Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement
Izabella Cecília Lima de Almeida, Adriana Carla Costa Ribeiro Clementino, Eduardo Henrique Tenório Rocha, Daniella Cunha Brandão, Armele Dornelas de Andrade, Izabella Cecília Lima de Almeida, Adriana Carla Costa Ribeiro Clementino, Eduardo Henrique Tenório Rocha, Daniella Cunha Brandão, Armele Dornelas de Andrade
Abstract
We evaluated the diaphragmatic excursion, volumetric measurement, maximal inspiratory pressure (PI(max)), lung function tests (forced vital capacity-FVC, forced expiratory volume in the first second-FEV1, mean forced expiratory flow between 25 and 75% of the FVC maneuver-FEF(25-75%), peak expiratory flow-PEF and maximal voluntary ventilation-MVV), displacement of the domes diaphragmatics with ultrasonography and inspiratory capacity, the MAS scale (Motor Assessment Scale) in 20 hemiplegic patients volunteers and eight controls. In right-side hemiplegia, movement was 4.97 ± 0.78 cm and 4.20 ± 1.45 cm for the right and left domes of the diaphragm, respectively, whereas these values were 4.42 ± 0.92 cm and 4.66 ± 1.17 cm in left-side hemiplegia. PI(max) was -48.75 ± 27.5 cmH2O in right-side hemiplegic patients and -74.17 ± 13.57 cmH2O in left-side hemiplegic patients. Right-side hemiplegia exhibited greater impairment of the respiratory muscles than left-side hemiplegia due to the physiologic positioning of the domes of the diaphragm which may be compromised for hemiplegia.
Copyright © 2011 Elsevier B.V. All rights reserved.
Source: PubMed