Microrint pulmonary function testing in older adults with an intellectual disability

Pouls, Katrien P.M.; Alsema, Lianne E.; Laan, Hester van der; Evenhuis, Heleen M.; Penning, Corine

doi:10.1016/j.rmed.2009.05.021

Cited by 11 publications

(12 citation statements)

References 12 publications

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“…20 Maneuvers were discarded when expiration was hampered or when interruption of expiration was not timed correctly (visual check). Median values of 5-10 approved maneuvers were used in analyses.…”

Section: Clinical Measurementsmentioning

confidence: 99%

Respiratory Effects of Commuters' Exposure to Air Pollution in Traffic

Zuurbier¹,

Hoek²,

Oldenwening³

et al. 2011

Epidemiology

102

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Section: Clinical Measurementsmentioning

confidence: 99%

Respiratory Effects of Commuters' Exposure to Air Pollution in Traffic

Zuurbier¹,

Hoek²,

Oldenwening³

et al. 2011

Epidemiology

102

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“…There were attempts to use the interrupter technique for assessment of lung function in adults, including patients unable to perform examinations involving cooperation. The interrupter technique may be applied in patients with intellectual disabilities, in whom diagnostics of respiratory diseases usually relies merely on physical symptoms [21].…”

Section: Assessment Of Resistance Using the Interrupter Techniquementioning

confidence: 99%

Methods of Airway Resistance Assessment

Urbankowski

Przybyłowski

2016

Advances in Respiratory Medicine

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Airway resistance is the ratio of driving pressure to the rate of the airflow in the airways. The most frequent methods used to measure airway resistance are whole-body plethysmography, the interrupter technique and the forced oscillation technique. All these methods allow to measure resistance during respiration at the level close to tidal volume, they do not require forced breathing manoeuvres or deep breathing during measurement. The most popular method for measuring airway resistance is whole-body plethysmography. The results of plethysmography include among others the following parameters: airway resistance (Raw), airway conductance (Gaw), specific airway resistance (sRaw) and specific airway conductance (sGaw). The interrupter technique is based on the assumption that at the moment of airway occlusion, air pressure in the mouth is equal to the alveolar pressure . In the forced oscillation technique (FOT), airway resistance is calculated basing on the changes in pressure and flow caused by air vibration. The methods for measurement of airway resistance that are described in the present paper seem to be a useful alternative to the most common lung function test - spirometry. The target group in which these methods may be widely used are particularly the patients who are unable to perform spirometry.

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“…The feasibility, repeatability and reproducibility of measuring airway resistance using the interrupter technique (MicroRint; BD, Franklin Lakes, NJ, USA) in lieu of spirometry has been studied in 67 people aged 50 years or over with a mild, moderate or severe intellectual disability [ 29 ]. Airway resistance during tidal breathing has a good correlation with forced expiratory volume in 1 s, which is measured with spirometry [ 30 ] and has been used successfully in children with cerebral palsy [ 31 ].…”

Section: Asthma and Intellectual Disabilitymentioning

confidence: 99%

“…Management strategies such as those of GINA are likely to be difficult for healthcare professionals to implement for people with intellectual disability for a number of reasons. Firstly, in regard to diagnosis, cognitive deficits in people with intellectual disability may render spirometry problematic due to a lack of co-operation, and diagnoses are therefore usually based on observable symptoms [ 29 ]. As a result, “mild and moderate pulmonary problems may be missed and under treatment is to be expected, whereas over treatment is also possible because of the lack of objective monitoring of effects” [ 29 ].…”

Section: Asthma Management and Intellectual Disabilitymentioning

confidence: 99%

Asthma in intellectual disability: are we managing our patients appropriately?

Davis

2016

Breathe

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People with intellectual disability are a vulnerable group of people with asthma that has, to date, largely been ignored in the medical literature. Although guidelines for medication management for people with intellectual disability suggest asthma is treated as for other populations, there are special considerations that should be taken into account when managing asthma in this group. Due to their cognitive impairment as well as comorbidities, they are likely to require support with asthma self-management, including inhaler use. Their varying degrees of autonomy mean that there is often a need to provide education and information to both the person and their caregivers.Educational aimsTo understand general principles of health of people with intellectual disability and how this affects the healthcare professional’s approach to asthma management.To understand how intellectual disability affects cognition, autonomy and communication, and therefore the ability of a person to self-manage asthma.To recognise ways of mitigating respiratory disease risk in people with intellectual disability.To describe ways for healthcare professionals to support people with intellectual disability and their caregivers in asthma management.

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Microrint pulmonary function testing in older adults with an intellectual disability

Abstract: Feasibility, repeatability and reproducibility of measuring airway resistance using the MicroRint are good and acceptable in people with a mild or moderate intellectual disability aged 50 years or over.

Cited by 11 publications

References 12 publications

Respiratory Effects of Commuters' Exposure to Air Pollution in Traffic

Respiratory Effects of Commuters' Exposure to Air Pollution in Traffic

Methods of Airway Resistance Assessment

Asthma in intellectual disability: are we managing our patients appropriately?

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