Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique

Abstract Introduction: Expiratory flow increase is a maneuver of respiratory physical therapy that promotes flow direction to the upper airways however, when applied in newborns, it may result in changes of thoracoabdominal mobility. Objective: To evaluate the thoracoabdominal mobility by photog...

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Main Authors: Júlia Isabel de Araújo Guerra, Danilo Alves Pinto Nagem, Cristiane Aparecida Moran, Valéria Lidyanne Souza Gomes, Juliana Macedo Campelo de Carvalho, Silvana Alves Pereira
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400789&lng=en&tlng=en
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author Júlia Isabel de Araújo Guerra
Danilo Alves Pinto Nagem
Cristiane Aparecida Moran
Valéria Lidyanne Souza Gomes
Juliana Macedo Campelo de Carvalho
Silvana Alves Pereira
author_facet Júlia Isabel de Araújo Guerra
Danilo Alves Pinto Nagem
Cristiane Aparecida Moran
Valéria Lidyanne Souza Gomes
Juliana Macedo Campelo de Carvalho
Silvana Alves Pereira
author_sort Júlia Isabel de Araújo Guerra
collection DOAJ
description Abstract Introduction: Expiratory flow increase is a maneuver of respiratory physical therapy that promotes flow direction to the upper airways however, when applied in newborns, it may result in changes of thoracoabdominal mobility. Objective: To evaluate the thoracoabdominal mobility by photogrammetry in newborns after expiratory flow increase technique. Methods: Experimental blind study performed with newborns in supine position on a support table with upper limbs flexed, abducted and externally rotated and hip flexed at 110°. Adhesive markers were allocated for geometric delimitation of the thoracoabdominal compartment and expiratory flow increase technique was performed for 5 minutes with the therapist’s hands on the thorax and abdomen. Newborns were filmed before and after the maneuver and the frames were analyzed in AutoCAD® software by a blinded investigator at the time of the procedure. The largest and the smallest thoracoabdominal area were expressed in cm2 and the mean values were compared between two moments (pre and post maneuver) by paired t test. Results: Twenty newborns with a mean age of 39 weeks were included. Before the maneuver, thoracoabdominal area was 56.1 cm2 during expiration and 59.7 cm2 during inspiration, and after the maneuver the value was 56.2 cm2 during expiration and 59.8 cm2 during inspiration, with no statistical difference between before and after (p = 0.97, p = 0.92, respectively). Conclusion: Results demonstrate that expiratory flow increase technique does not seem to change thoracoabdominal mobility of healthy newborns.
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spelling doaj.art-4be177a6016445b0a1cca06a15ba2c162022-12-22T03:07:15ZengEditora ChampagnatFisioterapia em Movimento1980-591830478979510.1590/1980-5918.030.004.ao14S0103-51502017000400789Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase techniqueJúlia Isabel de Araújo GuerraDanilo Alves Pinto NagemCristiane Aparecida MoranValéria Lidyanne Souza GomesJuliana Macedo Campelo de CarvalhoSilvana Alves PereiraAbstract Introduction: Expiratory flow increase is a maneuver of respiratory physical therapy that promotes flow direction to the upper airways however, when applied in newborns, it may result in changes of thoracoabdominal mobility. Objective: To evaluate the thoracoabdominal mobility by photogrammetry in newborns after expiratory flow increase technique. Methods: Experimental blind study performed with newborns in supine position on a support table with upper limbs flexed, abducted and externally rotated and hip flexed at 110°. Adhesive markers were allocated for geometric delimitation of the thoracoabdominal compartment and expiratory flow increase technique was performed for 5 minutes with the therapist’s hands on the thorax and abdomen. Newborns were filmed before and after the maneuver and the frames were analyzed in AutoCAD® software by a blinded investigator at the time of the procedure. The largest and the smallest thoracoabdominal area were expressed in cm2 and the mean values were compared between two moments (pre and post maneuver) by paired t test. Results: Twenty newborns with a mean age of 39 weeks were included. Before the maneuver, thoracoabdominal area was 56.1 cm2 during expiration and 59.7 cm2 during inspiration, and after the maneuver the value was 56.2 cm2 during expiration and 59.8 cm2 during inspiration, with no statistical difference between before and after (p = 0.97, p = 0.92, respectively). Conclusion: Results demonstrate that expiratory flow increase technique does not seem to change thoracoabdominal mobility of healthy newborns.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400789&lng=en&tlng=enMecânica RespiratóriaFotogrametriaRecém-nascidoModalidades de FisioterapiaFisioterapia
spellingShingle Júlia Isabel de Araújo Guerra
Danilo Alves Pinto Nagem
Cristiane Aparecida Moran
Valéria Lidyanne Souza Gomes
Juliana Macedo Campelo de Carvalho
Silvana Alves Pereira
Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
Fisioterapia em Movimento
Mecânica Respiratória
Fotogrametria
Recém-nascido
Modalidades de Fisioterapia
Fisioterapia
title Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
title_full Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
title_fullStr Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
title_full_unstemmed Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
title_short Thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
title_sort thoracoabdominal mobility evaluation by photogrammetry in newborns after expiratory flow increase technique
topic Mecânica Respiratória
Fotogrametria
Recém-nascido
Modalidades de Fisioterapia
Fisioterapia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000400789&lng=en&tlng=en
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