alexa Can the Inspiration Deep Influence on the Respiratory Variables and Thoracic-Abdominal Asynchrony in Patients with Copd? | OMICS International | Abstract
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

Can the Inspiration Deep Influence on the Respiratory Variables and Thoracic-Abdominal Asynchrony in Patients with Copd?

Fernanda Dultra Dias1, Desidério Cano Porras2, Daysi da Cruz Tobelem1, Renata P Basso Vanelli3, Roberto Stirbulov4 and Dirceu Costa1*

1Post Graduate Program in Rehabilitation Sciences, Nove de Julho University – UNINOVE, São Paulo, Brazil

2Department of Physical Therapy, University of Sao Paulo, Sao Paulo, Brazil

3Physiotherapy, Universidade Federal de São Carlos - UFSCar, São Carlos, São Paulo, Brazil

4Pneumology Clinic at Santa Casa de Misericórdia de São Paulo (AME), São Paulo, Brazil

*Corresponding Author:
Dirceu Costa
Post Graduate Program in Rehabilitation Sciences
Nove de Julho University, Uninove, Larsep
235/249 Vergueiro Street, Liberdade
São Paulo-SP, 01504-001 Brazil
Tel: +55 11 3665 9871
E-mail: [email protected]

Received date: September 01, 2015 Accepted date: December 03, 2015 Published date: December 07, 2015

Citation: Dias FD, Porras DC, Tobelem DC, Vanelli RPB, Stirbulov R, et al. (2015) Can the Inspiration Deep Influence on the Respiratory Variables and Thoracic-Abdominal Asynchrony in Patients with Copd?. Int J Phys Med Rehabil 3:313. doi: 10.4172/2329-9096.1000313

Copyright: © 2015 Dias FD, 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.


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.


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