Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis

Objectives To assess the acute effects of air stacking on cough peak flow (CPF) and chest wall compartmental volumes of persons with amyotrophic lateral sclerosis (ALS) versus healthy subjects positioned at 45° body inclination. Design Cross-sectional study with a matched-pair design. Settin...

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Principais autores: Dourado Junior, Mário Emílio Teixeira, Sarmento, Antonio, Resqueti, Vanessa Resqueti, Saturnino, Lailane, Aliverti, Andrea, Fregonezi, Guilherme, Andrade, Armele Dornelas de
Outros Autores: https://orcid.org/0000-0002-9462-2294
Formato: article
Idioma:English
Publicado em: Elsevier
Assuntos:
amyotrophic lateral sclerosis—als
rehabilitation
vital capacity
Endereço do item:https://repositorio.ufrn.br/handle/123456789/54240
https://doi.org/10.1016/j.apmr.2017.04.015
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spelling ri-123456789-542402023-07-27T20:14:32Z Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis Dourado Junior, Mário Emílio Teixeira Sarmento, Antonio Resqueti, Vanessa Resqueti Saturnino, Lailane Aliverti, Andrea Fregonezi, Guilherme Andrade, Armele Dornelas de https://orcid.org/0000-0002-9462-2294 amyotrophic lateral sclerosis—als rehabilitation vital capacity Objectives To assess the acute effects of air stacking on cough peak flow (CPF) and chest wall compartmental volumes of persons with amyotrophic lateral sclerosis (ALS) versus healthy subjects positioned at 45° body inclination. Design Cross-sectional study with a matched-pair design. Setting University hospital. Participants Persons (N=24) with ALS (n=12) and age-matched healthy subjects (n=12). Main Outcomes Measures CPF, chest wall compartmental inspiratory capacity, chest wall vital capacity, chest wall tidal volume and operational volumes, breathing pattern, and percentage of contribution of the compartments to the inspired volume were measured by optoelectronic plethysmography. Results Compared with healthy subjects, significantly lower CPF (P=.007), chest wall compartmental inspiratory capacity (P<.001), chest wall vital capacity (P<.001), and chest wall tidal volume (P<.001) were found in subjects with ALS. Immediately after air stacking, CPF (P<.001) and chest wall compartmental inspiratory capacity (P<.001) significantly increased in both groups, with values returning to basal only in healthy subjects. After air stacking, the abdominal compartment (P=.004) was determined to be responsible for the inspired volume in subjects with ALS. Significantly higher chest wall vital capacity (P=.05) was observed in subjects with ALS 5 minutes after air stacking, with the rib cage compartment (P=.049) being responsible for volume change. No differences were found in chest wall vital capacity and compartmental volumes of healthy subjects. Chest wall tidal volume (P<.001) significantly increased during the protocol in the healthy subjects, mainly because of end-inspiratory (P<.001) and abdominal volumes (P=.008). No significant differences were observed in percentage of contribution of the compartments to the inspired volume and end-expiratory volume of both groups. No significant differences were found in chest wall tidal volume, operational volume, and breathing pattern in persons with ALS. Conclusions Air stacking is effective in increasing CPF, chest wall compartmental inspiratory capacity, and chest wall vital capacity of persons with ALS with no hyperinflation. Differences in compartmental volume contributions are probably because of lung and chest wall physiological changes. 2023-07-27T20:14:19Z 2023-07-27T20:14:19Z 2017 article DOURADO JUNIOR, Mario Emílio Teixeira; SARMENTO, Antonio; RESQUETI, Vanessa; SATURNINO, Lailane; ALIVERTI, Andrea; FREGONEZI, Guilherme; ANDRADE, Armele Dornelas de. Effects of Air Stacking Maneuver on Cough Peak Flow and Chest Wall Compartmental Volumes of Subjects With Amyotrophic Lateral Sclerosis. Archives Of Physical Medicine And Rehabilitation, [S.L.], v. 98, n. 11, p. 2237-2246, nov. 2017. Elsevier BV. http://dx.doi.org/10.1016/j.apmr.2017.04.015. Disponível em: https://www.sciencedirect.com/science/article/pii/S0003999317303106?via%3Dihub. Acesso em: 27 jul. 2023. https://repositorio.ufrn.br/handle/123456789/54240 https://doi.org/10.1016/j.apmr.2017.04.015 en Elsevier
institution Repositório Institucional
collection RI - UFRN
language English
topic amyotrophic lateral sclerosis—als
rehabilitation
vital capacity
spellingShingle amyotrophic lateral sclerosis—als
rehabilitation
vital capacity
Dourado Junior, Mário Emílio Teixeira
Sarmento, Antonio
Resqueti, Vanessa Resqueti
Saturnino, Lailane
Aliverti, Andrea
Fregonezi, Guilherme
Andrade, Armele Dornelas de
Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
description Objectives To assess the acute effects of air stacking on cough peak flow (CPF) and chest wall compartmental volumes of persons with amyotrophic lateral sclerosis (ALS) versus healthy subjects positioned at 45° body inclination. Design Cross-sectional study with a matched-pair design. Setting University hospital. Participants Persons (N=24) with ALS (n=12) and age-matched healthy subjects (n=12). Main Outcomes Measures CPF, chest wall compartmental inspiratory capacity, chest wall vital capacity, chest wall tidal volume and operational volumes, breathing pattern, and percentage of contribution of the compartments to the inspired volume were measured by optoelectronic plethysmography. Results Compared with healthy subjects, significantly lower CPF (P=.007), chest wall compartmental inspiratory capacity (P<.001), chest wall vital capacity (P<.001), and chest wall tidal volume (P<.001) were found in subjects with ALS. Immediately after air stacking, CPF (P<.001) and chest wall compartmental inspiratory capacity (P<.001) significantly increased in both groups, with values returning to basal only in healthy subjects. After air stacking, the abdominal compartment (P=.004) was determined to be responsible for the inspired volume in subjects with ALS. Significantly higher chest wall vital capacity (P=.05) was observed in subjects with ALS 5 minutes after air stacking, with the rib cage compartment (P=.049) being responsible for volume change. No differences were found in chest wall vital capacity and compartmental volumes of healthy subjects. Chest wall tidal volume (P<.001) significantly increased during the protocol in the healthy subjects, mainly because of end-inspiratory (P<.001) and abdominal volumes (P=.008). No significant differences were observed in percentage of contribution of the compartments to the inspired volume and end-expiratory volume of both groups. No significant differences were found in chest wall tidal volume, operational volume, and breathing pattern in persons with ALS. Conclusions Air stacking is effective in increasing CPF, chest wall compartmental inspiratory capacity, and chest wall vital capacity of persons with ALS with no hyperinflation. Differences in compartmental volume contributions are probably because of lung and chest wall physiological changes.
author2 https://orcid.org/0000-0002-9462-2294
author_facet https://orcid.org/0000-0002-9462-2294
Dourado Junior, Mário Emílio Teixeira
Sarmento, Antonio
Resqueti, Vanessa Resqueti
Saturnino, Lailane
Aliverti, Andrea
Fregonezi, Guilherme
Andrade, Armele Dornelas de
format article
author Dourado Junior, Mário Emílio Teixeira
Sarmento, Antonio
Resqueti, Vanessa Resqueti
Saturnino, Lailane
Aliverti, Andrea
Fregonezi, Guilherme
Andrade, Armele Dornelas de
author_sort Dourado Junior, Mário Emílio Teixeira
title Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
title_short Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
title_full Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
title_fullStr Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
title_full_unstemmed Effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
title_sort effects of air stacking maneuver on cough peak flow and chest wall compartmental volumes of subjects with amyotrophic lateral sclerosis
publisher Elsevier
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/54240
https://doi.org/10.1016/j.apmr.2017.04.015
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