and sternal angle) and lower thorax (the 8th ribs, 10th ribs, and xiphoid process) and the abdomen (upper abdomen and lateral abdomen). Range of movement in both breathing conditions was measured as the 3-dimensional distance at half respiratory cycle. Respiratory rates were calculated based on the breathing movements analyzed. One-way analysis of variance, t tests, and multiple regression were used for statistical analysis. RESULTS: The average marker distances for the thorax and abdomen during quiet breathing were less than one third of those during deep breathing. Upper thoracic movement was significantly decreased with age. There was less abdominal movement in females than in males, except during quiet breathing in the supine position. The distances between the thoracic markers were greater and those of the abdomen were less during quiet and deep breathing in the sitting position, compared with those in the supine position. CONCLUSIONS: We found that the observed breathing movements were related to the effects of age, sex, and posture. These findings are in agreement with those reported in previous studies. The results may be helpful in assessing breathing movement by physical examination.

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An objective clinical study of chest expansion.

Cited by 172 publications

References 3 publications

Assessment of Reference Values of Chest Expansion Among Healthy Adults in Pune, India

Assessment of Reference Values of Chest Expansion Among Healthy Adults in Pune, India

Hierarchy of Impairment of Spinal Mobility Measures in Ankylosing Spondylitis: Twelve‐Year Data

Breathing Movements of the Chest and Abdominal Wall in Healthy Subjects

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