Respiratory Function and the Influence of Inspiratory Muscle in Vital Capacity in Parkinsons Disease

2016 ◽  
Vol 06 (06) ◽  
Author(s):  
Roberta Lins Goncalves ◽  
Jeronimo Correia Barbosa Neto ◽  
Cassio Daniel Araujo da Silva
2021 ◽  
Vol 14 (7) ◽  
pp. e241114
Author(s):  
Takayoshi Yamaga ◽  
Shuhei Yamamoto ◽  
Yasunari Sakai ◽  
Takashi Ichiyama

Pulmonary rehabilitation is a cornerstone of management for patients after lung transplantation (LT), but the benefits of inspiratory muscle training (IMT) after LT in children are unclear. Therefore, we examined whether IMT can improve respiratory function and dyspnoea in a paediatric patient after LT.The patient was a 13-year-old boy who underwent double LT. However, mild physical activity such as walking triggered dyspnoea for the patient. The patient underwent IMT with the intensity of approximately 30% of his maximal inspiratory pressure (MIP) for 2 months.The patient’s MIP was increased by approximately 60% after 2 months, and his forced vital capacity as a percent of the predicted normal value increased from 74.6% to 83.4%, with improvement of dyspnoea.IMT may help improve dyspnoea after LT in children with respiratory muscle weakness and a decline in respiratory function.


1994 ◽  
Vol 77 (2) ◽  
pp. 789-794 ◽  
Author(s):  
G. E. Tzelepis ◽  
D. L. Vega ◽  
M. E. Cohen ◽  
F. D. McCool

We examined the extent to which training-related increases of inspiratory muscle (IM) strength are limited to the lung volume (VL) at which the training occurs. IM strength training consisted of performing repeated static maximum inspiratory maneuvers. Three groups of normal volunteers performed these maneuvers at one of three lung volumes: residual volume (RV), relaxation volume (Vrel), or Vrel plus one-half of inspiratory capacity (Vrel + 1/2IC). A control group did not train. We constructed maximal inspiratory pressure-VL curves before and after a 6-wk training period. For each group, we found that the greatest improvements in strength occurred at the volume at which the subjects trained and were significantly greater for those who trained at low (36% for RV and 26% for Vrel) than at high volumes (13% for Vrel + 1/2IC). Smaller increments in strength were noted at volumes adjacent to the training volume. The range of vital capacity (VC) over which strength was increased was greater for those who trained at low (70% of VC) than at high VL (20% of VC). We conclude that the greatest improvements in IM strength are specific to the VL at which training occurs. However, the increase in strength, as well as the range of volume over which strength is increased, is greater for those who trained at the lower VL.


1995 ◽  
Vol 78 (3) ◽  
pp. 1132-1139 ◽  
Author(s):  
M. Orozco-Levi ◽  
J. Gea ◽  
J. Sauleda ◽  
J. M. Corominas ◽  
J. Minguella ◽  
...  

The aim of this study was to evaluate whether respiratory function influences the structure of the latissimus dorsi muscle (LD). Twelve patients (58 +/- 10 yr) undergoing thoracotomy were studied. Lung and respiratory muscle function were evaluated before surgery. Patients showed a forced expired volume in 1 s (FEV1) of 67 +/- 16% of the reference value, an FEV1-forced vital capacity ratio of 69 +/- 9%, a maximal inspiratory pressure of 101 +/- 21% of the reference value, and a tension-time index of the diaphragm (TTdi) of 0.04 +/- 0.02. When patients were exposed to 8% CO2 breathing, TTdi increased to 0.06 +/- 0.03 (P < 0.05). The structural analysis of LD showed that 51 +/- 5% of the fibers were type I. The diameter was 56 +/- 9 microns for type I fibers and 61 +/- 9 microns for type II fibers, whereas the hypertrophy factor was 87 +/- 94 and 172 +/- 208 for type I and II fibers, respectively. Interestingly, the histogram distribution of the LD fibers was unimodal in two of the three individuals with normal lung function and bimodal (additional mode of hypertrophic fibers) in seven of the nine patients with chronic obstructive pulmonary disease. An inverse relationship was found between the %FEV1-forced vital capacity ratio and both the diameter of the fibers (type I: r = -0.773, P < 0.005; type II: r = -0.590, P < 0.05) and the hypertrophy factors (type I: r = -0.647, P < 0.05; type II: r = -0.575, P = 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)


1993 ◽  
Vol 102 (8) ◽  
pp. 620-624 ◽  
Author(s):  
Susumu Mukai ◽  
Chikako Mukai ◽  
Kazuyuki Asaoka

We operated on 38 adult patients with congenital ankyloglossia with deviation of the epiglottis and larynx. The results were as follows. 1) Most patients had Angle's class III malocclusion, irregular alignment of the upper teeth, and high hard palate. 2) Fifty percent of the patients in our study population had obstructive respiratory failure. Their vital capacity increased significantly after the operation, but changes of forced expiratory volume in 1 second were not prominent. 3) Subjective symptoms of this disease were stiffness of the shoulders, a cold feeling in the extremities, an obstructed feeling in the throat, insomnia, fatigue, dry skin, irritability and/or anxiety, and nervousness. These improved postoperatively. 4) Objective symptoms included snoring, muscle cramps, difficulty in playing wind instruments, hoarseness, and incorrect articulation. The objective symptoms, except for incorrect articulation, improved postoperatively.


2015 ◽  
Vol 13 (2) ◽  
pp. 249-254 ◽  
Author(s):  
Fabiana Vieira Breijão Zani ◽  
José Eduardo Aguilar-Nascimento ◽  
Diana Borges Dock Nascimento ◽  
Ageo Mário Cândido da Silva ◽  
Fernanda Stephan Caporossi ◽  
...  

ABSTRACT Objective: To evaluate the change in respiratory function and functional capacity according to the type of preoperative fasting. Methods: Randomized prospective clinical trial, with 92 female patients undergoing cholecystectomy by laparotomy with conventional or 2 hours shortened fasting. The variables measured were the peak expiratory flow, forced expiratory volume in the first second, forced vital capacity, dominant handgrip strength, and non-dominant handgrip strength. Evaluations were performed 2 hours before induction of anesthesia and 24 hours after the operation. Results: The two groups were similar in preoperative evaluations regarding demographic and clinical characteristics, as well as for all variables. However, postoperatively the group with shortened fasting had higher values than the group with conventional fasting for lung function tests peak expiratory flow (128.7±62.5 versus 115.7±59.9; p=0.040), forced expiratory volume in the first second (1.5±0.6 versus 1.2±0.5; p=0.040), forced vital capacity (2.3±1.1 versus 1.8±0.9; p=0.021), and for muscle function tests dominant handgrip strength (24.9±6.8 versus 18.4±7.7; p=0.001) and non-dominant handgrip strength (22.9±6.3 versus 17.0±7.8; p=0.0002). In the intragroup evaluation, there was a decrease in preoperative compared with postoperative values, except for dominant handgrip strength (25.2±6.7 versus 24.9±6.8; p=0.692), in the shortened fasting group. Conclusion: Abbreviation of preoperative fasting time with ingestion of maltodextrin solution is beneficial to pulmonary function and preserves dominant handgrip strength.


1981 ◽  
Vol 09 (03) ◽  
pp. 225-235 ◽  
Author(s):  
E. Facco ◽  
G. Manani ◽  
A. Angel ◽  
E. Vincenti ◽  
B. Tambuscio ◽  
...  

The authors studied the effects of acupuncture and pentazocine on post-operative respiratory function and pain management on patients hysterectomized by means of a subumbilical midline incision. The acupunctural technique consisted of GB-26, St-36, Sp-6 and auricular Shen-Men bilateral electrostimulation for 40 minutes. The analgesic effect of acupuncture was equivalent to that of 30 mg pentazocine, yet the most important effect of acupuncture consisted in a net increase of vital capacity during the period of acupuncture analgesia that lasted for 3-4 hr after stimulation; contrariwise, pentazocine did not cause any vital capacity increment and vital capacity remained at the levels observed prior to narcotic administration.


2017 ◽  
Vol 95 (1) ◽  
pp. 60-65
Author(s):  
I. Yu. Vizel ◽  
Aleksandr A. Vizel

Aim. To analyze the literature data and the results of original studies on the respiratory function in patients with sarcoidosis. Material and methods. The study included 1199 patients with sarcoidosis (67.8% women and 32.2% of males, median age 43 years). The first X-ray stage was documented in 34.8% ofpatients , stage II in 57.0%, stage III in 6.1%, stage IV in 1.3%, stage 0 in 0.7%. One patient (0.1%) had pleural sarcoidosis. Loefgren syndrome was diagnosed in 20% of the patients. In 658 patients (54.9%) the diagnosis was confirmed by biopsy studies. Results. The patients with sarcoidosis exhibited significant correlation between radiographic and spirometric characteristics. In those with Loefgren syndrome, all breathing parameters were much better than in the remaining ones. Changes of spirometry parameters were more pronounced in smokers and in patients with concomitant lung diseases. However, the lung function remained impaired after adjustment for these factors, and 9,7% of the cases positively responded to the administration of a short-acting bronchodilator. Х-ray examination and spirometry are independent methods for the evaluation of the health status of patients with sarcoidosis and their results do not always correlate with each other after different treatment regimens. Changes in Х-ray image and lung vital capacity were consistent in patients treated with prednisone, methotrexate and pentoxifylline, but not in the cases treated with vitamin E and in the absence of treatment. Spirometry with simultaneous X-ray examination is recommended for all patients with intrathoracic sarcoidosis. Conclusion. Forced vital capacity of lungs (FVC) is an independent criterion for evaluating the condition of patients with sarcoidosis and the effectiveness of the treatment.


2021 ◽  
Vol 24 (4) ◽  
pp. 297-303
Author(s):  
Tomasz Trzmiel ◽  
Anna Pieczyńska ◽  
Ewa Zasadzka ◽  
Mariola Pawlaczyk

Objectives  The aim of this cross-sectional study was to assess the effects of past occupational activity on muscle strength and respiratory function among retirees.  Methods  A total of 205 community-dwelling older adults participated in the study. Age (≥60 years) and cessation of professional activity (retirement) constituted the inclusion criteria. The International Standardized Classification of Occupations (ISCO-08) was used to stratify the participants into white-or blue-collar groups. Forced vital capacity (FVC), forced expiratory volume (FEV) in the first second, inspiratory vital capacity (IVC) parameters, and hand grip strength were tested.  Results  Statistically significant differences in IVC and FVC scores were found in white- and blue-collar workers after adjusting for sex and age (ANCOVA). White-collar men had significantly higher IVC as compared to blue-collar men.  Conclusions  Blue-collar male workers may be prone to deteriorating respiratory function in older age. It is vital to promote physical activity and educate blue-collar workers about the need to use respiratory protective equipment. 


2018 ◽  
Vol 1 (88) ◽  
Author(s):  
Kristina Zaičenkovienė ◽  
Arvydas Stasiulis ◽  
Roma Aleksandravičienė ◽  
Loreta Stasiulevičienė

Research background and hypothesis. Hatha yoga breathing has the potential of training the respiratory system in such a way that it helps an individual to cope with the respiratory demand (Ray et al., 2011).Research aim was to compare pulmonary function variables between physically inactive subjects and the ones practicing hatha yoga and to evaluate changes after 6 months of yoga practice in the latter group. Research methods. Pulmonary function was measured by means of the gas analyser “Oxycon Mobile” (Germany) before and after 6 months of yoga training in men (n = 11) (age – 30.8 (7.06), BMI – 25.6 (2.6)) and women (n = 11) (age – 28.9 (6.86), BMI – 22.5 (2.3)) practicing yoga and control subjects (n = 22) of similar age. Measurements included forced vital capacity (FVC), forced expiration volume in one second (FEV(1)), forced inspiratory volume in one second FIV1, vital capacity (VC), peak expiratory flow (PEF), forced expiratory flow rate (FEF (25–75)%), forced inspiratory flow at 50% of the vital capacity (FIF50%), maximum voluntary ventilation (MVV), vital capacity (VC MAX), peak inspiratory flow (PIF), etc.Research results. Pulmonary function measures FEF 75/85 (L/s) (p = 0.036), total volume inspired FVC IN (L) (p = 0.014), FIV1 (L) (p = 0.045) were significantly higher in the group practicing yoga than in the control group of women, and VC MAX (%) (p = 0.018), FEV 1 (%) (p = 0.041), FEF 25 (L/s) (p = 0.017), FVC IN (L) (p = 0.002) in men practicing yoga, than in men not practicing yoga. They also demonstrated higher values of MVV (L/min)  (p = 0.068) and FVC (L) (p = 0.050). After 6 months of practicing yoga we found higher FEF 50 (L/s) (p = 0.003), FEF 50% (L/s) (p = 0.003) in women’s group and VCMAX (%) (p = 0.028) in men’s group. We also found a tendency of the increase of VCMAX (L) (p = 0.053), PIF (L/s) (p = 0.051), FVC IN (L) (p = 0.061), FIVI (L)  (p = 0.064) indexes in men and PIF (L/s) (p = 0.072), FVC IN (L) (p =  0.076) in women.Discussion and conclusions. Yoga practice appeared to have minor influence on respiratory function at rest in men and women of middle age. Additional studies examining various yoga practices are warranted to gain a more comprehensive understanding of the effects of yoga techniques on pulmonary functions.Keywords: pulmonary function at rest, yoga training, yoga breathing.


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