The use of cough peak flow in the assessment of respiratory function in clinical practice- A narrative literature review

Brennan, Michelle; McDonnell, Melissa; Duignan, Niamh; Gargoum, Fatma; Rutherford, Robert

doi:10.1016/j.rmed.2022.106740

Cited by 36 publications

(24 citation statements)

References 63 publications

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“…These findings were consistent with our results. Inspiratory and expiratory muscle strength, airway obstruction, and restrictive lung disease may influence effective cough 34 . In our study, the expiratory muscle strength of the patients was similar to the controls.…”

Section: Discussionsupporting

confidence: 67%

“…However, our patients' ranges were lower than those Bianchi et al reference 21 . There are some mechanisms that reduce the cough strength; inspiratory and expiratory muscle strength, airways obstruction, restrictive lung disease, and age 34 . Respiratory muscle weakness and airways obstruction may reduce lung capacity, resulting in ineffective coughing in PCD patients.…”

Section: Discussioncontrasting

confidence: 60%

See 1 more Smart Citation

Aerobic exercise capacity, cough strength, posture, and depression in primary ciliary dyskinesia

FIRAT

Boşnak-Güçlü

Eyüboğlu

et al. 2022

Pediatric Pulmonology

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Introduction: Assessment of exercise capacity is important for information about lung function and prognosis in primary ciliary dyskinesia (PCD). In addition, deterioration in the pulmonary system may affect cough efficiency, posture, and thoracoabdominal mobility. In turn, this deterioration may also disturb the psychological function of patients with PCD. Therefore, this study aimed to compare exercise capacity, cough strength, thoracoabdominal mobility, posture, and depression in children with PCD and healthy peers.Methods: Twenty-seven patients with PCD and 28 healthy peers were included.Aerobic exercise capacity (3-min step test), cough strength (peak expiratory flow meter), thoracoabdominal mobility (upper chest, lower chest, and abdomen), posture (Corbin postural assessment scale), and depression (Children's Depression Inventory) were evaluated.Results: Patients' number of steps completed, cough strength, and thoracoabdominal mobility were significantly decreased; total posture and depression scores were higher compared with healthy controls (p< 0.05). There was a significant relationship between cough strength and maximal expiratory strength (r = 0.541, p= 0.004) and total number of steps (r = 0.509, p= 0.007) in the patients. Conclusion: Aerobic exercise capacity, cough strength, and thoracoabdominal mobility were impaired, posture was deteriorated, and depression perception elevated in children with PCD compared to healthy peers. Furthermore, aerobic exercise capacity and maximal expiratory strength are related to cough strength in these patients. Rehabilitation programs including aerobic and resistive exercise training, deep breathing and postural exercise, and nutrition counseling may improve these results and better be investigated. Trial registration: Clinicaltrials.gov: NCT03370029; December 12, 2017.

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Section: Discussionsupporting

confidence: 67%

Section: Discussioncontrasting

confidence: 60%

Aerobic exercise capacity, cough strength, posture, and depression in primary ciliary dyskinesia

FIRAT

Boşnak-Güçlü

Eyüboğlu

et al. 2022

Pediatric Pulmonology

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“…The management of airways secretions gained progressive attention in critically ill ventilated patients as it may lead to complications such as VAP and extubation delay [24,25]. Despite several methods being suggested, the clearance of deep airways remains a challenge.…”

Section: Discussionmentioning

confidence: 99%

Benefits of secretion clearance with high frequency percussive ventilation in tracheostomized critically ill patients: a pilot study

Garofalo

Rovida

Cammarota

et al. 2023

J Clin Monit Comput

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Clearance of secretions remains a challenge in ventilated patients. Despite high-frequency percussive ventilation (HFPV) showing benefits in patients with cystic fibrosis and neuromuscular disorders, very little is known about its effects on other patient categories. Therefore, we designed a physiological pilot study investigating the effects on lung aeration and gas exchange of short HFPV cycles in tracheostomized patients undergoing mechanical ventilation. Electrical impedance tomography (EIT) was recorded at baseline (T0) by a belt wrapped around the patient's chest, followed by the HFPV cycle lasting 10 min. EIT data was collected again after the HFPV cycle (T1) as well as after 1 h (T2) and 3 h (T3) from T0. Variation from baseline of end-expiratory lung impedance (∆EELI), tidal variation (TIV) and global inhomogeneity index (GI) were computed. Arterial blood was also taken for gas analysis. HFPV cycle significantly improved the ∆EELI at T1, T2 and T3 when compared to baseline (p < 0.05 for all comparisons). The ratio between arterial partial pressure and inspired fraction of oxygen (PaO2/FiO2) also increased after the treatment (p < 0.001 for all comparison) whereas TIV (p = 0.132) and GI (p = 0.114) remained unchanged. Short cycles of HFPV superimposed to mechanical ventilation promoted alveolar recruitment, as suggested by improved ∆EELI, and improved oxygenation in tracheostomized patients with high load of secretion.Trial Registration Prospectively registered on www.clinicaltrials.gov (NCT05200507; dated 6th January 2022).

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“…Moreover, MEP did not significantly differ between groups during detraining. In chronic neuromuscular diseases, the respiratory muscles determine the subjects' vital capacity, and their deterioration can result in inadequate ventilation, ineffective coughing, and dysphagia (Laveneziana et al, 2019 ; Galea, 2021 ; Brennan et al, 2022 ).…”

Section: Detraining Effectmentioning

confidence: 99%

Effects of Respiratory Muscle Strength Training on Respiratory-Related Impairments of Parkinson's Disease

Zhuang

Jia²

2022

Front. Aging Neurosci.

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In addition to typical motor dysfunction, Parkinson's disease is also characterized by respiratory-related dysfunction. As a means of rehabilitation, respiratory muscle strength training (RMST) has been applied to restore Parkinson's disease (PD) functions. However, the current clinical value of RMST in the application for PD has not been widely established. This article aims to review the research progress of the application of RMST in PD rehabilitation to provide new sight into respiratory-related impairments management in people with PD.

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The use of cough peak flow in the assessment of respiratory function in clinical practice- A narrative literature review

Cited by 36 publications

References 63 publications

Aerobic exercise capacity, cough strength, posture, and depression in primary ciliary dyskinesia

Aerobic exercise capacity, cough strength, posture, and depression in primary ciliary dyskinesia

Benefits of secretion clearance with high frequency percussive ventilation in tracheostomized critically ill patients: a pilot study

Effects of Respiratory Muscle Strength Training on Respiratory-Related Impairments of Parkinson's Disease

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