scholarly journals Forced Oscillation Technique: a surrogate measure of lung function in neuromuscular disease patients?

2022 ◽  
Author(s):  
Esther Veldhoen ◽  
Hans Roos ◽  
Rolien Bekkema ◽  
Ludo van der Pol ◽  
Marcel Tinnevelt ◽  
...  
Keyword(s):  
Lung Function ◽  
Linear Relation ◽  
Forced Oscillation ◽  
Neuromuscular Disorders ◽  
Correlation Coefficients ◽  
Forced Oscillation Technique ◽  
Spearman Correlation ◽  
Respiratory Resistance ◽  
Non Linear ◽  
Surrogate Measure

Introduction Spirometry plays an important role in the assessment of possible respiratory failure in children with neuromuscular disorders (NMDs). However, obtaining reliable spirometry results is a major challenge. We studied the relation between Forced Oscillation Technique (FOT) and spirometry results. FOT is an easy, non-invasive method to measure respiratory mechanics, i.e. respiratory resistance R and respiratory reactance X. We hypothesized an increased resistance R and reduced reactance X in patients with more reduced lung function. Methods In this prospective single center study we included all children with NMDs able to perform spirometry. We consecutively measured respiratory resistance R and reactance X at 5, 11 and 19 Hz and (Forced) Vital Capacity, Peak Expiratory Flow. Spearman correlation coefficients were calculated and regression curves were estimated. Results We included 148 patients, with a median age of 13 years (IQR 8-16). All correlation coefficients were statistically significant with p = 0.000. A negative correlation was found between resistance R and spirometry outcomes (spearman correlation coefficient (ρ) between -0.5 and -0.6). A positive correlation was found between reactance X (i.e. less negative outcomes) and spirometry outcomes (ρ between 0.4 and 0.6). Highest correlation was found at lower frequencies. Regression analysis showed a non-linear relation between FOT and spirometry results. Conclusion We found a non-linear relation between FOT and spirometry results with increased resistance R and reduced reactance X in patients with more restrictive lung function decline. Given the difficulties with performing spirometry, FOT may be a promising surrogate measure of lung function.

scholarly journals Forced Oscillation Technique for Monitoring the Respiratory Status of Children with Cystic Fibrosis: A Systematic Review

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 857
Author(s):  
Ioanna Loukou ◽  
Maria Moustaki ◽  
Agni Deligianni ◽  
Olympia Sardeli ◽  
Konstantinos Douros
Keyword(s):  
Cystic Fibrosis ◽  
Lung Function ◽  
Children And Adolescents ◽  
Forced Oscillation ◽  
Clinical Symptoms ◽  
Current Evidence ◽  
Forced Oscillation Technique ◽  
Gold Standard Method ◽  
Respiratory Status ◽  
Alternative Modality

Spirometry is considered the gold standard method for monitoring lung function of patients with cystic fibrosis (CF) but it requires patients’ cooperation and therefore it is not useful for the majority of preschool-aged children. Oscillometry is an alternative modality for lung function monitoring that requires minimal cooperation and can be applied in children as young as 3 years of age. Furthermore, it generates lesser aerosol compared to spirometry, an issue that is of considerable importance in the COVID-19 era. The aim of this review was to present the existing clinical data regarding the application of oscillometry in children and adolescents with CF. The method seems to have acceptable feasibility and repeatability. However, there is conflicting data regarding the correlation of oscillometry values with the clinical symptoms of CF patients either in clinically stable or in exacerbation periods. Furthermore, it is not clear to what extent oscillometry measurements correlate with the spirometry indices. Based on current evidence, spirometry cannot be substituted by oscillometry in the monitoring of the respiratory status of children and adolescents with CF.

Laryngeal resistance immediately after panting in control and constricted airways

1985 ◽  
Vol 58 (4) ◽  
pp. 1164-1169 ◽  
Author(s):  
K. Sekizawa ◽  
H. Sasaki ◽  
T. Takishima
Keyword(s):  
Forced Oscillation ◽  
Low Frequency ◽  
Normal Subjects ◽  
Forced Oscillation Technique ◽  
Respiratory Resistance ◽  
Frequency Sound ◽  
Laryngeal Resistance ◽  
Control State

Laryngeal resistance (Rla) in the postpanting interval (PPRla) was examined in five normal subjects in the control state and with methacholine- and histamine-induced bronchoconstriction. Respiratory resistance (Rrs) was measured by the forced oscillation technique at 10 Hz, and Rla was measured by the low-frequency sound method (Sekizawa, K., C. Shindoh, W. Hida, S. Suzuki, et al. J. Appl. Physiol. 55:591–597, 1983). Inspiratory Rrs (IRrs) was lower than expiratory Rrs (ERrs), and Rrs immediately after panting (PPRrs) was not significantly different from IRrs in the three airway conditions. Rla increased with bronchoconstriction and inspiratory Rla (IRla) was lower than expiratory Rla (ERla). PPRla was lower than IRla (P less than 0.01) by an amount corresponding to the decrease in Rrs in the control airway. However, in constricted airways, PPRla was higher than IRla and about the same as ERla. We suggest that the panting maneuver is suitable for minimizing the effect of laryngeal artifact in the control airway, but in the constricted airway the panting maneuver may fail to cause widening of the laryngeal orifice.

scholarly journals Impact of lung disease on respiratory impedance in young children with cystic fibrosis

2015 ◽  
Vol 46 (6) ◽  
pp. 1672-1679 ◽  
Author(s):  
Kathryn A. Ramsey ◽  
Sarath C. Ranganathan ◽  
Catherine L. Gangell ◽  
Lidija Turkovic ◽  
Judy Park ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Preschool Children ◽  
Lung Disease ◽  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Respiratory Resistance ◽  
Lung Abnormalities ◽  
Respiratory Inflammation ◽  
Function Testing ◽  
Tomography Scan

This study aimed to evaluate the ability of the forced oscillation technique (FOT) to detect underlying lung disease in preschool children with cystic fibrosis (CF) diagnosed following newborn screening.184 children (aged 3–6 years) with CF underwent lung function testing on 422 occasions using the FOT to assess respiratory resistance and reactance at the time of their annual bronchoalveolar lavage collection and chest computed tomography scan. We examined associations between FOT outcomes and the presence and progression of respiratory inflammation, infection and structural lung disease.Children with CF who had pronounced respiratory disease, including free neutrophil elastase activity, infection with pro-inflammatory pathogens and structural lung abnormalities had similar FOT outcomes to those children without detectable lung disease. In addition, the progression of lung disease over 1 year was not associated with worsening FOT outcomes.We conclude that the forced oscillation technique is relatively insensitive to detect underlying lung disease in preschool children with CF. However, FOT may still be of value in improving our understanding of the physiological changes associated with early CF lung disease.

The Reliability of Respiratory Resistance Measured by the Forced Oscillation Technique

1986 ◽  
Vol 71 (s15) ◽  
pp. 8P-9P
Author(s):  
J.E. Neild ◽  
C.H.C. Twort ◽  
S. Chinn ◽  
S. McCormack ◽  
P.G.J. Burney ◽  
...  
Keyword(s):  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Respiratory Resistance

Respiratory resistance by end-inspiratory occlusion and forced oscillations in intubated patients

1996 ◽  
Vol 80 (4) ◽  
pp. 1105-1111 ◽  
Author(s):  
L. Beydon ◽  
P. Malassine ◽  
A. M. Lorino ◽  
C. Mariette ◽  
F. Bonnet ◽  
...  
Keyword(s):  
Forced Oscillation ◽  
Forced Oscillations ◽  
Forced Oscillation Technique ◽  
Respiratory Impedance ◽  
Respiratory Resistance ◽  
Airway Occlusion ◽  
Residual Capacity ◽  
Occlusion Technique ◽  
Air Compression ◽  
Good Agreement

Measurement of respiratory impedance by the forced oscillation technique (FOT) in intubated patients requires corrections for the flow-dependent resistance, inertance, and air compression inside the endotracheal tube (ETT). Recently, we published a method to correct respiratory impedance for the mechanical contribution of the ETT. To validate this correction, we compared the respiratory resistance obtained with this method (Rfo) to the intrinsic (Rmin) and total resistances (RT) measured by the airway-occlusion technique (OCT) in 16 intubated sedated paralyzed ventilated patients. The FOT was applied at functional residual capacity in the 4- to 32-Hz frequency range, whereas the OCT was performed at the end of a normal constant-flow inspiration. Rmin corrected with Rfo measured at 16 and 32 Hz [Rfo(16) = 1.10 x Rmin + 0.10 cmH2O.s.l-1, r = 0.96, P < 0.001; Rfo(32) = 0.93 x Rmin + 0.72 cmH2O.s.l-1, r = 0.97, P < 0.001]. RT corrected with Rfo at 4 Hz [Rfo(4) = 1.11 x RT - 1.48 cmH2O.s.l-1; = 0.92; P < 0.001]. We conclude that the FOT improved by correction for the behavior of the ETT is in good agreement with the OCT in intubated patients.

scholarly journals Identification of key modules and hub genes associated with lung function in idiopathic pulmonary fibrosis

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9848
Author(s):  
Yuechong Xia ◽  
Cheng Lei ◽  
Danhui Yang ◽  
Hong Luo
Keyword(s):  
Lung Function ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Differentially Expressed Gene ◽  
Correlation Coefficients ◽  
Cytokine Signaling ◽  
Spearman Correlation ◽  
Hub Genes ◽  
Expression Levels ◽  
Lung Dysfunction

Background Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive interstitial lung disease, characterized by a decline in lung function. To date, the pathophysiologic mechanisms associated with lung dysfunction remain unclear, and no effective therapy has been identified to improve lung function. Methods In the present study, we used weighted gene co-expression network analysis (WGCNA) to identify key modules and hub genes associated with lung function in IPF. Three datasets, containing clinical information, were downloaded from Gene Expression Omnibus. WGCNA was performed on the GSE32537 dataset. Differentially expressed gene s (DEGs) between IPF patients and healthy controls were also identified to filter hub genes. The relationship between hub genes and lung function was then validated using the GSE47460 and GSE24206 datasets. Results The red module, containing 267 genes, was positively correlated with the St. George’s Respiratory Questionnaire score (r = 0.37, p < 0.001) and negatively correlated with the percent predicted forced vital capacity (FVC% predicted) (r =  − 0.46, p < 0.001) and the percent predicted diffusion capacity of the lung for carbon monoxide (Dlco% predicted) (r =  − 0.42, p < 0.001). Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analysis suggested that the genes in the red module were primarily involved in inflammation and immune pathways. Based on Module Membership and Gene Significance, 32 candidate hub genes were selected in the red module to construct a protein-protein interaction network . Based on the identified DEGs and the degree of connectivity in the network, we identified three hub genes, including interleukin 6 (IL6), suppressor of cytokine signaling-3 (SOCS3), and serpin family E member 1 (SERPINE1). In the GSE47460 dataset, Spearman correlation coefficients between Dlco% predicted and expression levels of IL6, SERPINE1, SOCS3 were –0.32, –0.41, and –0.46, respectively. Spearman correlation coefficients between FVC% predicted and expression levels of IL6, SERPINE1, SOCS3 were –0.29, –0.33, and –0.27, respectively. In the GSE24206 dataset, all three hub genes were upregulated in patients with advanced IPF. Conclusion We identified three hub genes that negatively correlated with the lung function of IPF patients. Our results provide insights into the pathogenesis underlying the progressive disruption of lung function, and the identified hub genes may serve as biomarkers and potential therapeutictargets for the treatment of IPF patients.

scholarly journals Measuring lung function in asthmatic children: A spirometry and forced oscillation technique (FOT) comparison

2016 ◽  
Author(s):  
Giovanna Cilluffo ◽  
Salvatore Fasola ◽  
Velia Malizia ◽  
Giuliana Ferrante ◽  
Laura Montalbano ◽  
...  
Keyword(s):  
Lung Function ◽  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Asthmatic Children
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