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http://dx.doi.org/10.13066/kspm.2019.14.3.47

Correlation between the Diaphragmatic Contraction Pressure and the Slow Vital Capacity  

Lee, Jae-Seok (Department of Physical Therapy, Silla University)
Han, Dong-Wook (Department of Physical Therapy, Silla University)
Kang, Tae-Wook (Department of Physical Therapy, Walk Rehabilitation Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.14, no.3, 2019 , pp. 47-53 More about this Journal
Abstract
PURPOSE: This study measured the external pressure on abdomen during maximal inspiration. The study determined the correlation between the diaphragmatic contraction pressure and the lung capacities to verify whether or not the measured pressure values can represent diaphragmatic contractility. METHODS: The study included 32 healthy subjects (16 males and 16 females). The researchers fabricated their own diaphragmatic pressure belt (DiP Belt) to measure DCP. DiP Belt device was fixed on the front of the abdomen and the diaphragmatic contractility was measured during maximal inspiration. The lung capacities were measured using a portable digital spirometer device (Pony Fx, COSMED, Italy). A digital spirometer is a device that is used to test the flow of air entering and exiting the lungs. RESULTS: DCP showed significant positive correlations with vital capacity (VC), inspiratory reserve volume (IRV) and inspiratory capacity (IC). Among values of lung capacities, IC showed especially strong positive correlations with the DCP (r =.714, p<.010). For the males, DCP showed significant positive correlations with IRV and IC, and DCP showed significant negative correlation with the expiratory reserve volume (ERV). For the females, DCP showed significant positive correlation with tidal volume (VT), but any significant correlation was not found with any of the other values of lung capacities. CONCLUSION: DCP showed high correlations with IRV and IC associated with inspiratory capacity. Therefore, The DiP Belt can be looked upon as a simple device that is very useful for measuring diaphragmatic contractility.
Keywords
Diaphragm; Diaphragmatic Contraction Pressure; Vital Capacity;
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1 De Troyer A, Boriek AM. Mechanics of the respiratory muscles. Compr Physiol. 2011;1(3):1273-300.   DOI
2 Simoes RP, Castello V, Auad MA, et al. Prevalence of reduced respiratory muscle strength in institutionalized elderly people. Sao Paulo Med J. 2009;127(2):78-83.   DOI
3 Laghi F, Tobin MJ. Disorders of the respiratory muscles. Am J Respir Crit Care Med. 2003;168(1):10-48.   DOI
4 Kim M, Lee K, Cho J, et al. Diaphragm Thickness and Inspiratory Muscle Functions in Chronic Stroke Patients. Med Sci Monit. 2017;11(23):1247-53.
5 Dres M, Goligher EC, Heunks LMA, et al. Critical illness-associated diaphragm weakness. Intensive Care Med. 2017;43(10):1441-52.   DOI
6 ATS/ERS (American Thoracic Society/European Respiratory Society) Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002;166(4):518-624.   DOI
7 Cardenas LZ, Santana PV, Caruso P, et al. Diaphragmatic Ultrasound Correlates with Inspiratory Muscle Strength and Pulmonary Function in Healthy Subjects. Ultrasound Med Biol. 2018;44(4):786-93.   DOI
8 Santana PV, Prina E, Albuquerque AL, et al. Identifying decreased diaphragmatic mobility and diaphragm thickening in interstitial lung disease: the utility of ultrasound imaging. J Bras Pneumol. 2016;42(2):88-94.   DOI
9 Laroche CM, Carroll N, Moxham J, et al. Clinical significance of severe isolated diaphragm weakness. Am Rev Respir Dis. 1988;138(4):862-6.   DOI
10 Steier J, Kaul S, Seymour J, et al. The value of multiple tests of respiratory muscle strength. Thorax. 2007;62(11):975-80.   DOI
11 Caruso P, Albuquerque AL, Santana PV, et al. Diagnostic methods to assess inspiratory and expiratory muscle strength. J Bras Pneumol. 2015;41(2):110-23.   DOI
12 Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38.   DOI
13 Rocha FR, Bruggemann AK, Francisco DS, et al. Diaphragmatic mobility: relationship with lung function, respiratory muscle strength, dyspnea, and physical activity in daily life in patients with COPD. J Bras Pneumol. 2017;43(1):32-7.   DOI
14 Paulin E, Yamaguti WP, Chammas MC, et al. Influence of diaphragmatic mobility on exercise tolerance and dyspnea in patients with COPD. Respir Med. 2007;101(10):2113-8.   DOI
15 LoMauro A, Aliverti A. Sex differences in respiratory function. Breathe. 2018;14(2):131-140.   DOI
16 Sawaya Y, Ishizaka M, Kubo A, et al. Correlation between skeletal muscle mass index and parameters of respiratory function and muscle strength in young healthy adults according to gender. J Phys Ther Sci. 2018;30(12):1424-7.   DOI
17 Bellemare F, Jeanneret A, Couture J. Sex differences in thoracic dimensions and configuration. Am J Respir Crit Care Med. 2003;168(3):305-12.   DOI
18 Kantarci F, Mihmanli I, Demirel MK, et al. Normal diaphragmatic motion and the effects of body composition: determination with M-mode sonography. J Ultrasound Med. 2004;23(2):255-60.   DOI
19 Boussuges A, Gole Y, Blanc P. Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values. Chest. 2009;135(2):391-400.   DOI
20 Ragnarsdottir M, Kristinsdottir EK. Breathing movements and breathing patterns among healthy men and women 20-69 years of age. Reference values. Respiration. 2006;73(1):48-54.   DOI
21 Kaneko H, Horie J. Breathing movements of the chest and abdominal wall in healthy subjects. Respir Care. 2012;57(9):1442-51.   DOI