Age-Related Decline in Chest Wall Mobility: A Cross-Sectional Study Among Community-Dwelling Elderly Women

Adachi, Daiki; Yamada, Minoru; Nishiguchi, Shu; Fukutani, Naoto; Hotta, T; Tashiro, Yuto; Morino, Saori; Shirooka, Hidehiko; Nozaki, Yuma; Hirata, Hinako; Yamaguchi, Moe; Aoyama, Tomoki

doi:10.7556/jaoa.2015.079

Cited by 15 publications

(17 citation statements)

References 23 publications

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“…Several studies observed a relationship between chest wall mobility, sex, age, pulmonary function, and respiratory muscle strength [ 14 , 16 , 24 ]. Our experiment showed that PVP provides immediate, short-term, and long-term improvements in chest wall expansion.…”

Section: Discussionmentioning

confidence: 99%

“…The therapist measured the difference in chest circumference between the end of a complete inspiration and expiration cycle with a cloth tape. The anatomical mark was the xiphoid process, and the tenth thoracic spinous process was determined as the posterior landmark [ 14 ]. The chest mobility test was performed three times and averaged at each study time point to assure the measurement was reproducible and accurate.…”

Section: Methodsmentioning

confidence: 99%

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Effects of percutaneous vertebroplasty on respiratory parameters in patients with osteoporotic vertebral compression fractures

Yang

Huang

et al. 2022

Annals of Medicine

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Background: Vertebral compression fractures (VCFs) often occur in patients with osteoporosis. These fractures can also lead to postural changes. Several studies have shown that patients with vertebral compression fractures have a restrictive pattern in their pulmonary function. Percutaneous vertebroplasty (PVP) is the standard treatment for vertebral compression fractures, with the benefits of pain relief and enhancement of vertebral stability for partially collapsed vertebral bodies. However, the effects of PVP on short-term recovery of respiratory performance have not been investigated. Therefore, this study aimed to investigate the changes in pulmonary function, respiratory muscle strength, maximal voluntary ventilation (MVV), and chest mobility in patients with vertebral compression fractures after PVP. Methods: This research was approved by the clinic committee of the E-DA Hospital Institutional Review Board (EMRP07109N) and registered in the Thai Clinical Trials Registry (TCTR20211029005). We recruited 32 VCF patients. Four-time points were measured: before and after PVP and 1 and 3 weeks after PVP. We measured pulmonary function and maximum voluntary ventilation (MVV) by using spirometry. Respiratory muscle strength was assessed by using a respiratory pressure meter. The chest expansion test was used to evaluate chest mobility. A visual analogue scale (VAS) was used to assess resting and aggravated back pain. Results: Chest expansion and back pain improved at each time point after PVP. MVV showed significant progress at both 1 and 3 weeks after discharge. Forced expiratory volume in 1 second (FEV1) and maximal inspiratory muscle strength significantly improved 1 week after discharge. Conclusion: Taking all the data together, PVP not only can resolve severe back pain but can also provide excellent improvements in MVV and chest mobility in patients with vertebral compression fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects of percutaneous vertebroplasty on respiratory parameters in patients with osteoporotic vertebral compression fractures

Yang

Huang

et al. 2022

Annals of Medicine

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“…In the previous report, the mean age was 50.1±19.8 years in men and 51.4±18.4 years in women, which was about 20 years younger than subjects in our study (73.0±6.4 years for men and 72.4±6.3 years for women). Importantly, many studies have shown that respiratory function gradually decreases with aging [24][25][26][27] . One study showed that FVC, FEV1.0, and MIP in the 70-79year group were significantly lower than those in the 50-59year group in men, and that FVC, FEV1.0, MIP, and MEP in the 70-79-year group were significantly lower than those in the 50-59-year group in women 27 ) .…”

Section: Discussionmentioning

confidence: 99%

Comparison of voluntary cough function in community - dwelling elderly and its association with physical fitness

et al. 2020

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Objective: To compare the association of cough peak flow (CPF) with aging in communitydwelling older adults and to investigate the relationship between physical fitness and CPF in these individuals. Method: Two hundred twenty two community-dwelling older adults were enrolled. CPF was assessed as a cough function parameter. Forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1.0) were assessed as respiratory function. Maximal expiratory pressure (MEP) and inspiratory pressure (MIP) were assessed as respiratory muscle strength. The 3-minute walk test (3MWT) performance was assessed as a physical fitness. Participants were divided into the following age groups: 60-64, 65-69, 70-74, 75-79 and 80-89 years. One way analysis of variance were computed for comparison between age group, sex and CPF. Multivariate regression analyses were used to investigate the association of CPF with 3MWT. Results: The value of CPF significantly decreased in the 75-79 and 80-89 years group than 60-64 years group in men and in the 80-89 years group than 65-69 years group in women. The value of CPF were 545.5, 497.2, 403.3, 354.8 and 325.4 L/min in the 60-64, 65-69, 70-74, 75-79 and 80-89-year group in men and 263.4, 278.8, 264.5, 214.0, and 193.6 L/min in the corresponding age groups in women, respectively. 3MWT (p = 0.041) was significantly associated with CPF. Conclusions : Cough function tends to decrease with aging in communitydwelling elderly. Physical fitness is associated with cough function.

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“…In clinical setting, a simple and inexpensive technique for measuring chest is a tape measure which has shown to be reliable in healthy volunteers [17,18]. Mobility (thoracic excursion) at different levels was also measured using measuring tape as it is a simple and economical method [19].…”

Section: Material Methods and Resultsmentioning

confidence: 99%

Is Ageing Related to Shrinkage of Heart: A Hypothesis

Chauhan¹,

Chauhan²

2017

J Aging Sci

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At the start shrinking of body is explained by citing article of Louise Atkinson in which she says your body is one incredibly shrinking one from your brain to your heart -almost everything gets smaller with age. Present article also argues around the concept of shrinkage and its correlation to locally acquired wisdom. Pain in back and neck is described in relation to shrinking of muscles. Brain shrinkage and bony shrinkage is discussed along with measures to prevent it. Heart shrinkage (John Hopkins study) is linked to chest wall shrinkage (community acquired knowledge) through anatomical continuity between heart and thoracic wall. Results of study conducted to assess various aging parameters reveals that chest wall including its attached muscles shrinks towards the core of body i.e. heart and finally article discusses the clinical implications of the ageing phenomenon in backache, sympathetic activation, cardiovascular aging and dietary habits. Cardiovascular aging is described in detail in reference to recent Cedars Sinai hospital study of cardio-sphere derived stem cells and reversal of aging process.

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Age-Related Decline in Chest Wall Mobility: A Cross-Sectional Study Among Community-Dwelling Elderly Women

Abstract: Chest wall mobility at the axillary level and respiratory function decreased with age in community-dwelling women aged 65 years or older. Further longitudinal studies are required to clarify the effects of aging on chest wall mobility and respiratory function.

Cited by 15 publications

References 23 publications

Effects of percutaneous vertebroplasty on respiratory parameters in patients with osteoporotic vertebral compression fractures

Effects of percutaneous vertebroplasty on respiratory parameters in patients with osteoporotic vertebral compression fractures

Comparison of voluntary cough function in community - dwelling elderly and its association with physical fitness

Is Ageing Related to Shrinkage of Heart: A Hypothesis

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