Thoracic cirtometry in children with Duchenne muscular dystrophy--expansion of the method
Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of compensatory movements commonly used by people with chronic diseases, such Duchenne muscular dystrophy (DMD). DMD is a condition characterized...
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| Published in: | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Vol. 17; no. 1; pp. 1 - 8 |
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| Abstract | Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of compensatory movements commonly used by people with chronic diseases, such Duchenne muscular dystrophy (DMD). DMD is a condition characterized by progressive and irreversible degeneration of the musculoskeletal system.
To expand the method of thoracic cirtometry to allow for the assessment of compensatory movements; to analyze the reliability of the tool; and to describe thoracic mobility of children with DMD during deep breathing.
Sixty boys, 30 with DMD (10.1±0.5 years) and 30 healthy controls (9.5±0.6 years) participated in the study. The expanded thoracic cirtometry was organized in two phases: 1. the body could move freely, allowing the assessment of compensatory movements (free thoracic cirtometry) and 2. the body without compensatory movements, allowing for the direct study of the movements of the chest (guided thoracic cirtometry). This method includes videotaping and systematic observation of body movements using descriptive and numeric data. We investigated reliability of these measures in both groups.
Measures of axial and the xiphoid thoracic cirtometry (both free and guided) showed excellent reliability. All measures were significantly different between groups. In DMD boys, free thoracic cirtometry presented a greater value of chest expansion when compared with the guided measures, which probably occurred due to compensatory movements. The most commons were movements of the head, shoulder and torso.
The expanded thoracic cirtometry method showed excellent reliability and achieved the objectives of determining measures of chest mobility and compensatory movements during deep breath. We suggested its use in the respiratory evaluation of children with DMD. |
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| AbstractList | BACKGROUNDThoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of compensatory movements commonly used by people with chronic diseases, such Duchenne muscular dystrophy (DMD). DMD is a condition characterized by progressive and irreversible degeneration of the musculoskeletal system.OBJECTIVESTo expand the method of thoracic cirtometry to allow for the assessment of compensatory movements; to analyze the reliability of the tool; and to describe thoracic mobility of children with DMD during deep breathing.METHODSixty boys, 30 with DMD (10.1±0.5 years) and 30 healthy controls (9.5±0.6 years) participated in the study. The expanded thoracic cirtometry was organized in two phases: 1. the body could move freely, allowing the assessment of compensatory movements (free thoracic cirtometry) and 2. the body without compensatory movements, allowing for the direct study of the movements of the chest (guided thoracic cirtometry). This method includes videotaping and systematic observation of body movements using descriptive and numeric data. We investigated reliability of these measures in both groups.RESULTSMeasures of axial and the xiphoid thoracic cirtometry (both free and guided) showed excellent reliability. All measures were significantly different between groups. In DMD boys, free thoracic cirtometry presented a greater value of chest expansion when compared with the guided measures, which probably occurred due to compensatory movements. The most commons were movements of the head, shoulder and torso.CONCLUSIONSThe expanded thoracic cirtometry method showed excellent reliability and achieved the objectives of determining measures of chest mobility and compensatory movements during deep breath. We suggested its use in the respiratory evaluation of children with DMD. BACKGROUND: Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of compensatory movements commonly used by people with chronic diseases, such Duchenne muscular dystrophy (DMD). DMD is a condition characterized by progressive and irreversible degeneration of the musculoskeletal system. OBJECTIVES: To expand the method of thoracic cirtometry to allow for the assessment of compensatory movements; to analyze the reliability of the tool; and to describe thoracic mobility of children with DMD during deep breathing. METHOD: Sixty boys, 30 with DMD (10.1±0.5 years) and 30 healthy controls (9.5±0.6 years) participated in the study. The expanded thoracic cirtometry was organized in two phases: 1. the body could move freely, allowing the assessment of compensatory movements (free thoracic cirtometry) and 2. the body without compensatory movements, allowing for the direct study of the movements of the chest (guided thoracic cirtometry). This method includes videotaping and systematic observation of body movements using descriptive and numeric data. We investigated reliability of these measures in both groups. RESULTS: Measures of axial and the xiphoid thoracic cirtometry (both free and guided) showed excellent reliability. All measures were significantly different between groups. In DMD boys, free thoracic cirtometry presented a greater value of chest expansion when compared with the guided measures, which probably occurred due to compensatory movements. The most commons were movements of the head, shoulder and torso. CONCLUSIONS: The expanded thoracic cirtometry method showed excellent reliability and achieved the objectives of determining measures of chest mobility and compensatory movements during deep breath. We suggested its use in the respiratory evaluation of children with DMD. Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of compensatory movements commonly used by people with chronic diseases, such Duchenne muscular dystrophy (DMD). DMD is a condition characterized by progressive and irreversible degeneration of the musculoskeletal system. To expand the method of thoracic cirtometry to allow for the assessment of compensatory movements; to analyze the reliability of the tool; and to describe thoracic mobility of children with DMD during deep breathing. Sixty boys, 30 with DMD (10.1±0.5 years) and 30 healthy controls (9.5±0.6 years) participated in the study. The expanded thoracic cirtometry was organized in two phases: 1. the body could move freely, allowing the assessment of compensatory movements (free thoracic cirtometry) and 2. the body without compensatory movements, allowing for the direct study of the movements of the chest (guided thoracic cirtometry). This method includes videotaping and systematic observation of body movements using descriptive and numeric data. We investigated reliability of these measures in both groups. Measures of axial and the xiphoid thoracic cirtometry (both free and guided) showed excellent reliability. All measures were significantly different between groups. In DMD boys, free thoracic cirtometry presented a greater value of chest expansion when compared with the guided measures, which probably occurred due to compensatory movements. The most commons were movements of the head, shoulder and torso. The expanded thoracic cirtometry method showed excellent reliability and achieved the objectives of determining measures of chest mobility and compensatory movements during deep breath. We suggested its use in the respiratory evaluation of children with DMD. |
| Author | Escorcio, Renata Fernandes, Lilian A Y Caromano, Fátima A Garcia Júnior, Agenor Contesini, Adriana M João, Sílvia M A |
| AuthorAffiliation | Universidade de São Paulo USP |
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| Author_xml | – sequence: 1 givenname: Agenor surname: Garcia Júnior fullname: Garcia Júnior, Agenor organization: Laboratory of Physical Therapy and Behavior, Department of Physical Therapy, Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brazil – sequence: 2 givenname: Fátima A surname: Caromano fullname: Caromano, Fátima A – sequence: 3 givenname: Adriana M surname: Contesini fullname: Contesini, Adriana M – sequence: 4 givenname: Renata surname: Escorcio fullname: Escorcio, Renata – sequence: 5 givenname: Lilian A Y surname: Fernandes fullname: Fernandes, Lilian A Y – sequence: 6 givenname: Sílvia M A surname: João fullname: João, Sílvia M A |
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| Keywords | avaliação respiratória fisioterapia Duchenne muscular dystrophy reliability reprodutibilidade de resultados physical therapy respiratory assessment Distrofia Muscular de Duchenne |
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| References | Kang, SW; Kang, YS; Moon, JH; Yoo, TW 2005; 46 Bushby, K; Finkel, R; Birnkrant, DJ; Case, LE; Clemens, PR; Cripe, L 2010; 9 Allen, J 2010; 11 Lynn, DJ; Woda, RP; Mendell, JR 1994; 15 Iunes, DH; Castro, FA; Salgado, HS; Moura, IC; Oliveira, AS; Bevilaqua-Grossi, D 2005; 9 Silva, EF; Guedes, RP; Ribeiro, EC 2003; 16 Carvalho, MRA; Carvalho, MRA 1979 López-Hernández, LB; Vázquez-Cárdenas, NA; Luna-Padrón, E 2009; 49 Estenne, M; Heilporn, A; Delhez, L; Yernault, JC; De Troyer, A 1983; 128 Park, JH; Kang, SW; Lee, SC; Choi, WA; Kim, DH 2010; 51 Culham, EG; Jimenez, HA; King, CE 1994; 19 Eadie, WT; Drijard, D; James, FE; Roos, M; Sadoulet, B 1971 Landis, JR; Koch, GG 1977; 33 Jover, M; Schmitz, C; Bosdure, E; Chabrol, B; Assaiante, C 2006; 403 Veneruso, G; Adami Lami, C; Azzari, C; Calandi, C; Franchini, C; Sabatini, C 1987; 9 Yamashita, T; Kanaya, K; Yokogushi, K; Ishikawa, Y; Minami, R 2001; 21 Inkley, SR; Oldenburg, FC; Vignos Junior, PJ 1974; 56 Costa, D; Sampaio, LMM; Lorenzo, VAPD; Jamami, M; Damaso, AR 2003; 11 Weir, JP 2005; 19 Lo Mauro, A; D'Angelo, MG; Romei, M; Motta, F; Colombo, D; Comi, GP 2010; 35 Aliverti, A; Stevenson, N; Dellacà, RL; Lo Mauro, A; Pedotti, A; Calverley, PM 2004; 59 Bockenhauer, SE; Julliard, KN; Lo, KS; Huang, E; Sheth, AM 2002; 102 Galasko, CS; Williamson, JB; Delaney, CM 1995; 4 Saad, IAB; Zambom, L 2001; 47 Smith, AD; Koreska, J; Moselley, CF 1989; 71 Pires, AC; Saporito, WF; Grandini, SM; Freitas, ACO; Gui, D; Zambon, JP 1999; 22 Levin, J; Fox, JA 2004 Heller, KD; Forst, R; Forst, J; Hengstler, K 1997; 21 Bockenhauer, SE; Chen, H; Julliard, KN; Weedon, J 2007; 107 Custers, JWH; Arets, HGM; Engelbert, RHH; Kooijmans, FTC 2005; 4 |
| References_xml | – volume: 4 start-page: 263 issue: 5 year: 1995 end-page: 7 article-title: Lung function in Duchenne muscular dystrophy publication-title: Eur Spine J contributor: fullname: Galasko, CS; Williamson, JB; Delaney, CM – start-page: 65 year: 1979 end-page: 68 publication-title: Fisioterapia respiratória contributor: fullname: Carvalho, MRA; Carvalho, MRA – volume: 4 start-page: 129 issue: 2 year: 2005 end-page: 33 article-title: Thoracic excursion measurement in children with cystic fibrosis publication-title: J Cyst Fibros contributor: fullname: Custers, JWH; Arets, HGM; Engelbert, RHH; Kooijmans, FTC – volume: 19 start-page: 231 issue: 1 year: 2005 end-page: 40 article-title: Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM publication-title: J Strength Cond Res contributor: fullname: Weir, JP – volume: 49 start-page: 369 issue: 7 year: 2009 end-page: 75 article-title: Duchenne muscular dystrophy: current aspects and perspectives on treatment publication-title: Rev Neurol. contributor: fullname: López-Hernández, LB; Vázquez-Cárdenas, NA; Luna-Padrón, E – volume: 59 start-page: 210 issue: 3 year: 2004 end-page: 6 article-title: Regional chest wall volumes during exercise in chronic obstructive pulmonary disease publication-title: Thorax contributor: fullname: Aliverti, A; Stevenson, N; Dellacà, RL; Lo Mauro, A; Pedotti, A; Calverley, PM – volume: 107 start-page: 191 issue: 5 year: 2007 end-page: 6 article-title: Measuring thoracic excursion: reliability of the cloth tape measure technique publication-title: J Am Osteopath Assoc contributor: fullname: Bockenhauer, SE; Chen, H; Julliard, KN; Weedon, J – volume: 15 start-page: 661 issue: 4 year: 1994 end-page: 74 article-title: Respiratory dysfunction in muscular dystrophy and other myopathies publication-title: Clin Chest Med contributor: fullname: Lynn, DJ; Woda, RP; Mendell, JR – volume: 9 start-page: 177 issue: 2 year: 2010 end-page: 89 article-title: Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care publication-title: Lancet Neurol contributor: fullname: Bushby, K; Finkel, R; Birnkrant, DJ; Case, LE; Clemens, PR; Cripe, L – volume: 102 start-page: 371 issue: 7 year: 2002 end-page: 5 article-title: Quantifiable effects of osteopathic manipulative techniques on patients with chronic asthma publication-title: J Am Osteopath Assoc contributor: fullname: Bockenhauer, SE; Julliard, KN; Lo, KS; Huang, E; Sheth, AM – volume: 16 start-page: 51 issue: 1 year: 2003 end-page: 6 article-title: Estudo das repercussões das cirurgias abdominais sobre os músculos respiratórios publication-title: Fisioter Mov contributor: fullname: Silva, EF; Guedes, RP; Ribeiro, EC – volume: 46 start-page: 233 issue: 2 year: 2005 end-page: 8 article-title: Assisted cough and pulmonary compliance in patients with Duchenne muscular dystrophy publication-title: Yonsei Med J contributor: fullname: Kang, SW; Kang, YS; Moon, JH; Yoo, TW – volume: 47 start-page: 117 issue: 2 year: 2001 end-page: 24 article-title: Variáveis clínicas de risco pré-operatório publication-title: Rev Assoc Méd Bras contributor: fullname: Saad, IAB; Zambom, L – volume: 51 start-page: 392 issue: 3 year: 2010 end-page: 7 article-title: How respiratory muscle strength correlates with cough capacity in patients with respiratory muscle weakness publication-title: Yonsei Med J contributor: fullname: Park, JH; Kang, SW; Lee, SC; Choi, WA; Kim, DH – volume: 21 start-page: 202 issue: 3 year: 1997 end-page: 9 article-title: Scoliosis in Duchenne muscular dystrophy: aspects of orthotic treatment publication-title: Prosthet Orthot Int contributor: fullname: Heller, KD; Forst, R; Forst, J; Hengstler, K – volume: 35 start-page: 1118 issue: 5 year: 2010 end-page: 25 article-title: Abdominal volume contribution to tidal volume as an early indicator of respiratory impairment in Duchenne muscular dystrophy publication-title: Eur Respir J contributor: fullname: Lo Mauro, A; D'Angelo, MG; Romei, M; Motta, F; Colombo, D; Comi, GP – volume: 9 start-page: 15 issue: 1 year: 1987 end-page: 9 article-title: Evaluation of the respiratory function in patients with Duchenne's muscular dystrophy publication-title: Pediatr Med Chir contributor: fullname: Veneruso, G; Adami Lami, C; Azzari, C; Calandi, C; Franchini, C; Sabatini, C – year: 1971 publication-title: Statistical Methods in Experimental Physics contributor: fullname: Eadie, WT; Drijard, D; James, FE; Roos, M; Sadoulet, B – volume: 71 start-page: 1066 issue: 7 year: 1989 end-page: 74 article-title: Progression of scoliosis in Duchenne muscular dystrophy publication-title: J Bone Joint Surg Am contributor: fullname: Smith, AD; Koreska, J; Moselley, CF – volume: 56 start-page: 297 issue: 3 year: 1974 end-page: 306 article-title: Pulmonary function in Duchenne muscular dystrophy related to stage of disease publication-title: Am J Med contributor: fullname: Inkley, SR; Oldenburg, FC; Vignos Junior, PJ – year: 2004 publication-title: Estatística para ciências humanas contributor: fullname: Levin, J; Fox, JA – volume: 403 start-page: 271 issue: 3 year: 2006 end-page: 5 article-title: Anticipatory postural adjustments in a bimanual load-lifting task in children with Duchenne muscular dystrophy publication-title: Neurosci Lett contributor: fullname: Jover, M; Schmitz, C; Bosdure, E; Chabrol, B; Assaiante, C – volume: 11 start-page: 156 issue: 2 year: 2003 end-page: 60 article-title: Avaliação da força muscular respiratória e amplitudes torácicas e abdominais após RFR em indivíduos obesos publication-title: Rev Latinoam Enferm contributor: fullname: Costa, D; Sampaio, LMM; Lorenzo, VAPD; Jamami, M; Damaso, AR – volume: 33 start-page: 159 issue: 1 year: 1977 end-page: 74 article-title: The measurement of observer agreement for categorical data publication-title: Biometrics contributor: fullname: Landis, JR; Koch, GG – volume: 9 start-page: 327 issue: 3 year: 2005 end-page: 34 article-title: Confiabilidade intra e interexaminadores e repetibilidade da avaliação postural pela fotogrametria publication-title: Rev Bras Fisioter contributor: fullname: Iunes, DH; Castro, FA; Salgado, HS; Moura, IC; Oliveira, AS; Bevilaqua-Grossi, D – volume: 22 start-page: 13 issue: 1/2 year: 1999 end-page: 7 article-title: Avaliação da disfunção diafragmática no pós-operatório de cirurgia cardíaca publication-title: Arq Med ABC contributor: fullname: Pires, AC; Saporito, WF; Grandini, SM; Freitas, ACO; Gui, D; Zambon, JP – volume: 19 start-page: 1250 issue: 11 year: 1994 end-page: 5 article-title: Thoracic kyphoss, rib mobility, and lung volumes in normal women and women with osteoporosis publication-title: Spine (Phila Pa 1976) contributor: fullname: Culham, EG; Jimenez, HA; King, CE – volume: 21 start-page: 113 issue: 1 year: 2001 end-page: 6 article-title: Correlation between progression of spinal deformity and pulmonary function in Duchenne muscular dystrophy publication-title: J Pediatr Orthop contributor: fullname: Yamashita, T; Kanaya, K; Yokogushi, K; Ishikawa, Y; Minami, R – volume: 11 start-page: 18 issue: 1 year: 2010 end-page: 23 article-title: Pulmonary complications of neuromuscular disease: a respiratory mechanics perspective publication-title: Paediatr Respir Rev contributor: fullname: Allen, J – volume: 128 start-page: 1002 issue: 6 year: 1983 end-page: 7 article-title: Chest wall stiffness in patients with chronic respiratory muscle weakness publication-title: Am Rev Respir Dis contributor: fullname: Estenne, M; Heilporn, A; Delhez, L; Yernault, JC; De Troyer, A |
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| Snippet | Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of... BACKGROUNDThoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the... BACKGROUND: Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the... |
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| SubjectTerms | Child Humans Male Movement Muscular Dystrophy, Duchenne - physiopathology ORTHOPEDICS REHABILITATION Reproducibility of Results Respiratory Function Tests - methods Respiratory Muscles - physiopathology |
| Title | Thoracic cirtometry in children with Duchenne muscular dystrophy--expansion of the method |
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