Base de dados : LILACS
Pesquisa : G09.772.705 [Categoria DeCS]
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Id: biblio-1046203
Autor: Silva, Maryne Ramos; Peruzzolo, Catherine Correa; Gonçalez, Jéssica Canizelli; Conceição, Thais Martins Albanaz da; Montemezzo, Dayane; Ferrazeane, Elaine Paulin.
Título: Mobilidade diafragmática em saudáveis: escolher a média dos valores ou o maior valor mensurado? / Diaphragmatic mobility on healthy individuals: choosing between mean or the highest measured values
Fonte: Arq. ciências saúde UNIPAR;23(3), set-dez. 2019.
Idioma: pt.
Resumo: A mobilidade diafragmática é essencial para a ventilação pulmonar. Pela ultrassonografia sua mensuração é direta, porém o processamento das medidas encontra-se em divergência na literatura. Indica-se pelo valor médio das três incursões respiratórias máximas ou o maior valor dentre elas restringindo à variações de 10%. Dessa forma, não existe um consenso em relação ao processamento da medida de mobilidade diafragmática máxima. Objetivo: Comparar dois diferentes processamentos das medidas pela ultrassonografia para o maior valor de mobilidade diafragmática. Materiais e métodos: Estudo observacional transversal. Avaliou-se a mobilidade diafragmática pela ultrassonografia, com um transdutor convexo (3 MHz) posicionado anteriormente na região subcostal e leve inclinação cranial, em decúbito dorsal. Visualizou-se o hemidiafragma direito pelo ponto médio entre a linha médio clavicular e axilar anterior. Para visualizar a janela do diafragma e mensurar sua mobilidade foi utilizado o modo B, seguido do modo M. Os participantes realizaram inspirações máximas e os maiores valores com diferença máxima de 10% entre eles mensurados e registrados. Para análise, o maior valor e o valor médio obtido das três medidas foram considerados. Para normalidade dos dados foi realizado o teste de Shapiro Wilk. Para diferenças entre os registros, o teste de t student. Resultados: 30 indivíduos (30,33 ± 9,7 anos), 16 mulheres e 14 homens. A medida da mobilidade diafragmática pelo maior valor em comparação ao valor médio apresentou diferença estatisticamente significante (8,11 ± 1,43 cm versus 7,79 ± 1,43 cm; p<0,001). Conclusão: O valor máximo da mobilidade diafragmática foi obtido por meio da análise do maior valor. Ao escolher a média, a mobilidade diafragmática pode ser subestimada. 

Diaphragmatic mobility is essential to pulmonary ventilation. It can be directly measured by using ultrasonography, but the processing of the measurements can be found described differently in the literature. It can be measured as the average of at least three different cycles or from the greatest value among them resticting it to a 10% variation. Thus, there is no consensus about the processing of the maximum measurement of diaphragmatic mobility. Objective: Comparisson of two differents ultrasound measurement processings aiming at the diaphragmatic mobility maximum value. Methodology: Cross-sectional observational study. The diaphragmatic mobility was assessed by ultrasonography with convex transducer (3MHz) placed on the subcostal region between the midclavicular and anterior axillary. In order to explore the right diaphragmatic window and mobility, the B mode was used, followed by the M mode. The participants made maximum inspiration, and the highest value with a maximum difference of 10% was recorded. For statistical analysis, the mean and the highest value of three measurements were considered. The data distribution was analyzed with a Shapiro Wilk test and differences among records by the t student test. Results: 30 participants (30.33 ± 9.7 years) - 16 women and 14 men. The measurement of the diaphragmatic mobility obtained by the highest value compared against the mean value presented a statistically significant difference (8.11 ± 1.43 cm vs 7.79 ± 1.43 cm; p<0.001). Conclusions: The maximum value of diaphragmatic mobility was obtained by the analysis of the highest value. By choosing to use the mean value, diaphragmatic mobility may be underestimated.
Descritores: Diafragma
Ultrassonografia
-Respiração
Movimento
Limites: Seres Humanos
Adulto
Tipo de Publ: Estudo Observacional
Responsável: BR513.1 - Biblioteca Central


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Id: biblio-1038347
Autor: Ucrós, Santiago; Granados, Claudia; Parejo, Karem; Ortega, Fausto; Guillén, Fernando; Restrepo, Sonia; Gil, Fabián; Guillén, Miriam.
Título: Saturación de oxígeno, respiración periódica y apnea durante el sueño en lactantes de 1 a 4 meses a 3200 metros de altura / Oxygen saturation, periodic breathing, and sleep apnea in infants aged 1-4 months old living at 3200 meters above sea level
Fonte: Arch. argent. pediatr;115(1):54-57, feb. 2017. graf, tab.
Idioma: en; es.
Resumo: Objetivos: describir, en niños de 1-4 meses, a 3200 m de altura, la saturación de oxígeno (SpO2), los índices de apnea y la respiración periódica (RP) durante el sueño. Se realizaron polisomnografías en 18 lactantes sanos. Resultados: las medianas fueron de 87% para la SpO2 y de 7,2% para la RP del tiempo total de sueño. El índice de apnea central tuvo una mediana de 30,5 /hora, que disminuyó a 5,4/hora al descontar las apneas asociadas a RP. El p5 de la SpO2 para niños despiertos fue de 76% y, para niños dormidos, de 66%. Conclusiones: la SpO2 fue inferior a la del nivel del mar y la RP y el índice de apnea central, mayores; al descontar las apneas centrales asociadas a RP. Este último, fue similar a la del nivel del mar. A 3200 m, se requieren puntos diferentes para la SpO2 normal, uno para niños despiertos y otro si están dormidos.

Objectives: To describe, in infants aged 1-4 months old living at 3200 meters above sea level (MASL), oxygen saturation (SpO2), sleep apnea indices, and periodic breathing (PB) during sleep. Polysomnographies were done in 18 healthy infants. Results: The median SpO2 was 87%, and the median PB was 7.2% for the total sleep time. The median central sleep apnea index was 30.5/hour, which decreased to 5.4/hour once sleep apneas associated with PB were excluded. The 5th percentile for SpO2 was 76% among awake infants, and 66% among asleep infants. Conclusions: The SpO2 was lower than that observed at sea level, whereas PB and the central sleep apnea index were higher, once sleep apneas associated with PB were excluded. The latter was similar to that observed at sea level. At 3200 MASL, different cut-off points are required for a normal SpO2, one for infants during the waking state and one for infants during sleep.
Descritores: Oxigênio/metabolismo
Respiração
Sono/fisiologia
Síndromes da Apneia do Sono/fisiopatologia
Síndromes da Apneia do Sono/metabolismo
Altitude
-Estudos Transversais
Estudos Prospectivos
Equador
Limites: Seres Humanos
Lactente
Responsável: AR94.1 - Centro de Información Pediatrica


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Texto completo SciELO Brasil
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Id: lil-761608
Autor: Moraes, Karen; Paisani, Denise M; Pacheco, Nathália C. T; Chiavegato, Luciana D.
Título: Effects of nephrectomy on respiratory function and quality of life of living donors: a longitudinal study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(4):264-270, July-Aug. 2015. tab.
Idioma: en.
Resumo: BACKGROUND: A living donor transplant improves the survival and quality of life of a transplant patient. However, the impact of transplantation on postoperative lung function and respiratory muscular strength in kidney donors remains unknown.OBJECTIVE: To evaluate pulmonary function, respiratory muscle strength, quality of life and the incidence of postoperative pulmonary complications (PPCs) in kidney donors undergoing nephrectomy.METHOD: This prospective cohort enrolled 110 consecutive kidney donors undergoing nephrectomy. Subjects underwent pulmonary function (using spirometry) and respiratory muscular strength (using manovacuometry) assessments on the day prior to surgery and 1, 2, 3 and 5 days postoperatively. Quality of life (measured by the SF-36) was evaluated preoperatively and 30 days postoperatively. PPCs were assessed daily by a blinded assessor.RESULTS: Donors exhibited a decrease of 27% in forced vital capacity, 58% in maximum inspiratory capacity and 51% in maximum expiratory pressure on the 1stpostoperative day (p<0.001) but this improved over days 2, 3 and 5 but had not returned to preoperative levels. Patient quality of life was still impaired at 30 days with regards to functional capacity, physical role, pain, vitality and social functioning (p<0.05) but these parameters improved slowly. None of the patients developed PPCs.CONCLUSION: Kidney donors submitted to nephrectomy exhibited a reduction in pulmonary function, respiratory muscular strength and quality of life, most of which were improving toward pre-surgical levels.
Descritores: Complicações Pós-Operatórias/fisiopatologia
Músculos Respiratórios/fisiopatologia
Pulmão/fisiopatologia
Nefrectomia
-Qualidade de Vida
Respiração
Estudos Longitudinais
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Texto completo SciELO Brasil
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Id: lil-767065
Autor: Reychler, Gregory; Jacquemart, Manon; Poncin, William; Aubriot, Anne-Sophie; Liistro, Giuseppe.
Título: Benefit of educational feedback for the use of positive expiratory pressure device
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(6):451-456, Nov.-Dec. 2015. tab.
Idioma: en.
Resumo: BACKGROUND: Positive expiratory pressure (PEP) is regularly used as a self-administered airway clearance technique. OBJECTIVE: The aim of this study was to evaluate the need to teach the correct use of the PEP device and to measure the progress of the success rate of the maneuver after training. METHOD: A PEP system (PariPEP-S Sytem) was used to generate PEP in 30 healthy volunteers. They were instructed by a qualified physical therapist to breathe correctly through the PEP device. Then they were evaluated during a set of ten expirations. Two other evaluations were performed at day 2 and day 8 (before and after feedback). The mean PEP and the success rate were calculated for each set of expirations. The number of maneuvers needed to obtain a correct use was calculated on the first session. RESULTS: An optimal PEP was reached after 7.5 SD 2.7 attempts by all subjects. Success rates and mean pressures were similar between the different sets of expirations (p=0.720 and p=0.326, respectively). Pressure variability was around 10%. After one week, 30% of subjects generated more than two non-optimal pressures in the set of ten expirations. No difference in success rate was observed depending on the evaluations. CONCLUSION: This study demonstrates that good initial training on the use of the PEP device and regular follow-up are required for the subject to reach optimal expiratory pressure.
Descritores: Volume Expiratório Forçado/fisiologia
Respiração com Pressão Positiva/instrumentação
-Pressão
Respiração
Respiração com Pressão Positiva/métodos
Modalidades de Fisioterapia/normas
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Texto completo SciELO Brasil
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Id: lil-783873
Autor: Cabiddu, Ramona; Pantoni, Camila B. F; Mendes, Renata G; Trimer, Renata; Catai, Aparecida M; Borghi-Silva, Audrey.
Título: Inductive plethysmography potential as a surrogate for ventilatory measurements during rest and moderate physical exercise
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(2):184-188, Mar.-Apr. 2016. tab, graf.
Idioma: en.
Resumo: Background: Portable respiratory inductive plethysmography (RIP) systems have been validated for ventilatory assessment during resting conditions and during incremental treadmill exercise. However, in clinical settings and during field-based exercise, intensity is usually constant and submaximal. A demonstration of the ability of RIP to detect respiratory measurements accurately during constant intensity conditions would promote and validate the routine use of portable RIP devices as an alternative to ergospirometry (ES), the current gold standard technique for ventilatory measures. Objective: To investigate the agreement between respiratory variables recorded by a portable RIP device and by ES during rest and constant intensity exercise. Method: Tidal volume (VT), respiratory rate (RR) and minute ventilation (VE) were concurrently acquired by portable RIP and ES in seven healthy male volunteers during standing rest position and constant intensity treadmill exercise. Results: Significant agreement was found between RIP and ES acquisitions during the standing rest position and constant intensity treadmill exercise for RR and during the standing rest position for VE. Conclusion: Our results suggest that portable RIP devices might represent a suitable alternative to ES during rest and during constant submaximal exercise.
Descritores: Pletismografia
Ventiladores Mecânicos
Volume de Ventilação Pulmonar/fisiologia
Teste de Esforço/métodos
-Respiração
Descanso
Exercício
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: biblio-828286
Autor: Santos, Karoliny dos; Gulart, Aline A; Munari, Anelise B; Karloh, Manuela; Mayer, Anamaria F.
Título: Ventilatory demand and dynamic hyperinflation induced during ADL-based tests in Chronic Obstructive Pulmonary Disease patients
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(5):441-450, Sept.-Oct. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background Airflow limitation frequently leads to the interruption of activities of daily living (ADL) in patients with Chronic Obstructive Pulmonary Disease (COPD). These patients commonly show absence of ventilatory reserve, reduced inspiratory reserve volume, and dynamic hyperinflation (DH). Objective To investigate ventilatory response and DH induced by three ADL-based protocols in COPD patients and compare them to healthy subjects. Method Cross-sectional study. COPD group: 23 patients (65±6 years, FEV1 37.2±15.4%pred); control group: 14 healthy subjects (64±4 years) matched for age, sex, and body mass index. Both groups performed all three tests: Glittre-ADL test; an activity test that involved moving objects on a shelf (TSHELF); and a modified shelf protocol isolating activity with upper limbs (TSHELF-M). Ventilatory response and inspiratory capacity were evaluated. Results Baseline ventilatory variables were similar between groups (p>0.05). The ventilatory demand increased and the inspiratory capacity decreased significantly at the end of the tests in the COPD group. Ventilatory demand and DH were higher (p<0.05) in the TSHELF than in the TSHELF–M in the COPD group (p<0.05). There were no differences in DH between the three tests in the control group (p>0.05) and ventilatory demand increased at the end of the tests (p<0.05) but to a lower extent than the COPD group. Conclusion The TSHELF induces similar ventilatory responses to the Glittre-ADL test in COPD patients with higher ventilatory demand and DH. In contrast, the ventilatory response was attenuated in the TSHELF-M, suggesting that squatting and bending down during the Glittre-ADL test could trigger significant ventilatory overload.
Descritores: Capacidade Inspiratória/fisiologia
Doença Pulmonar Obstrutiva Crônica/fisiopatologia
Teste de Esforço/normas
-Respiração
Atividades Cotidianas
Estudos Transversais
Limites: Seres Humanos
Idoso
Responsável: BR1.1 - BIREME


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Id: lil-781327
Autor: Ioannis, Tzanoglou; George, Sakorafas; Nikolaos, Kostomitsopoulos; George, Mantziaras; Charalampos, Patraleksis; Nikolaos, Danias; Spyridon, Stergiopoulos; Michael, Safioleas.
Título: Evaluation of diaphragmatic mobility following intra-abdominal sub-diaphragmatic fixation of a double-layered mesh in rats
Fonte: Acta cir. bras;31(4):235-242, Apr. 2016. tab, graf.
Idioma: en.
Resumo: PURPOSE: To evaluate the tissue integration of a double-sided mesh after fixation in diaphragm and to study the diaphragmatic mobility by ultrasound. METHODS: Twenty male Wistar rats were used. The animals were assigned into two equal groups according to the day of euthanasia. The animals were anesthetized and a 1.5 x 1.5 cm of double-layer mesh was inserted between the diaphragm and the liver. For the evaluation of the diaphragm mobility a sonographic method was used. Measurements on specific breathing parameters were taking place. Pathological evaluation took place after the animal's euthanasia. RESULTS: Extra-hepatic granuloma was not differentiated overtime, (χ2=0.04, p>0.05). Neither fibrosis was significantly differentiated, (χ2=0.04, p>0.05). Intra-hepatic granuloma was significantly differentiated overtime, (χ2=10.21, p<0.05). Concerning Te parameter, means were significantly differentiated over time, F (3, 30) = 5.12, (p<0.01). Ttot parameter, it was differentiated over time, F (3, 8)=4.79, (p<0.05). IR parameter was also longitudinally differentiated, F (3, 30)=3.73, (p<0.05). CONCLUSION: The measurements suggest a transient malfunction of diaphragmatic mobility despite the fact that inflammatory reaction, fibrosis and extra-hepatic granuloma were not significantly differentiated with the passage of time.
Descritores: Respiração
Telas Cirúrgicas
Diafragma/cirurgia
Diafragma/fisiopatologia
Fígado/cirurgia
-Próteses e Implantes
Testes de Função Respiratória
Fatores de Tempo
Fibrose/patologia
Diafragma/patologia
Diafragma/diagnóstico por imagem
Ultrassonografia
Granuloma/patologia
Fígado/patologia
Limites: Animais
Masculino
Ratos
Tipo de Publ: Estudos de Validação
Responsável: BR1.1 - BIREME


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Id: biblio-838353
Autor: Cuestas, Giselle; Rodríguez, Verónica; Doormann, Flavia; Bellia Munzón, Patricio; Bellia Munzón, Gastón.
Título: Cuerpo extraño en el esófago como causa de síntomas respiratorios en el niño: Casos clínicos / Foreign body in the esophagus as a cause of respiratory symptoms in children: Clinical cases
Fonte: Arch. argent. pediatr;115(2):e126-e130, abr. 2017. ilus, tab.
Idioma: es.
Resumo: Los cuerpos extraños en el esófago son accidentes evitables que se observan, con mayor frecuencia, en niños menores de 3 años. Los síntomas de presentación más comunes son la disfagia, la sialorrea y los vómitos. Ocasionalmente, un cuerpo extraño en el esófago puede manifestarse con síntomas respiratorios, tales como tos, estridor y dificultad respiratoria. Esto es más frecuente en los niños pequeños y cuando el objeto permanece alojado en el esófago durante un período prolongado. La sospecha clínica es fundamental para el diagnóstico precoz, lo cual permite evitar potenciales complicaciones. Describimos a 3 niños con un cuerpo extraño impactado en el esófago que presentaron, principalmente, síntomas respiratorios. Alertamos a los pediatras sobre la variación sintomática en la presentación de un cuerpo extraño ingerido y subrayamos la importancia de realizar un diagnóstico y tratamiento oportunos.

Foreign bodies in esophagus are avoidable accidents that occur most often in children younger than 3 years. The most common presenting symptoms are dysphagia, drooling and vomiting. Occasionally a foreign body in the esophagus may present with respiratory symptoms such as cough, stridor and respiratory distress. This is more common in young children and when the object remains lodged in the esophagus for a prolonged period. Clinical suspicion is essential for early diagnosis, which allows to avoid potential complications. We describe 3 children with a foreign body impacted in the esophagus who presented mainly respiratory symptoms. We alert pediatricians on symptomatic variation in the presentation of a foreign body ingestion and we underline the importance of early diagnosis and treatment.
Descritores: Sons Respiratórios/etiologia
Tosse/etiologia
Esôfago
Corpos Estranhos/complicações
-Respiração
Limites: Seres Humanos
Masculino
Feminino
Lactente
Pré-Escolar
Tipo de Publ: Relatos de Casos
Responsável: AR94.1 - Centro de Información Pediatrica


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Id: lil-59610
Autor: Henríquez Sapunar, Raúl.
Título: Movimientos respiratorios fetales / Fetal respiratory movements.
Fonte: s.l; Centro Latinoamericano de Perinatologia y Desarrollo Humano; dic. 1982. 33 p. ilus, tab. (CLAP 906).
Idioma: es.
Símbolo: CLAP 906.
Descritores: Movimento Fetal
Feto/fisiologia
Respiração
-Índice de Apgar
Gasometria
Ultrassonografia
Idade Gestacional
Sofrimento Fetal
Movimento Fetal/efeitos dos fármacos
Respiração
Limites: Seres Humanos
Animais
Feminino
Gravidez
Responsável: BR1.1 - BIREME
BR1.1/850.00; UY4.1; CLAP , @, 0906


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Id: lil-691716
Autor: Ribas, Maynara Castanhel; Schivinski, Camila Isabel Santos.
Título: Terapia inalatória como coadjuvante do tratamento fisioterapêutico do paciente fibrocístico: uma revisão de sistemática / Inhalation therapy as supporting physiotherapy treatment of cystic fibrosis patients: a sistematic review
Fonte: Pediatr. mod;49(6), jun. 2013.
Idioma: pt.
Resumo: Introdução: Comumente associada à fisioterapia respiratória, a terapia inalatória (TI) vem atuando como elemento essencial no manejo da fibrose cística (FC), sendo um dos mais importantes recursos preventivos e de manutenção do quadro pulmonar nessa doença. Objetivo: Apresentar evidências científicas sobre o uso de diferentes TI associadas ao tratamento fisioterapêutico de pacientes com FC. Método: Revisão sistemática da literatura, envolvendo pesquisa em quatro bases de dados eletrônicos, no período de junho a agosto de 2012. As publicações foram identificadas nas bases LILACS, MEDLINE, PEDro e SciELO. Como critérios de inclusão se considerou ensaios clínicos que analisem os efeitos das diferentes TI (dornase alfa/DA, solução salina hipertônica/SSH, broncodilatadores/BRC e agentes mucolíticos/AM), quando combinadas com técnicas de fisioterapia respiratória em pacientes com FC, publicados a partir do ano de 1980. Resultados: Foram identificados 451 trabalhos compatíveis com o tema. Destes, 71 títulos tiveram seus resumos lidos e 23 foram selecionados para análise do texto na íntegra, sendo 13 incluídos nesta revisão. Os trabalhos foram analisados, segundo as características do estudo e a relação entre inaloterapia e fisioterapia, além de especificidades quanto às terapêuticas utilizadas e os resultados obtidos. Conclusão: A associação das TI e técnicas de fisioterapia respiratória, especificamente da DA, SSH e BRC, são benéficas para pacientes com FC, apresentando elevado nível de evidência. Entretanto, alguns aspectos dessa administração combinada merecem mais investigação...
Descritores: Fibrose Cística
Fisioterapia
Respiração
Tipo de Publ: Revisão
Responsável: BR12.1 - Biblioteca Setorial da Ciências da Saúde



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