Assessment of diaphragmatic mobility by chest ultrasound in relation to BMI and spirometric parameters

Adel, Saeed M.; Hieba, Ezzelregal G.; Hossam, Sayed H.

doi:10.4103/ejb.ejb_73_18

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…In human medicine, there are several factors that affect DE, including the pattern of respiration ( 15 , 45 ), and the patient's positions during DE detection ( 15 , 31 , 43 ). Moreover, age, sex, and BW were also reported to affect DE values ( 15 , 38 , 45 , 46 ). In humans, DE was reported to differ among respiratory patterns of quiet breathing, deep breathing, and voluntary sniffing ( 15 , 31 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although the detection of DE at the right hemidiaphragm in humans is easier due to a larger window of the liver relative to the splenic window on the left side ( 15 ), DE detection on the left hemidiaphragm could be interrupted by gas in the GI, especially in the stomach. In human medicine, supine, sitting, and semi-sitting positions are commonly used ( 38 ). These postures are more comparable to supine or dorsal recumbency in dogs than other positions.…”

Section: Discussionmentioning

confidence: 99%

“…In humans, US techniques including diaphragmatic location and the angle of the US beam have been reported to influence DE (19,33,35,36). Moreover, DE differs between diaphragmatic sides, and varies according to the patient's sex, age, and body weight (BW) (37)(38)(39). Although some reports revealed the utilization of DE in clinical veterinary practice, such as in the detection of diaphragmatic motion between a normal and a paralyzed diaphragm (16,40), information of how former factors affect the healthy canine DE is still lacking.…”

Section: Introductionmentioning

confidence: 99%

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The Feasibility of Ultrasonographic Diaphragmatic Excursion in Healthy Dogs: Effect of Positioning, Diaphragmatic Location, and Body Weight of Dogs

et al. 2021

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Diaphragmatic excursion (DE) has been utilized for detecting respiratory related problems in humans. However, several factors should be considered such as the ultrasound technique and factors intrinsic to patients. Nevertheless, knowledge of the effect of these factors on DE in dogs is still lacking. The aim of this study was to evaluate the proper ultrasound technique by varying postures and diaphragmatic locations for DE measurement and to explore intrinsic factors such as diaphragmatic sides, sex, and body weight of dogs on DE. The prospective, analytic, cross-sectional study included 44 healthy dogs; 12 beagles and 32 dogs of other breeds. The experiment was divided into (i) an exploration of the proper ultrasound technique by varying postures (supine, standing, and recumbent in each of the right and left lateral positions), diaphragmatic locations (middle crus and proximal to the last rib), and diaphragmatic sublocations (xiphoid, mid, and proximal rib) for detection of DE and (ii) the evaluation of canine intrinsic factors affecting DE. The results show that the mid-diaphragmatic sublocation in the middle crus area in almost all positions revealed the highest percentage DE detection. However, DEs were revealed to be more accessible in the supine position. There was no significant difference in DE between the right and the left diaphragms or between the sexes of beagle dogs. However, body weight was significantly correlated with the DE among dogs of various sizes. In conclusion, the posture of the dogs and the diaphragmatic location can affect DE evaluation. Neither sex nor diaphragmatic side had an influence, but body weight was revealed as a major factor in DE in dogs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Feasibility of Ultrasonographic Diaphragmatic Excursion in Healthy Dogs: Effect of Positioning, Diaphragmatic Location, and Body Weight of Dogs

et al. 2021

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“…The diaphragmatic excursion has a positive correlation with respiratory function [18], and up to our knowledge, it has not been assessed before in subjects with non-specific chronic neck pain with or without FHP. Ultrasound imaging is a widely used method for the evaluation of diaphragmatic ex-cursion, as it has many advantages compared with other imaging methods, such as the absence of radiation, non-invasiveness, low price, and real-time imaging [19].…”

Section: Introductionmentioning

confidence: 90%

Effect of forward head posture on diaphragmatic excursion in subjects with non-specific chronic neck pain. A case-control study

Ahmad¹,

Kamel²,

Mohammed³

2020

Physiother Quart.

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IntroductionForward head posture (FHP) is commonly seen in subjects with chronic neck pain (CNP) and is associated with respiratory function limitations. Therefore, the main aim of this study was to assess the effect of FHP compared with normal head posture (NHP) on diaphragmatic excursion in subjects with non-specific CNP.MethodsOverall, 30 subjects with CNP aged 35–45 years were recruited for this study and divided into 2 equal groups: the FHP group and the NHP group. The inclusion criteria were non-specific CNP duration of 3 months, presence or absence of FHP, FHP confirmed with a craniovertebral angle of < 50°, and male or female sex. The exclusion criteria involved cervical disc problems, cervical spondylosis, traumatic neck pain, chest disease or heart failure, neurological disorders affecting the diaphragm, obesity, and smoking. First, the craniovertebral angle was assessed for subject selection; then, the diaphragmatic excursion and the neck disability index (NDI) were established as the main clinical outcomes of the study. Unpaired t-test was used for statistical analysis.ResultsThe diaphragmatic excursion was lower in the FHP group than in the NHP group (57.00 ± 15.63 vs. 67.60 ± 15.18; p = 0.070), with no significant difference between the 2 groups. NDI did not differ significantly between the groups.ConclusionsWe suggest that FHP may be related to reduced diaphragmatic excursion in subjects with non-specific CNP. The multimodal approaches to physiotherapy management of non-specific CNP with FHP may consider our suggestion.

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Diaphragmatic thickness and excursion by lung ultrasound in pediatric chronic pulmonary diseases

Ishak

Sakr

2021

J Ultrasound

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Assessment of diaphragmatic mobility by chest ultrasound in relation to BMI and spirometric parameters

Cited by 4 publications

References 24 publications

The Feasibility of Ultrasonographic Diaphragmatic Excursion in Healthy Dogs: Effect of Positioning, Diaphragmatic Location, and Body Weight of Dogs

The Feasibility of Ultrasonographic Diaphragmatic Excursion in Healthy Dogs: Effect of Positioning, Diaphragmatic Location, and Body Weight of Dogs

Effect of forward head posture on diaphragmatic excursion in subjects with non-specific chronic neck pain. A case-control study

Diaphragmatic thickness and excursion by lung ultrasound in pediatric chronic pulmonary diseases

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