scholarly journals Effect of osteopathic manipulative therapy on pulmonary function testing in children with asthma

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
LaQuita M. Jones ◽  
Christopher Regan ◽  
Kimberly Wolf ◽  
Jenifer Bryant ◽  
Alexander Rakowsky ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Routine Care ◽  
Pulmonary Function Testing ◽  
Clinical Indication ◽  
Oral Steroid ◽  
Care Group ◽  
Control Group ◽  
Forced Expiration ◽  
Positive Effects ◽  
Function Testing

Abstract Context Asthma is a leading cause of pediatric chronic illness, and poor disease control can lead to decreased quality of life and impaired academic performance. Although osteopathic manipulative treatment (OMT) has been shown to have positive effects on pulmonary function in adult patient populations, less is known about its impact in children. Objectives To evaluate changes in pulmonary function testing (PFT) in pediatric patients on the same day they received OMT compared with PFT in those who received usual care. Methods We recruited patients between the ages of 7–18 years with a diagnosis of asthma who were receiving routine care at a primary care asthma clinic and had undergone baseline spirometry. Patients were excluded if they met any of the following criteria: clinical indication for pre- and postbronchodilator spirometry on the day of their visit, albuterol use in the last 8 hours, oral steroid use in the previous 2 weeks, or diagnosis of asthma exacerbation in the previous 4 weeks. Eligible patients were then randomized to either an OMT or a control group. Patients in the OMT group were treated with rib raising and suboccipital release in addition to standard asthma care, while control group patients received standard care only. A second PFT was performed for patients in both groups at the end of the visit. OMT was performed by multiple osteopathic pediatric residents specifically trained for this study. Change in spirometry results (forced vital capacity [FVC], forced expiration volume in 1 second [FEV1], FVC/FEV1, and forced expiratory flow 25–75%) were then compared. Results The study population included 58 patients: 31 (53.4%) were assigned to the OMT group and 27 (46.6%) were assigned to the standard of care group. Patients who received OMT had greater improvement in all spirometry values compared to the usual group; however, these changes were not statistically significant. Conclusions The benefits of OMT on short term spirometry results in pediatric asthma patients remain unclear.

scholarly journals Diphenylhydantoin and Pulmonary Function

1979 ◽  
Vol 6 (1) ◽  
pp. 21-25
Author(s):  
Ronald J. Smith ◽  
Godfrey C. W. Man ◽  
S. F. Paul Man ◽  
Donald R. McLean
Keyword(s):  
Pulmonary Function ◽  
Lung Volume ◽  
Pulmonary Function Testing ◽  
Control Group ◽  
Gas Mixing ◽  
Similar Time ◽  
Airway Function ◽  
Epileptic Patients ◽  
Predicted Values ◽  
Function Testing

SummaryThirty-nine epileptic patients underwent pulmonary function testing. Twenty-one of these patients, ranging in age from 16 to 44 years, had taken diphenylhydantoin (DPH) for 2 to 17 years. Eighteen patients, who had taken other anticonvulsants for similar time periods served as controls. Five patients in the DPH group had lung volume abnormalities, four had abnormal airway function, and five had abnormalities of alveolar gas mixing. One patient in the control group had lung volume abnormalities, two had abnormal airway function, and five had abnormalities of alveolar gas mixing. Statistical analysis revealed no significant differences between the groups, or between either group and predicted values.

scholarly journals Pulmonary Function Testing in Work-Related Asthma: An Overview from Spirometry to Specific Inhalation Challenge

2021 ◽  
Vol 18 (5) ◽  
pp. 2325
Author(s):  
Mathias Poussel ◽  
Isabelle Thaon ◽  
Emmanuelle Penven ◽  
Angelica I. Tiotiu
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Objective Evaluation ◽  
Pulmonary Function Testing ◽  
Initial Assessment ◽  
Work Related ◽  
Specific Inhalation Challenge ◽  
Occupational Setting ◽  
Inhalation Challenge ◽  
Function Testing

Work-related asthma (WRA) is a very frequent condition in the occupational setting, and refers either to asthma induced (occupational asthma, OA) or worsened (work-exacerbated asthma, WEA) by exposure to allergens (or other sensitizing agents) or to irritant agents at work. Diagnosis of WRA is frequently missed and should take into account clinical features and objective evaluation of lung function. The aim of this overview on pulmonary function testing in the field of WRA is to summarize the different available tests that should be considered in order to accurately diagnose WRA. When WRA is suspected, initial assessment should be carried out with spirometry and bronchodilator responsiveness testing coupled with first-step bronchial provocation testing to assess non-specific bronchial hyper-responsiveness (NSBHR). Further investigations should then refer to specialists with specific functional respiratory tests aiming to consolidate WRA diagnosis and helping to differentiate OA from WEA. Serial peak expiratory flow (PEF) with calculation of the occupation asthma system (OASYS) score as well as serial NSBHR challenge during the working period compared to the off work period are highly informative in the management of WRA. Finally, specific inhalation challenge (SIC) is considered as the reference standard and represents the best way to confirm the specific cause of WRA. Overall, clinicians should be aware that all pulmonary function tests should be standardized in accordance with current guidelines.

Pulmonary Function Testing in Patients with Tracheostomies: Feasibility and Technical Considerations

Lung ◽  
2021 ◽  
Author(s):  
Ajay Sheshadri ◽  
Leendert Keus ◽  
David Blanco ◽  
Xiudong Lei ◽  
Cheryl Kellner ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Function Testing ◽  
Technical Considerations

Pulmonary‐function testing in children

1989 ◽  
Vol 150 (12) ◽  
pp. 706-707 ◽  
Author(s):  
Peter D. Sly ◽  
Colin F. Robertson
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Function Testing

scholarly journals How Local SARS-CoV-2 Prevalence Shapes Pulmonary Function Testing Laboratory Protocols and Practices During the COVID-19 Pandemic

CHEST Journal ◽  
2021 ◽  
Author(s):  
Matthew J. Saunders ◽  
Jeffrey M. Haynes ◽  
Meredith C. McCormack ◽  
Sanja Stanojevic ◽  
David A. Kaminsky
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Testing Laboratory ◽  
Function Testing

scholarly journals Using Operational Analysis to Improve Access to Pulmonary Function Testing

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Ada Ip ◽  
Raymond Asamoah-Barnieh ◽  
Diane P. Bischak ◽  
Warren J. Davidson ◽  
W. Ward Flemons ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Financial Investment ◽  
Process Improvements ◽  
Operational Analysis ◽  
Healthcare Settings ◽  
Stakeholder Perspectives ◽  
Poor Access ◽  
Guide System ◽  
Function Testing

Background. Timely pulmonary function testing is crucial to improving diagnosis and treatment of pulmonary diseases. Perceptions of poor access at an academic pulmonary function laboratory prompted analysis of system demand and capacity to identify factors contributing to poor access.Methods. Surveys and interviews identified stakeholder perspectives on operational processes and access challenges. Retrospective data on testing demand and resource capacity was analyzed to understand utilization of testing resources.Results. Qualitative analysis demonstrated that stakeholder groups had discrepant views on access and capacity in the laboratory. Mean daily resource utilization was 0.64 (SD 0.15), with monthly average utilization consistently less than 0.75. Reserved testing slots for subspecialty clinics were poorly utilized, leaving many testing slots unfilled. When subspecialty demand exceeded number of reserved slots, there was sufficient capacity in the pulmonary function schedule to accommodate added demand. Findings were shared with stakeholders and influenced scheduling process improvements.Conclusion. This study highlights the importance of operational data to identify causes of poor access, guide system decision-making, and determine effects of improvement initiatives in a variety of healthcare settings. Importantly, simple operational analysis can help to improve efficiency of health systems with little or no added financial investment.

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