ఇంటర్నేషనల్ జర్నల్ ఆఫ్ ఫిజికల్ మెడిసిన్ & రిహాబిలిటేషన్
అందరికి ప్రవేశం

నైరూప్య

Copd ఉన్న రోగులలో రెస్పిరేటరీ వేరియబుల్స్ మరియు థొరాసిక్-అబ్డామినల్ ఎసిన్క్రోనిపై ఇన్స్పిరేషన్ లోతైన ప్రభావం చూపగలదా?

ఫెర్నాండా దుల్ట్రా డయాస్, డెసిడెరియో కానో పోర్రాస్, డేసి డా క్రుజ్ టోబెలెమ్, రెనాటా పి బస్సో వానెల్లి, రాబర్టో స్టిర్బులోవ్ మరియు డిర్సియు కోస్టా

Objective: To determinate by the OEP the effects of deep inspiration on physiological variables and thoracic-abdominal asynchrony in patients with COPD, compared with healthy individuals matched for age.

Methods: Ten patients with COPD and 12 healthy individuals were evaluated using OEP during deep inspiration. TAA was estimated using the phase angle in a Lissajous figure for three consecutive and consistent respiratory cycles.

Results: There was significant difference (p<0.01) on the phase angle between the abdominal rib cage (RCa) and the abdomen (AB) in COPD patients compared to the control (-20.7°±26.3° vs -0.3°±8.8°). Greater compartmental contribution to the tidal volume was found in the pulmonary rib cage (RCp) in both the control group (p<0.009) and the COPD group (p<0.003). The degree of obstruction was not correlated with TAA between the different compartments.

Conclusion: During deep inspiration for assincroniatoracoabdominal in patients with COPD in relation to healthy, not sort of adding then to improves the respiratory pattern in this group of patients and the degree of airway obstruction of these patients correlates with the presence ATA.