Source: Annual Congress 2012 - Various issues in clinical physiology
Disease area: Airway diseases

Abstract

To study the acute effects of incentive spirometry (IS) volume-oriented on chest wall kinematics in chronic stroke patients and healthy subjects.
Volume of chest wall (CW), abdominal (ab), abdominal rib cage (RCab) and pulmonary rib cage (RCp) compartment were assessed in 20 chronic stroke patients (experimental group,EG) age 56±9.7 years old, FVC%:81.5±10.9 % and FEV1/FVC%:80.5 ±9.7 and 20 age-matched healthy subjects (control group,CG), age 56.5±10.3 years old, FVC%:95±6.8% (p=0.0028) and FEV1/FVC%:80.5 ±8.4 by Optoelectronic Plethysmography. Protocol comprise 3 moments: quite breathing (QB), volume-oriented IS (3 series/10 repetitions) and recovery quite breathing (rQB).The tidal volumes of chest wall in EG was lower compared to the CG, in QB (0.4vs0.61L), IS (1.8vs2.3 L) and rQB (0.4vs0.5 L) (p<0.0001). The tidal volume increase in chest wall 75% in EG and 73.3% CG during IS. Different pattern of breathing were found in tidal volume in EG compared to CG on ab compartment: QB(54.1%vs43.7%), IS(43.3%vs40.9%) and rQB(48.9% vs. 46.2%); RCab compartment, QB(13.8%vs16.8%), IS(19%vs20.6%) and rQB(15.2%vs17.2%) and RCp compartment, QB(30.7%vs37.9%), IS(37.7%vs39.9%) rQB(32.9%vs37.3%). Right and left hemithorax volume were different in EG, QB (ΔVt=0.06±0.04 ml vs 0.02±0.02 ml, p=0.002), IS(ΔVt=0.09 ±0.07 ml vs. 0.07±0.05 ml) and rQB(ΔVt= 0.07±0.07 vs 0.02±0.03 ml) independent of stroke side impairment.
Chest wall volumes are decrease in patients with chronic stroke. IS induces improvements in volume of chest wall in both groups; however, more pronounced in chronic stroke patients determining a breathing pattern similar that was observed in healthy subjects.

Rating:

Share or cite this content

Citations should be made in the following way:
I. Lima, G. Ferreira, T. Campos, R. Melo, E. Emanuelle, R. Florêncio, G. Fregonezi (Natal, Brazil). Acute effects of volume-oriented incentive spirometry on chest wall kinematics in patients chronic stroke. Eur Respir J 2012; 40: Suppl. 56, 3785

Member's Comments

No comment yet.

Related content which might interest you: Patterns of chest wall kinematics during pursed-lip breathing in patients with COPD Source: Eur Respir J 2003; 22: Suppl. 45, 551s Year: 2003 Acute effects of pursed-lips breathing on chest wall volumes and diaphragm mobility in COPD patients - Cross over study Source: International Congress 2015 – Rehabilitation, exercise, hospitalisation and COPD Year: 2015 Dynamic hyperinflation and effects of pursed lips breathing on chest wall kinematics during exercise in patients with asthma Source: Annual Congress 2012 - Exercise testing in disease Year: 2012 Effects of rehabilitation on chest wall volume regulation during exercise in COPD patients Source: Eur Respir J 2007; 29: 284-291 Year: 2007 Acute effect of chest wall muscle stretching on chest wall volumes distribuition in chronic obstructive pulmonary disease: A randomized controlled trial Source: Annual Congress 2012 - Physiotherapy and rehabilitative interventions applied to different populations with respiratory impairment Year: 2012 Acute effects of threshold positive expiratory pressure on chest wall volumes in Parkinson and chronic stroke patients Source: Annual Congress 2012 - Physiotherapy and rehabilitative interventions applied to different populations with respiratory impairment Year: 2012 Acute effect of chest physiotherapy on simple spirometry and tidal expiratory flow limitation in patients with bilateral bronchiectasis Source: Eur Respir J 2001; 18: Suppl. 33, 301s Year: 2001 Effects of continuous chest wall vibration on dyspnoea and exercise tolerance in patients with chronic obstructive pulmonary disease: a randomized controlled trial. Source: Virtual Congress 2020 – New insights into respiratory physiotherapy Year: 2020 The use of intermittent positive pressure breathing to prevent secondary pulmonary complications in patients with blunt chest wall trauma Source: International Congress 2016 – Physiotherapy interventions and assessment options in hospitalised patients Year: 2016 Effect of noninvasive ventilation on thoracoabdominal kinematics in patients with heart failure associated to cardiomegaly: A controlled randomized clinical trial Source: International Congress 2014 – Clinical physiology and respiratory muscles Year: 2014 Paradoxical movement of the lower ribcage at rest and during exercise in COPD patients Source: Eur Respir J 2009; 33: 49-60 Year: 2009 Chest physiotherapy changed the ventilatory mechanics in patients with COPD Source: Eur Respir J 2004; 24: Suppl. 48, 291s Year: 2004 Quantification of chest wall asynchonies in COPD patients during quiet breathing and exercise Source: Eur Respir J 2004; 24: Suppl. 48, 660s Year: 2004 Respiratory kinematics during exercise and recovery in severe COPD patients Source: Eur Respir J 2005; 26: Suppl. 49, 109s Year: 2005 Quantitative assessments for lung hyperinflation and chest wall geometry change by dynamic breathing MRI in patients with COPD Source: Virtual Congress 2020 – New imaging techniques applied to old problems Year: 2020 Chest wall kinematics during inspiratory load exercise in subjects with COPD Source: Annual Congress 2010 - Respiratory muscles and breathing: assessment and training Year: 2010 Effects of pulmonary rehabilitation on operational chest wall volumes during exercise in COPD patients Source: Annual Congress 2006 - Physiological responses to rehabilitation Year: 2006 Effects of pulmonary rehabilitation on dynamic hyperinflation during exercise in severe COPD patients Source: Eur Respir J 2005; 26: Suppl. 49, 719s Year: 2005 Chronic respiratory failure in a patient with chest wall deformity Source: International Congress 2017 – CC8 Noninvasive respiratory aids for continuous support in neuromuscular disorders  Year: 2017 The combined effects of manual chest squeezing coordinated expiration during exercise in patients with chronic obstructive pulmonary disease (COPD) Source: International Congress 2015 – Best abstracts in COPD management Year: 2015