Chest Expansion and Modified Schober Measurement Values in a Healthy, Adult Population

Memetoğlu, Özge Illeez; Bütün, Bülent; Sezer, İlhan

doi:10.5606/archrheumatol.2016.5765

Cited by 9 publications

(5 citation statements)

References 15 publications

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“…Thus, the laser distance measurements do not account for chest movement during breathing. Studies on chest anterior to posterior dimension change with maximal inspiratory and respiratory effort for the average age of our study population is 3–3.5 cm 30 . Although patients have a smaller tidal volume and less chest wall motion after cardiac surgery than non-surgical participants during maximal respiratory effort, there are still changes in anterior to posterior chest dimensions which could cause small differences in height measurements.…”

Section: Discussionmentioning

confidence: 97%

A Low-power wearable acoustic device for accurate invasive arterial pressure monitoring

et al. 2023

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Background Millions of catheters for invasive arterial pressure monitoring are placed annually in intensive care units, emergency rooms, and operating rooms to guide medical treatment decision-making. Accurate assessment of arterial blood pressure requires an IV pole-attached pressure transducer placed at the same height as a reference point on the patient’s body, typically, the heart. Every time a patient moves, or the bed is adjusted, a nurse or physician must adjust the height of the pressure transducer. There are no alarms to indicate a discrepancy between the patient and transducer height, leading to inaccurate blood pressure measurements. Methods We present a low-power wireless wearable tracking device that uses inaudible acoustic signals emitted from a speaker array to automatically compute height changes and correct the mean arterial blood pressure. Performance of this device was tested in 26 patients with arterial lines in place. Results Our system calculates the mean arterial pressure with a bias of 0.19, inter-class correlation coefficients of 0.959 and a median difference of 1.6 mmHg when compared to clinical invasive arterial measurements. Conclusions Given the increased workload demands on nurses and physicians, our proof-of concept technology may improve accuracy of pressure measurements and reduce the task burden for medical staff by automating a task that previously required manual manipulation and close patient surveillance.

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Section: Discussionmentioning

confidence: 97%

A Low-power wearable acoustic device for accurate invasive arterial pressure monitoring

et al. 2023

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“…The difference between inspiration and expiration was recorded as thoracic expansion. The measurements were performed with the participant unclothed with the exception of close-fitting undergarments from the waist up, and the participant’s arms at their side while standing (Illeez Memetoglu et al, 2016). Three separate measures were taken during each visit to the lab, and the average of the three measures was recorded.…”

Section: Methodsmentioning

confidence: 99%

“…Individuals with chronic respiratory disease also show changes in chest wall motility, resulting in chest wall stiffness and altered chest biomechanics (Reddy et al, 2019). Abnormalities of thoracic expansion have been documented in patients with severe airflow obstruction and hyperinflation, restrictive lung disease, ankylosing spondylitis, and asthma (Gilmartin & Gibson, 1984; Illeez Memetoglu et al, 2016; Moll & Wright, 1972; Reddy et al, 2019). Individuals with a higher body mass index (BMI) have also been found to have a lower level of thoracic expansion due to increased adipose tissue, and a decrease in muscle strength, resulting in decreased thoracic cavity expansion and limitations in diaphragmatic excursion (Derasse et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Body Mass Index and Thoracic Expansion in Post-COVID Dyspnea: A Secondary Analysis

Morgan,

Thomas,

Morris

et al. 2024

Clin Nurs Res

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Dyspnea secondary to lung impairment can persist following the acute phase of COVID-19. Thoracic expansion measurements have been used as a diagnostic tool to evaluate chest wall mobility, respiratory function, and the effects of respiratory muscle strength training. Changes in chest wall mobility may occur because of altered chest biomechanics in individuals with respiratory diseases and an elevated body mass index (BMI). The purpose of this secondary analysis was to evaluate whether BMI influences thoracic expansion or forced expiratory volume over 1 second (FEV1) in individuals with persistent dyspnea following COVID-19. This study assessed the relationship between BMI and thoracic expansion, pulmonary symptoms, and exercise capacity following a home-based pulmonary rehabilitation intervention. A secondary data analysis was conducted with a sample of 19 adults with persistent dyspnea following COVID-19 infection who participated in a 12-week, home-based pulmonary rehabilitation study. Participants received expiratory muscle strength training devices and were instructed to perform pulmonary rehabilitation exercises three times per week over the study period. Pulmonary function, pulmonary symptoms, exercise capacity, and BMI measurements were collected. For analysis, study participants were divided into obese (BMI > 30 kg/m2) or nonobese (BMI < 30 kg/m2) categories. Correlations using the change scores from baseline to 12 weeks between thoracic expansion, FEV1, pulmonary symptoms, and exercise capacity were assessed. In addition, the minimal detectable change (MDC) in thoracic expansion was explored. Thoracic expansion was significantly improved after 12 weeks of training ( p = .012) in the nonobese group. There was a significant correlation between the change in walking distance and pulmonary symptoms ( r = −.738, p < .001) and in thoracic expansion ( r = .544, p = .020), and walking distance, when controlling for BMI, but no change in FEV1. Average MDC was 1.28 for inspiration and 0.91 for expiration. Measurements of thoracic expansion were significantly lower in post-COVID individuals with an increased BMI. Individuals with persistent dyspnea and a higher BMI may require additional measures to increase chest mobility or to detect pulmonary changes following COVID-19.

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“…Primary outcomes include the Bath ankylosing spondylitis Metrology Index (BASMI), which will be utilized to assess spinal mobility in the subjects. Secondary outcomes to measure functional capacity (Bath ankylosing spondylitis Functional Index, BASFI), sleep quality (Pittsburgh Sleep Quality Index, PSQI), pain symptom response to the intervention (Numerical Pain Rating scale, NPRS) and rib‐cage mobility (chest expansion, CE) have also been considered 19–23 . The therapist measured this at pre‐treatment, at 8 weeks (post‐treatment) and at 12 weeks, to assess further progression and persistence of the benefits of the intervention.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Yoga with exercise in ankylosing spondylitis on mobility and functional capacity

Acharya,

Venkatesan,

Karvannan

et al. 2024

Int J of Rheum Dis

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AimTo compare the effects of Yoga with traditional exercise on the mobility and functional capacity of individuals with ankylosing spondylitis (AS).MethodsThe participants of the study were recruited at the rheumatology department, adhering to the study's inclusion and exclusion criteria. Participants were randomized into two groups (Group A – Yoga, and Group B – exercise).The candidates participated in an 8‐week intervention consisting of 3 weekly sessions of either Yoga or Exercise intervention. Outcomes were collected at pre‐treatment, at 8 weeks, and at 12 weeks.ResultsThe within‐group comparison showed an improvement in all outcome measures with p < .05 between post‐treatment and the follow‐up. In the yoga group, there was an improvement in the measures of BASMI (p = .001), BASFI (p = .005), PSQI (p = .021), CE (p = .053) and NPRS (p = .001). Similarly, in the exercise group, there was an improvement in BASMI (p = .002), BASFI (p = .003), PSQI (p = .010), CE (p = .004) and NPRS (p = .001). In the between group comparison at post‐treatment, there were no statistically significant differences in BASMI (yoga = 3.0 ± 1.50, exercise = 2.3 ± 1.38), PSQI (yoga = 5.3 ± 1.50, exercise = 4.9 ± 1.17) and NPRS (yoga = 1.3 ± 2.22, exercise = 0.4 ± 0.50) CE (yoga = 4.0 ± 1.18, exercise = 3.4 ± 0.96), BASFI (yoga = 1.8 ± 2.14, exercise = 2.1 ± 1.87).ConclusionThe results demonstrated a statistically significant improvement in within‐group scores of mobility, functional capacity, sleep quality and pain in AS patients of both intervention programs but there were no significant differences between the groups.

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Chest Expansion and Modified Schober Measurement Values in a Healthy, Adult Population

Cited by 9 publications

References 15 publications

A Low-power wearable acoustic device for accurate invasive arterial pressure monitoring

A Low-power wearable acoustic device for accurate invasive arterial pressure monitoring

Body Mass Index and Thoracic Expansion in Post-COVID Dyspnea: A Secondary Analysis

Comparison of Yoga with exercise in ankylosing spondylitis on mobility and functional capacity

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