Non-invasive assessment of respiratory muscle strength in patients with previous poliomyelitis

Soliman, M G G; Higgins, Seán; El-Kabir, Desirie R.; Davidson, A C; Williams, Adrian J.; Howard, Robin S.

doi:10.1016/j.rmed.2005.02.035

Cited by 17 publications

(17 citation statements)

References 16 publications

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“…Previously, many studies investigating lung function in patients with poliomyelitis sequelae( 8 , 14 - 18 ) and other neuromuscular diseases( 19 ) were controversial because of the differences among patients in terms of their characteristics, which are usually dependent on the degree of impairment, the origin of the patients (outpatients having less disease progression), gender, and the presence of respiratory complaints. …”

Section: Discussionmentioning

confidence: 99%

Lung function in post-poliomyelitis syndrome: a cross-sectional study

Lira

Minozzo

Sousa³

et al. 2013

J. bras. pneumol.

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OBJECTIVE: To compare lung function between patients with post-poliomyelitis syndrome and those with sequelae of paralytic poliomyelitis (without any signs or symptoms of post-poliomyelitis syndrome), as well as between patients with post-poliomyelitis syndrome and healthy controls. METHODS: Twenty-nine male participants were assigned to one of three groups: control; poliomyelitis (comprising patients who had had paralytic poliomyelitis but had not developed post-poliomyelitis syndrome); and post-poliomyelitis syndrome. Volunteers underwent lung function measurements (spirometry and respiratory muscle strength assessment). RESULTS: The results of the spirometric assessment revealed no significant differences among the groups except for an approximately 27% lower mean maximal voluntary ventilation in the post-poliomyelitis syndrome group when compared with the control group (p = 0.0127). Nevertheless, the maximal voluntary ventilation values for the post-poliomyelitis group were compared with those for the Brazilian population and were found to be normal. No significant differences were observed in respiratory muscle strength among the groups. CONCLUSIONS: With the exception of lower maximal voluntary ventilation, there was no significant lung function impairment in outpatients diagnosed with post-poliomyelitis syndrome when compared with healthy subjects and with patients with sequelae of poliomyelitis without post-poliomyelitis syndrome. This is an important clinical finding because it shows that patients with post-poliomyelitis syndrome can have preserved lung function.

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Section: Discussionmentioning

confidence: 99%

Lung function in post-poliomyelitis syndrome: a cross-sectional study

Lira

Minozzo

Sousa³

et al. 2013

J. bras. pneumol.

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“…This has great clinical relevance, given that, in neuromuscular diseases 42,43 , reduced respiratory muscle strength can be detected prior to the decrease in lung volume 44 . During adolescence, the changes that presumably occur up to physiological maturity are influenced by sex hormones, which may directly or indirectly interfere with respiratory muscle strength 11,45 .…”

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confidence: 98%

Prediction equations for maximal respiratory pressures of Brazilian adolescents

Mendes

Campos

Macêdo

et al. 2013

Braz. J. Phys. Ther.

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| Background: The literature emphasizes the need for studies to provide reference values and equations able to predict respiratory muscle strength of Brazilian subjects at different ages and from different regions of Brazil. Objectives: To develop prediction equations for maximal respiratory pressures (MRP) of Brazilian adolescents. Method: In total, 182 healthy adolescents (98 boys and 84 girls) aged between 12 and 18 years, enrolled in public and private schools in the city of Natal-RN, were evaluated using an MVD300 digital manometer (Globalmed ® ) according to a standardized protocol. Statistical analysis was performed using SPSS Statistics 17.0 software, with a significance level of 5%. Data normality was verified using the Kolmogorov-Smirnov test, and descriptive analysis results were expressed as the mean and standard deviation. To verify the correlation between the MRP and the independent variables (age, weight, height and sex), the Pearson correlation test was used. To obtain the prediction equations, stepwise multiple linear regression was used. Results: The variables height, weight and sex were correlated to MRP. However, weight and sex explained part of the variability of MRP, and the regression analysis in this study indicated that these variables contributed significantly in predicting maximal inspiratory pressure, and only sex contributed significantly to maximal expiratory pressure. Conclusion: This study provides reference values and two models of prediction equations for maximal inspiratory and expiratory pressures and sets the necessary normal lower limits for the assessment of the respiratory muscle strength of Brazilian adolescents.Keywords: adolescent; respiratory muscles; spirometry; muscle strength; reference values; movement. HOW TO CITE THIS ARTICLE

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“…157 Patients with dysphagia, cough after swallowing, dysphonia, dyspnea, tachypnea, prominent use of accessory muscles of respiration, or paradoxical breathing should be investigated thoroughly before a planned procedure with pulmonary function testing and analysis of arterial blood gases. 157,158 Noninvasive positive pressure ventilation may be necessary during postoperative recovery, because symptoms of sleep-related disordered breathing may worsen after surgery. 159 In addition, patients with bulbar and bulbospinal polio are at an increased risk of pulmonary aspiration.…”

Section: Poliomyelitismentioning

confidence: 99%

Resurgence of Vaccine-Preventable Diseases in the United States: Anesthetic and Critical Care Implications

Porteous

Hanson

Sueda

et al. 2016

Anesthesia &Amp; Analgesia

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Vaccine-preventable diseases (VPDs) such as measles and pertussis are becoming more common in the United States. This disturbing trend is driven by several factors, including the antivaccination movement, waning efficacy of certain vaccines, pathogen adaptation, and travel of individuals to and from areas where disease is endemic. The anesthesia-related manifestations of many VPDs involve airway complications, cardiovascular and respiratory compromise, and unusual neurologic and neuromuscular symptoms. In this article, we will review the presentation and management of 9 VPDs most relevant to anesthesiologists, intensivists, and other hospital-based clinicians: measles, mumps, rubella, pertussis, diphtheria, influenza, meningococcal disease, varicella, and poliomyelitis. Because many of the pathogens causing these diseases are spread by respiratory droplets and aerosols, appropriate transmission precautions, personal protective equipment, and immunizations necessary to protect clinicians and prevent nosocomial outbreaks are described.

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Non-invasive assessment of respiratory muscle strength in patients with previous poliomyelitis

Cited by 17 publications

References 16 publications

Lung function in post-poliomyelitis syndrome: a cross-sectional study

Lung function in post-poliomyelitis syndrome: a cross-sectional study

Prediction equations for maximal respiratory pressures of Brazilian adolescents

Resurgence of Vaccine-Preventable Diseases in the United States: Anesthetic and Critical Care Implications

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