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Titre : | Effects of Air Stacking Maneuver on Cough Peak Flow and Chest Wall Compartmental Volumes of Subjects With Amyotrophic Lateral Sclerosis (2017) |
Auteurs : | Antonio Sarmento ; Vanessa Resqueti ; Mario Dourado-Júnior |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/11, 2017) |
Article en page(s) : | p. 2237-2246 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Sclérose latérale amyotrophique (SLA) |
Mots-clés: | Amyotrophic lateral sclerosis ; Vital capacity ; Capacité vitale |
Résumé : |
Objectives To assess the acute effects of air stacking on cough peak flow (CPF) and chest wall compartmental volumes of persons with amyotrophic lateral sclerosis (ALS) versus healthy subjects positioned at 45° body inclination. Design Cross-sectional study with a matched-pair design. Setting University hospital. Participants Persons (N=24) with ALS (n=12) and age-matched healthy subjects (n=12). Main Outcomes Measures CPF, chest wall compartmental inspiratory capacity, chest wall vital capacity, chest wall tidal volume and operational volumes, breathing pattern, and percentage of contribution of the compartments to the inspired volume were measured by optoelectronic plethysmography. Results Compared with healthy subjects, significantly lower CPF (P=.007), chest wall compartmental inspiratory capacity (P<.001 chest wall vital capacity and tidal volume were found in subjects with als. immediately after air stacking cpf compartmental inspiratory significantly increased both groups values returning to basal only healthy subjects. the abdominal compartment was determined be responsible for inspired higher observed als minutes rib cage being change. no differences volumes of during protocol mainly because end-inspiratory significant percentage contribution compartments end-expiratory groups. operational breathing pattern persons> Conclusions Air stacking is effective in increasing CPF, chest wall compartmental inspiratory capacity, and chest wall vital capacity of persons with ALS with no hyperinflation. Differences in compartmental volume contributions are probably because of lung and chest wall physiological changes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317303106 |