Avaliação biofotogramétrica da mobilidade toracoabdominal de recém-nascido após fisioterapia respiratória

Gomes, Danielle Cristina; Filho, Gentil Gomes da Fonseca; Araújo, Ana Gabriela de Figueiredo; Gomes, Valéria Lidyanne Silva; Júnior, Nailton Benjamim de Medeiros; Cavalcanti, Bárbara Emmily; Moran, Cristiane Aparecida; Pereira, Silvana Alves

doi:10.33233/fb.v19i1.2179

Cited by 5 publications

(8 citation statements)

References 14 publications

(20 reference statements)

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“…Other protocols for the assessment of breathing in newborns and children using biophotogrammetry suggest measuring the thoracic and abdominal areas. 15,[20][21][22][23] The biophotogrammetric analysis of respiratory mechanics (biofotogrametria para análise da mecânica respiratória -BAMER) originated from the irregular quadrilateral model, described in several previous studies on respiratory kinematics, [24][25][26][27][28] and proposes the establishment of transverse planes and the delimitation of the thoracic and abdominal compartments. Two studies included two new sub--compartments in each original compartment and obtained the thoracoabdominal edges drawn by straight lines on contours of anterior and posterior body surfaces.…”

Section: Discussionmentioning

confidence: 99%

“…They detected no significant difference; however, the results were antagonistic between the techniques applied. 22 The variables analyzed in this study to measure the thoracoabdominal motion of newborns and infants were not previously used and showed satisfactory intra-and inter-rater agreement. These measurements can translate the patients' breathing dynamics cycle by cycle.…”

Section: Same Framesmentioning

confidence: 94%

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Intra- And Inter-Rater Reliability of a Biophotogrammetric Assessment Protocol for Preterm Infants

Campos

Moreno

Silva

et al. 2021

Rev. paul. pediatr.

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Objective: To measure the intra- and inter-rater reliability of a biophotogrammetric assessment protocol for thoracoabdominal motion in preterm infants. Methods: This is an analytical cross-sectional study. Footage of 40 preterm infants was made in two views (lateral and anterior). The babies were placed in the supine position, with retroverted pelvis and semiflexed knees. Acrylic markers were positioned on surgical tape in eight predetermined anatomical points. We analyzed 4 variables in lateral view and 11 in anterior view (angular and linear) (ImageJ®), divided into two stages: 1. same frames - three blinded evaluators analyzed frames previously selected by the main researcher (inter-rater analysis 1), reviewing these same frames after 15 days (intra-rater analysis 1); 2. different frames - each evaluator selected the frames from the original video and repeated the protocol (inter-rater analysis 2), with a review after 15 days (intra-rater analysis 2). In stage 2, we tested the reliability of the entire process, from image selection to the analysis of variables. Data agreement and reproducibility were obtained by the intraclass correlation coefficient (ICC). Results: Agreement was high, particularly in angular variables (ICC 0.82 to 0.99). Linear variables ranged between very good and excellent in analysis 1 (same frames: ICC 0.64 to 0.99) and analysis 2 (different frames: ICC 0.44 to 0.89). Conclusions: The present study suggests that the proposed protocol for the thoracoabdominal motion analysis of preterm neonates has high reliability.

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Section: Discussionmentioning

confidence: 99%

Section: Same Framesmentioning

confidence: 94%

Intra- And Inter-Rater Reliability of a Biophotogrammetric Assessment Protocol for Preterm Infants

Campos

Moreno

Silva

et al. 2021

Rev. paul. pediatr.

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“…Abdominal participation only increased with the increase in the period of oxygen use. This participation was measured by the measurement of the thoracoabdominal expansion, as previously mentioned by other authors 3,5,6,[12][13][14] and which is a procedure that has been recently used in the field of neonatology 3,9,10 .…”

Section: Discussionmentioning

confidence: 99%

“…Videogrammetric analysis was used recently by Gomes et al 9 and Gomes et al 10 . In these studies, the authors filmed the newborn for 60 seconds and evaluated, using frames extracted from the footage, the thoracoabdominal motion before and after different respiratory physiotherapy procedures were performed, demonstrating that this is an effective methodology for obtaining measurements and quantitative data for neonatal clinical applications 9,10 .…”

Section: Discussionmentioning

confidence: 99%

“…Improvements in non-invasive technologies and in ICU (Intensive Care Unit) procedures, aimed at monitoring respiratory mechanics, contribute to a more accurate assessment and allow a thoracoabdominal mobility analysis to be performed 5,6 . These technologies and procedures have long been considered clinically useful in the assessment of respiratory distress in newborn infants and are used routinely to measure the degree of respiratory difficulty in neonatology [7][8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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Interação toracoabdominal e sua relação com os fatores de risco biológico em recém-nascidos prematuros

et al. 2020

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RESUMO O objetivo do estudo foi avaliar a participação toracoabdominal durante a respiração e sua relação com os fatores de risco clínicos em recém-nascidos prematuros (RNPT). Trata-se de um estudo multicêntrico, transversal, realizado em duas unidades de cuidado intermediário neonatal com RNPT entre 26-35 semanas, estáveis hemodinamicamente, que fizeram uso de oxigênio ou suporte ventilatório durante a fase da internação. O movimento lateral do tronco foi filmado por 2 minutos e os vídeos foram avaliados no software MATLAB® para interpretação quantitativa da participação toracoabdominal, por um pesquisador cego sobre os dados da amostra. Os dados foram expressos graficamente em cm2 representando os valores máximos, mínimos e médios da participação de tórax e abdômen. O coeficiente de Pearson foi usado para avaliar a correlação entre as variáveis neonatais com a mobilidade. Foram avaliados 2.080 frames de 26 RNPT com idade gestacional média de 31 semanas ±2,34. Quanto maior a idade e o peso, maior a participação do tórax na respiração (r=0,55; p=0,001); e quanto maior o tempo de internação, menor é a sua participação (r=-0,40; p=0,04). A participação do abdômen aumenta de acordo com o aumento do número de dias em uso de oxigênio (r=0,33; p=0,001) e diminui com o aumento da idade e do peso (r=-0,41; p=0,001). A participação toracoabdominal tem relação direta com a idade gestacional e o peso. Como fatores externos, o uso prolongado de oxigênio e o tempo de internação interferem negativamente no padrão respiratório, uma vez que o aumento da participação abdominal durante a biomecânica respiratória pode representar um gasto energético.

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Respiratory synchrony comparison between preterm and full‐term neonates using inertial sensors

Silveira¹,

Magalhães

Holanda

et al. 2021

Pediatric Pulmonology

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Introduction: Due to inefficient respiratory control, newborns become prone to asynchronous thoracoabdominal (TA) movements. The present study quantitatively estimated the synchrony of TA in preterm and full-term newborns through an inertial and magnetic measurement units (IMMUs) system. Methods: This cross-sectional study was conducted with 20 newborns divided into Preterm Group (PTG, n = 10) and Full-Term Group (FTG, n = 10). Each neonate had IMMUs placed on the sternum and near the umbilicus, thus the TA motion was estimated through the resultant inclination angles calculated using a sensor fusion filter. The respiratory incursions were also manually counted and video-recorded for two minutes, then used to validate a Matlab custom-written routine for their automatic identification. The respiratory cycles were used to calculate the phase change angle (φ) between the thoracic and abdominal compartments. Association between the manual and automatic methods were verified by Pearson's correlation and root mean squared errors (RMSE), and the comparison between the groups was performed through the Student's t test with α = .05. Results:The values of respiratory incursions measured by both methods showed a high association and low measurement error (r = .96, RMSE = 9.8, p < .001). The FTG presented a higher occurrence of TA synchrony (p = .049) while the PTG group presented a higher occurrence of TA asynchrony (p = .036). No difference was found between the groups regarding the paradoxical classification (p = .071). Conclusion:The proposed method was valid to quantitatively assess the TA synchrony of hospitalized neonates. Preterm infants had a higher occurrence of the asynchronous respiratory pattern in comparison to full-term infants.

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Avaliação biofotogramétrica da mobilidade toracoabdominal de recém-nascido após fisioterapia respiratória

Cited by 5 publications

References 14 publications

Intra- And Inter-Rater Reliability of a Biophotogrammetric Assessment Protocol for Preterm Infants

Intra- And Inter-Rater Reliability of a Biophotogrammetric Assessment Protocol for Preterm Infants

Interação toracoabdominal e sua relação com os fatores de risco biológico em recém-nascidos prematuros

Respiratory synchrony comparison between preterm and full‐term neonates using inertial sensors

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