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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Pediatric Pulmonolog...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Pediatric Pulmonology
Article . 2016 . Peer-reviewed
License: Wiley Online Library User Agreement
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Respiratory impedance in patients with Duchenne muscular dystrophy

Authors: Laura, Gochicoa-Rangel; Mario H, Vargas; José Luis, Alonso-Gómez; Luis, Rodríguez-Moreno; David, Martínez-Briseño; Omar, Baños-Mejía; Luis, Torre-Bouscoulet;

Respiratory impedance in patients with Duchenne muscular dystrophy

Abstract

SummaryImpulse oscillometry (IOS) evaluates non‐effort‐dependent respiratory mechanics, and thus it may be useful to evaluate patients with Duchenne muscular dystrophy (DMD). Objectives: We aimed (1) to describe the behavior of IOS parameters in patients with DMD, and compare it to those from a control group; (2) to determine whether resistances and reactances differ in relation to the severity of DMD; and (3) to compare IOS parameters with spirometry and maximal inspiratory (MIP) and expiratory (MEP) pressures. Methods: Children and adolescents (<20 years old) with biopsy‐confirmed DMD and age‐paired subjects were cross‐sectionally evaluated. All results were transformed to z scores with respect to the healthy subjects (reference population). Results: Anthropometric characteristics did not differ between the 31 patients and 69 controls included in the study. Compared with controls, patients with DMD had higher IOS resistances and lower reactances. As expected, FEV1 and FVC were lower in patients and always declined as age increased. By contrast, MIP and MEP were lower‐than‐normal in youngest patients, tended to improve around puberty initiation, and declined thereafter. In general, there was a poor correlation between IOS parameters and spirometric variables or respiratory pressures, excepting for X20 Hz, which had an inverse correlation with FEV1. Interestingly, IOS resistances were higher in patients with less disability (lower Vignos score; better FVC), but tended to be normalized in advanced stages of the disease. Conclusion: This study showed that IOS is feasible in children and adolescents with DMD and yields information about respiratory function not achievable with the usual forced techniques. Pediatr Pulmonol. 2016;51:1072–1079. © 2016 Wiley Periodicals, Inc.

Keywords

Male, Adolescent, Respiration, Muscular Dystrophy, Duchenne, Young Adult, Cross-Sectional Studies, Spirometry, Oscillometry, Electric Impedance, Respiratory Mechanics, Humans, Female, Child, Lung

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
10
Top 10%
Average
Top 10%
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