scholarly journals Immediate Effects of Diaphragmatic Breathing with Cervical Spine Mobilization on the Pulmonary Function and Craniovertebral Angle in Patients with Chronic Stroke

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 826
Author(s):  
Ho Jung An ◽  
A Yeon Kim ◽  
Shin Jun Park
Keyword(s):  
Pulmonary Function ◽  
Forced Expiratory Volume ◽  
Diaphragmatic Breathing ◽  
Joint Mobilization ◽  
Post Test ◽  
Left And Right ◽  
Craniovertebral Angle ◽  
Impaired Pulmonary Function ◽  
Posterior Anterior

Background and Objectives: Patients with stroke have a forward neck posture due to neurological damage and often have impaired pulmonary function. This study investigated the effect of diaphragmatic breathing with cervical mobilization to improve pulmonary function cervical alignments. Materials and Methods: This study used a one-group pre-test–post-test design including 20 patients with stroke. Two types of cervical joint mobilization techniques, consisting of left and right lateral glide mobilization and posterior–anterior mobilization, were utilized. During joint mobilization, the patients performed diaphragmatic breathing. The measurements were performed immediately after the intervention. Pulmonary function was evaluated using a spirometer to measure the forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF). The craniovertebral angle (CVA) was measured using lateral photographs. Results: After diaphragm breathing with cervical joint mobilization, subjects had significantly increased FEV1, FVC, PEF and CVA. Conclusion: Diaphragm breathing with cervical joint mobilization are possible interventions to increase pulmonary function and improve the craniovertebral angle in patients with stroke. However, a complete conclusion can be reached only after a follow-up study has been conducted with a comparison of more subjects and controls.

scholarly journals Pattern of Pulmonary Function Test in Patients with Severe Mitral Stenosis

2015 ◽  
Vol 2 (2) ◽  
pp. 57-59
Author(s):  
Umme Salma Khan ◽  
Abdullah Al Shafi Majumder ◽  
AKM Monwarul Islam ◽  
Fazle Rabbi Mohammed
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Test ◽  
Mitral Stenosis ◽  
Vital Capacity ◽  
Forced Expiratory Volume ◽  
Female Ratio ◽  
Function Test ◽  
Male Female Ratio ◽  
Restricted Type ◽  
Impaired Pulmonary Function

Background: The deterioration in lung function in mitral stenosis correlates with the severity of stenotic valves. A correlation is noted between vital capacity and the severity of dyspnoea in patients with mitral stenosis. This study tried to evaluate the pattern of pulmonary function test in patient with severe mitral stenosis.Materials & Methods: This study involving 56 patients of severe mitral stenosis was performed in a referral cardiovascular center at Dhaka, Bangladesh from January to September, 2011. Colour doppler echocardiography and pulmonary function test were performed in each cases. Forced vital capacity (FVC), forced expiratory volume in first second (FEV1), FEV1/FVC and peak expiratory flow (PEF) rate was assessed from pulmonary function test. Finally, pattern of pulmonary function test in severe mitral stenosis was assessed.Results: Amomg 56 patients, 46 were female with a male female ratio 1: 0.22 and the mean age of patients was 28.76 ± 7.2. Among patients with severe mitral stenosis, mean FEV1 (%) was 60.18 ± 13.054. Minimum FVC (%) was 26, maximum was 90 with mean 53.80 ± 12.313. The PEF varied from 150 to 330 L/minute with mean 223.75 ± 62.3251. In current study, out of 56 patients, 2 cases had obstructive type and rest of the patients had restricted type of airway on pulmonary function.Conclusion: The brief results of this study reveal that severe mitral stenosis is associated with impaired pulmonary function, usually presenting restrictive airway pattern.Bangladesh Crit Care J September 2014; 2 (2): 57-59

scholarly journals Impact of detecting and treating exercise-induced bronchoconstriction in elite footballers

2018 ◽  
Vol 4 (2) ◽  
pp. 00122-2017 ◽  
Author(s):  
Anna R. Jackson ◽  
James H. Hull ◽  
James G. Hopker ◽  
John W. Dickinson
Keyword(s):  
Inhaled Corticosteroids ◽  
Health Assessment ◽  
Peak Oxygen Uptake ◽  
Forced Expiratory Volume ◽  
Prior History ◽  
Football Players ◽  
Post Test ◽  
Exercise Induced ◽  
Repeat Assessment

Our aim was to evaluate the prevalence of exercise-induced bronchoconstriction (EIB) in elite football players and assess subsequent impact of therapy on airway health and exercise performance.97 male professional football players completed an airway health assessment with a eucapnic voluntary hyperpnoea (EVH) challenge to diagnose EIB. Players demonstrating a positive result (EVH+) were prescribed inhaler therapy depending on severity, including inhaled corticosteroids and inhaled short-acting β2-agonists, and underwent repeat assessment after 9 weeks of treatment. Eight players (EVH+n=3, EVH−n=5) completed a peak oxygen uptake (V′O2peak) test at initial and follow-up assessment.Out of the 97 players, 27 (28%) demonstrated a positive EVH result. Of these, 10 had no prior history (37%) of EIB or asthma. EVH outcome was not predictable by respiratory symptoms. Seven (24%) of the 27 EVH+players attended follow-up and demonstrated improved post-challenge spirometry (forced expiratory volume in 1 s pre-test −22.9±15.4%, post-test −9.0±1.6%; p=0.018). At follow-upV′O2peakimproved by 3.4±2.9 mL·kg−1·min−1in EVH+players compared to 0.1±2.3 mL·kg−1·min−1in EVH−players. Magnitude of inference analysis indicated treatment was possibly beneficial (74%) for exercise capacity.Elite football players have a high EIB prevalence. Treatment with inhaler therapy reduces EIB severity.

Pulmonary Function in Pubertal Synchronized Swimmers: 1-year Follow-up Results and Its Relation to Competitive Achievement

2011 ◽  
Vol 26 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Goran Gabrilo ◽  
Mia Peric ◽  
Marija Stipic
Keyword(s):  
Pulmonary Function ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Body Height ◽  
Negative Influence ◽  
Forced Expiratory Volume ◽  
Gender And Age ◽  
Synchronized Swimming ◽  
Before And After

Pulmonary function (PF) is particularly important in synchronized swimming, considering the characteristics of this sport. However, the sanitizing agents (chlorine) used in pools can have a possible negative influence on the PF parameters. In this study, we observed 24 swimmers (all women, 14 to 16 years of age) and measured their PF and competitive achievement. PF was measured before and after a 1-year period and included standard spirometric variables. Competitive achievement was evidenced during the National Championship. The t-test showed significant increases in body height and weight of the participants and a resulting increase in most of the absolute respiratory flows and pulmonary capacities. Forced vital capacity (FVC) and forced expiratory volume (both in proportion to norm for body height, gender, and age) increased significantly within the study period. FVC significantly predicted the competitive achievement of young swimmers, most probably because artists have to achieve exceptional breath control when upside down underwater. In conclusion, we found no evidence for the eventual negative influence of chlorine and its compounds on the PF of swimmers, and results showed that regular synchronized swim training could improve the PF of young artists.

scholarly journals Pulmonary function and radiological features four months after COVID-19: first results from the national prospective observational Swiss COVID-19 lung study

2021 ◽  
pp. 2003690
Author(s):  
Sabina A. Guler ◽  
Lukas Ebner ◽  
Catherine Beigelman ◽  
Pierre-Olivier Bridevaux ◽  
Martin Brutsche ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Complications ◽  
Multivariable Model ◽  
Hospitalised Patients ◽  
First Results ◽  
Global Health Care ◽  
Exercise Induced ◽  
Parenchymal Disease ◽  
Impaired Pulmonary Function

BackgroundThe coronavirus infectious disease (COVID-19) pandemic is an ongoing global health care challenge. Up to one third of hospitalised patients develop severe pulmonary complications and ARDS. Pulmonary outcomes following COVID-19 are unknown.MethodsThe Swiss COVID-19 lung study is a multicentre prospective cohort investigating pulmonary sequela of COVID-19. We report on initial follow-up 4 months after mild/moderate or severe/critical COVID-19 according to the WHO severity classification.Results113 COVID-19 survivors were included (mild/moderate 47, severe/critical 66). We confirmed several comorbidities as risk factors for severe/critical disease. Severe/critical disease was associated with impaired pulmonary function, i.e. diffusing capacity (DLCO) %-predicted, reduced 6-MWD, and exercise-induced oxygen desaturation. After adjustment for potential confounding by age, sex, and BMI, patients after severe/critical COVID-19 had a 20.9 (95% CI 12.4–29.4, p=0.01) lower DLCO %-predicted at follow up. DLCO %-predicted was the strongest independent factor associated with previous severe/critical disease when age, sex, BMI, 6MWD, and minimal SpO2 at exercise, were included in the multivariable model (adjusted odds ratio [OR] per 10%-predicted 0.59 [95% CI 0. 37–0.87], p=0.01). Mosaic hypoattenuation on chest computed tomography at follow-up was significantly associated with previous severe/critical COVID-19 including adjustment for age and sex (adjusted OR 11.7 [95%CI 1.7–239), p=0.03).ConclusionsFour months after SARS CoV-2 infection, severe/critical COVID-19 was associated with significant functional and radiological abnormalities, potentially due to small airway and lung parenchymal disease. A systematic follow-up for survivors needs to be evaluated to optimise care for patients recovering from COVID-19.

scholarly journals Postoperative translation of the upper instrumented vertebra in thoracic adolescent idiopathic scoliosis

2018 ◽  
Vol 22 (6) ◽  
pp. 694-700 ◽  
Author(s):  
Katsuhisa Yamada ◽  
Hideki Sudo ◽  
Kiyoshi Kaneda ◽  
Yasuhiro Shono ◽  
Yuichiro Abe ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Pulmonary Function ◽  
Research Society ◽  
Forced Expiratory Volume ◽  
Postoperative Results ◽  
Scoliosis Research Society ◽  
Correction Rate ◽  
Upper Instrumented Vertebra

OBJECTIVEThe aim of this retrospective study was to analyze the influence of upper instrumented vertebra (UIV) translation from the C7 plumb line (C7PL) on the long-term postoperative results of patients with main thoracic (MT) adolescent idiopathic scoliosis (AIS).METHODSTwenty-five patients had been treated surgically for AIS with a Lenke type 1 curve and had been followed up for a mean period of 18.2 years. Radiographic parameters, pulmonary function measurements, and clinical outcomes were compared between the patients (n = 15) with UIV translation < 20 mm and those (n = 10) with UIV translation ≥ 20 mm at the final follow-up. Correlations between UIV translation and radiographic or pulmonary function parameters were analyzed.RESULTSPatients with ≥ 20 mm UIV translation at the final follow-up had a significantly larger preoperative UIV translation than that in the patients with < 20 mm UIV translation at follow-up. The former group also had a significantly lower correction rate of the MT curve, higher chest cage ratio, and lower radiographic shoulder height (p = 0.01, 0.005, and 0.025, respectively) at the final follow-up. The Scoliosis Research Society (SRS)–30 Questionnaire scores were equivalent between the two groups. Correlation analysis showed that the following parameters were significantly associated with UIV translation: MT curve correction rate (r = -0.481, p = 0.015), chest cage ratio (r = 0.673, p < 0.001), and percent-predicted forced expiratory volume in 1 second (r = -0.455, p = 0.033).CONCLUSIONSThe UIV translation should be considered an important factor that influences postoperative results. In MT AIS patients whose preoperative upper end vertebra (UEV) is distant from the C7PL, the UIV should be selected above the UEV to prevent large UIV translation at the postoperative follow-up.

Reversive Loss of Pulmonary Function Induced by Acute Chest Syndrome: A Report from the National Acute Chest Syndrome Study Group (NACSG).

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 315-315 ◽  
Author(s):  
Lynne Neumayr ◽  
C. Morris ◽  
A. Wen ◽  
A. Earles ◽  
S. Robertson ◽  
...  
Keyword(s):  
Lung Function ◽  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Forced Expiratory Volume ◽  
Therapeutic Interventions ◽  
Acute Chest Syndrome ◽  
P Value ◽  
Lung Volumes ◽  
Expiratory Flow

Abstract Acute Chest Syndrome (ACS) remains the leading cause of death and hospitalization in patients (pts) with sickle cell disease (SCD). There is limited data on the effects of ACS on lung function. From 1993 to 1997, 30 centers participated in the NACSG and prospectively analyzed 671 episodes of ACS in 538 pts. Pulmonary function tests (PFTs) included forced expiratory volume in 1 sec (FEV1), forced vital capacity (FVC), forced expiratory flow during 25% to 75% of FVC (FEF 25–75), peak expiratory flow rate (PEF) and the ratio of FEV1/FVC. Data is reported as percent-predicted of normal values based on age and height. 128 pts (mean 16yrs, 4 to 52 yr range) had PFTs during an ACS episode (within a mean of 2.5 days of diagnosis) and then 12 weeks later. 94% of pts had abnormal lung volumes, defined as either FEV1 or FVC < 80%. Mean lung volumes during ACS and at follow-up are shown below. Table 1: Decreased Lung Volumes During ACS PFT During ACS Follow-up p-value FEV1 52% 79% <.0001 FVC 55% 83% <.0001 FEF 25–75 50% 69% <.0001 PEF 61% 83% <.0001 Pts with abnormal lung volumes (FEV1 or FVC < 80%) and considered to have an obstructive pattern if the FEV1/FVC ratio was < to 85. Obstructive patterns in pts with abnormal lung volumes and the percent of pts who responded to bronchodilators (15% improvement in either FEV1 or FVC) are shown below. Table 2: Patterns of Abnormal Lung Volumes in SCD SCD Patients During ACS Follow-up Abnormal PFTs 94% 45% Obstructive Pattern 48% 46% Respond to bronchodilators 25% 8% In summary, ACS resulted in decreased pulmonary function in 94% of pts. It is striking that 49% pts had their PFTs reduced by half (FEV1 52% and FVC 55%). In pts with abnormal PFTs, 48% had evidence of obstruction and 25% of all pts tested improved with a bronchodilator. This is the first description of reversible abnormalities of pulmonary function occurring during ACS compared to baseline. An obstructive pattern is identified in a higher percentage of pts with SCD than in the local Oakland African American population (asthma prevalance 16%). While some pts PFTs improved with time, 45% remained abnormal at 12-week follow-up. ACS results in acute and chronic worsening of lung function. Future studies of ACS may reveal common pathogenic mechanisms with asthma, and lead to improved therapeutic interventions.

scholarly journals The influence of early thoracic fusion on the pulmonary function of patients with idiopathic scoliosis in the early period of the second growth peak with different Risser signs

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiaolin Xu ◽  
Shengru Wang ◽  
Yang Yang ◽  
You Du ◽  
Guanfeng Lin ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Pulmonary Function ◽  
Thoracic Kyphosis ◽  
Vital Capacity ◽  
Early Period ◽  
Forced Expiratory Volume ◽  
Risser Sign ◽  
Second Growth ◽  
Before And After

Abstract Background Previous reports confirmed early spinal fusion may compromise pulmonary function and thoracic development in skeletal immature patients with scoliosis. However, the different effects in patients with various Risser signs remain unknown. This study aimed to compare the influence of early thoracic fusion on pulmonary function and thoracic growth in patients with idiopathic scoliosis (IS) with closed triangular cartilage (TRC) and different Risser signs. Methods Thirty-six patients with IS and a closed TRC were retrospectively selected and divided into the low Risser (LR, Risser sign ≤2, 22 patients) and high Risser (HR, 2<Risser sign≤4, 14 patients) groups. Patient age, Risser sign, main Cobb angle, thoracic kyphosis, and fusion levels were recorded. Perioperative and minimum of 2-year follow-up pulmonary function and thoracic diameters were compared between both groups. Results There were no differences in patients’ general characteristics between two groups. The preoperative forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were 2.06±0.43 L and 2.50±0.49 L, respectively, in the LR group, and 2.31±0.49 L (p = 0.067) and 2.74±0.56 L (p = 0.122), respectively, in the HR group. While these values significantly increased postoperatively, to 2.62±0.46 L (p < 0.001) and 3.09±0.69 L (p < 0.001), in the LR group, they remained unchanged in the HR group [2.53±0.56 L (p = 0.093) and 2.70±0.98 L (p = 0.386), respectively]. The FEV1/FVC in both groups was >80% before and after surgery. The T1-T12 and anteroposterior thoracic diameter significantly increased after surgery in both groups, while the maximum inner chest diameter only increased in the LR group at the final follow-up. However, there were no significant differences in respiratory function and thoracic data between both groups. Conclusion For patients with IS, early fusion did not deteriorate pulmonary function or thoracic development in TRC-closed patients whose Risser sign was ≤2 compared with those with a Risser sign >2.

scholarly journals Evaluation of the Pulmonary Function Test (PFT) in Patients Affected by Severe COVID-19 Pneumonia: 6 to 12 Weeks After Discharge

2021 ◽  
Author(s):  
Akbar Soleymani Babadi ◽  
Alireza Kashefizadeh ◽  
Nooshin Dalili ◽  
Laya Ohadi ◽  
Abbas Gheisoori ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Test ◽  
Forced Expiratory Volume ◽  
Diffusion Capacity ◽  
Inspiratory Muscles ◽  
Function Test ◽  
Expiratory Muscles ◽  
Mixed Pattern ◽  
Restricted Pattern

The most lethal adverse effect of COVID-19 is acute respiratory distress syndrome, which can lead to rapid death. This symptom even causes concern for patients who have recovered and have been discharged. Therefore, it is obligatory to test and monitor variations in their lungs’ function after recovery. In this study, we evaluated the pulmonary function of 64 patients with severe COVID-19, six weeks to 3 months after discharge. Pulmonary function parameters were measured by spirometry and body box according to the criteria of the American Thoracic Society and under the supervision of an adult pulmonologist. According to the forced expiratory volume (FEV1)/forced vital capacity (FVC) ratio and total lung capacity (TLC) values, it was found that 3.1% of people had an obstructive pattern, 40.63% of patients had the restrictive pattern, and 6.25% of improved individuals showed a mixed pattern. Furthermore, the study of diffusion capacity of carbon monoxide (DLCO) index revealed that 13.3%, 25%, and 53% of cases had mild, moderate, and severe disorders of gas exchange, respectively. In addition, determining the maximum amount of inspiratory muscles (PI max) and expiratory muscles (PE max) disclosed that the rate of these two indicators in 62.5% and 71.88% of the subjects were less than 50%, respectively. In general, the results of the present study suggest that pulmonary function test and follow-up of patients' condition are not only recommended but seems to be essential after recovery due to the large percentage of patients with the restricted pattern a few weeks after recovery.

scholarly journals A Retrospective Study of Lung Transplantation in Patients With Lymphangioleiomyomatosis: Challenges and Outcomes

2021 ◽  
Vol 8 ◽  
Author(s):  
Ji Zhang ◽  
Dong Liu ◽  
Bingqing Yue ◽  
Le Ban ◽  
Min Zhou ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Lung Transplantation ◽  
Systemic Disease ◽  
Asian Population ◽  
Forced Expiratory Volume ◽  
Progressive Decline ◽  
Before And After ◽  
The Mean

Background: Lymphangioleiomyomatosis (LAM) is a rare systemic disease that generally leads to a progressive decline in pulmonary function. Experience, especially from the Asian population, including combined drug therapy before and after lung transplantation (LT) in LAM, is still limited. This study aimed to summarize the clinical data from patients with pulmonary LAM who underwent LT at centers in China.Methods: A retrospective review of all patients with LAM undergoing LT at the two largest centers in China between 2010 and 2018 was conducted. Pre- and posttransplant data were assessed and analyzed.Results: Overall, 25 patients with LAM underwent bilateral LT. The mean age was 35.0 ± 8.6 years at diagnosis and 36.8 ± 9.3 years at the time of transplant. Before LT, only six patients could complete pulmonary function test; the reachable mean forced expiratory volume in one second (FEV1) before LT was 15.9 ± 6.9%. Twenty-one patients (84%) had a recurrent pneumothorax, four (16.0%) of which required pleurodesis. Eight patients (32%) were treated with sirolimus pretransplant for 3.9 years (1–9 years). The average intra-surgery bleeding volume was 1,280 ± 730 ml in need of a transfusion of 1,316 ± 874 ml due to moderate-to-severe adhesion and pretransplant pleurodesis. The causes of death of four patients (16%) included primary graft dysfunction, bronchial dehiscence with long-term use of sirolimus, and uncontrollable infections. The median follow-up time from LT was 41.1 ± 25.0 months.Conclusions: LT for LAM patients from the Asian population has been reinforced from the data that we presented. Peri-transplantation use of sirolimus and LAM-related complications should be further defined and under constant surveillance.

Sign in / Sign up

Export Citation Format

Share Document