دورية أكاديمية
Diaphragm thickness and mobility elicited by two different modalities of inspiratory muscle loading in heart failure participants: A randomized crossover study.
العنوان: | Diaphragm thickness and mobility elicited by two different modalities of inspiratory muscle loading in heart failure participants: A randomized crossover study. |
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المؤلفون: | Zacarias Rondinel T; Science and Technology in Health Program, University of Brasília, Brasília, Distrito Federal, Brazil., Bocchi L; Physical Therapy Department, Science of Rehabilitation Program, University of Brasília, Brasília, Distrito Federal, Brazil., Cipriano Júnior G; Physical Therapy Department, Science of Rehabilitation Program, University of Brasília, Brasília, Distrito Federal, Brazil., Chiappa GRDS; Centro Universitário de Anápolis, Anápolis, Goiás, Brazil., Martins GS; Physical Therapy Department, Science of Rehabilitation Program, University of Brasília, Brasília, Distrito Federal, Brazil., Mateus SRM; Physical Therapy Department, University of Brasília, Brasília, Distrito Federal, Brazil., Cahalin LP; Department of Physical Therapy, Leonard M. Miller School of Medicine, University of Miami, Coral Gables, Florida, United States of America., Cipriano GFB; Physical Therapy Department, Science of Rehabilitation Program, University of Brasília, Brasília, Distrito Federal, Brazil. |
المصدر: | PloS one [PLoS One] 2024 May 24; Vol. 19 (5), pp. e0302735. Date of Electronic Publication: 2024 May 24 (Print Publication: 2024). |
نوع المنشور: | Journal Article; Randomized Controlled Trial |
اللغة: | English |
بيانات الدورية: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: San Francisco, CA : Public Library of Science |
مواضيع طبية MeSH: | Diaphragm*/physiopathology , Diaphragm*/diagnostic imaging , Diaphragm*/physiology , Cross-Over Studies* , Heart Failure*/physiopathology , Heart Failure*/diagnostic imaging , Inhalation*/physiology, Humans ; Male ; Middle Aged ; Female ; Aged ; Respiratory Function Tests ; Respiratory Muscles/physiopathology |
مستخلص: | Objectives: To analyze diaphragmatic thickness, at end-inspiration and end-expiration, diaphragmatic thickening index and mobility via US under two different modalities of inspiratory muscle loading, in two different modalities of inspiratory muscle loading and different load intensities at full-vital capacity maneuvers and the relationship between diaphragmatic thickness with pulmonary function tests in participants with HF. Methods: This randomized crossover trial, enrolled with 17 HF subjects, evaluated diaphragm thickness (Tdi, mm), fractional thickness (TFdi, %), and mobility (mm) US during low and high intensities (30% and 60% of maximal inspiratory pressure-MIP) with two modalities of inspiratory muscle loading mechanical threshold loading (MTL) and tapered flow-resistive loading (TFRL). Results: Both MTL and TFRL produced a increase in Tdi, but only with high intensity loading compared to baseline-2.21 (0.26) vs. 2.68 (0.33) and 2.73 (0.44) mm; p = .01. TFdi was greater than baseline under all conditions, except during low intensity of TFRL. Diaphragm mobility was greater than baseline under all conditions, and high intensity of TFRL elicited greater mobility compared to all other conditions. Additionally, baseline Tdi was moderately correlated with pulmonary function tests. Conclusions: MTL and TFRL modalities elicit similar increases in diaphragm thickness at loads, but only during high intensity loading it was greater than baseline. Diaphragm mobility was significantly greater than baseline under both loads and devices, and at high intensity compared to low intensity, although TFRL produced greater mobility compared to modalities of inspiratory muscle loading. There is an association between diaphragm thickness and pulmonary function tests. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Zacarias Rondinel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
References: | BMJ Open. 2018 Oct 4;8(9):e021189. (PMID: 30287605) J Am Coll Cardiol. 2008 Apr 29;51(17):1663-71. (PMID: 18436118) Heart Fail Clin. 2015 Jan;11(1):149-72. (PMID: 25432483) Eur J Prev Cardiol. 2018 Nov;25(16):1691-1701. (PMID: 30073849) J Bras Pneumol. 2007 Sep-Oct;33(5):527-35. (PMID: 18026650) J Card Fail. 2018 Apr;24(4):209-216. (PMID: 29289723) Am J Respir Crit Care Med. 1999 Aug;160(2):529-34. (PMID: 10430724) Eur Heart J Cardiovasc Imaging. 2016 Dec;17(12):1321-1360. (PMID: 27422899) Am J Respir Crit Care Med. 1995 Sep;152(3):1107-36. (PMID: 7663792) Radiology. 2003 Aug;228(2):389-94. (PMID: 12819344) Respir Care. 2018 Oct;63(10):1231-1238. (PMID: 30018174) Respir Care. 2015 May;60(5):731-9. (PMID: 25737570) Arch Phys Med Rehabil. 2014 Jul;95(7):1398-407. (PMID: 24631801) J Bras Pneumol. 2010 Nov-Dec;36(6):738-45. (PMID: 21225177) Expert Rev Cardiovasc Ther. 2013 Feb;11(2):161-77. (PMID: 23405838) Clin Chest Med. 2019 Jun;40(2):307-315. (PMID: 31078211) J Am Coll Cardiol. 2017 Aug 8;70(6):776-803. (PMID: 28461007) Respir Med. 2013 Apr;107(4):633-5. (PMID: 23421970) Neurol Sci. 2019 Oct;40(10):2065-2071. (PMID: 31129772) Muscle Nerve. 2013 Mar;47(3):319-29. (PMID: 23382111) Braz J Med Biol Res. 1999 Jun;32(6):719-27. (PMID: 10412550) J Crit Care. 2016 Feb;31(1):101-9. (PMID: 26613650) Phys Ther. 2015 Sep;95(9):1264-73. (PMID: 25858974) Heart Fail Rev. 2017 Mar;22(2):191-207. (PMID: 27000754) Respiration. 2016;91(5):403-11. (PMID: 27216909) Clin Physiol Funct Imaging. 2014 Jan;34(1):18-25. (PMID: 23730805) J Gerontol A Biol Sci Med Sci. 2014 Dec;69(12):1545-53. (PMID: 25395284) Integr Blood Press Control. 2019 May 20;12:1-11. (PMID: 31190975) J Clin Med. 2016 Dec 05;5(12):. (PMID: 27929389) Phys Ther. 2020 Dec 7;100(12):2246-2253. (PMID: 32941640) Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624. (PMID: 12186831) Eur Heart J. 2021 Sep 21;42(36):3599-3726. (PMID: 34447992) Phys Ther. 2020 Dec 7;100(12):2099-2109. (PMID: 32936904) J Bras Pneumol. 2007 Jul-Aug;33(4):407-13. (PMID: 17982532) Anesth Analg. 2018 May;126(5):1763-1768. (PMID: 29481436) Nat Methods. 2012 Jul;9(7):671-5. (PMID: 22930834) Am J Respir Crit Care Med. 2019 Oct 15;200(8):e70-e88. (PMID: 31613151) Circulation. 2016 Jun 14;133(24):e694-711. (PMID: 27143685) Intensive Care Med. 2012 May;38(5):796-803. (PMID: 22476448) Eur Respir J. 2019 Jun 13;53(6):. (PMID: 30956204) |
تواريخ الأحداث: | Date Created: 20240524 Date Completed: 20240524 Latest Revision: 20240716 |
رمز التحديث: | 20240717 |
مُعرف محوري في PubMed: | PMC11125520 |
DOI: | 10.1371/journal.pone.0302735 |
PMID: | 38787839 |
قاعدة البيانات: | MEDLINE |
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