Manual Therapy, Posturology & Rehabilitation Journal
https://app.periodikos.com.br/journal/mtprehab/article/doi/10.17784/mtprehabJournal.2016.14.441
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Comparative study of maximum respiratory pressure in adults from amazonas by different predictive equations

Silva, Cássio Daniel Araújo Da; Sanchez, Fernanda Figueirôa; Maciel, Maria Clara De Souza Pereira Gama; Figueira, Madria Andrade; Leon, Elisa Brosina De; Gonçalves, Roberta Lins

Downloads: 0
Views: 306

Abstract

Introduction: The measurement of muscular strength and maximum static pressures, substantially a consecrated and practical method, raise discussions about reference values and predictive equations, taking into account the heterogeneity of the studies. Objectives: Compare predicted values of IPmax and EPmax with the equations of Neder et al., 1999 and Costa et al., 2010 in adult individuals from the state of Amazonas (AM, Brazil). Method: A cross-sectional study in which was evaluated the Maximum Respiratory Pressures (IPmax and EPmax) according to standardization of the Brazilian Society of Pneumology and Tisiology in 210 individuals (68% female and 32% male) and 109 were eutrophic and 101 with overweight. The age of the individuals was 47,8±18,5 years. For comparative statistical analysis between the values obtained and predicted by the equations was performed the Anova One Way - Software SigmaStat 3.5 test. Results: The comparison of the values obtained with those predicted revealed that the Neder et al underestimated the IPmax in both genders (P <0,001) and overestimated the EPmáx in males (P <0,001). While the equation of Costa et al overestimated the IPmax and EPmáx in males (P <0,001) underestimated the IPmax in females (P<0,001). Conclusion: The results evidenced divergences in the predictive quality of the equations used, especially for IPmax, which suggests the low specificity of it in the population evaluated.

Keywords

Respiratory muscles, Reference values, Evaluation.

References

1. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis.1969;99(5):696-702.

2. Pessoa IMBS, Neto MH, Montemezzo D, Silva LAM, Andrade AD, Parreira VF. Predictive equations for respiratory muscle strength according to international and Brazilian guidelines. Braz J Phys Ther. Braz J Phys Ther. 2014;18:410–418.

3. Bessa EJC, Lopes AJ, Rufino R. A importância da medida da força muscular respiratória na prática da pneumologia. Pulmão RJ 2015;24(1):37-41.

4. Costa D, Gonçalves HA, Lima LP, Ike D, Cancelliero KM, Montebelo MI. New reference values for maximal respiratory pressures in the Brazilian population. J Bras Pneumol. 2010;36(3):306-12.

5. Harik-Khan RI, Wise RA, Fozard JL; The Baltimore Longitudinal Study of Aging. Determinants of maximal inspiratory pressure. Am J Respir Crit Care Med. 1998;158(5 Pt 1):1459-64.

6. Karvonen, J., S. Soarelainen, and M. M. Nieminen. 1994. Measurement of respiratory muscle forces based on maximal inspiratory and expiratory pressures. Respiration 61:28–31.

7. Enright, P. L., R. A. Kronmal, T. A. Manolio, M. B. Schenker, and R. E. Hyatt. 1994. Respiratory muscle strength in the elderly. Am. J. Respir. Crit. Care Med. 149:430–438

8. Enright PL, Adams AB, Boyle PJ, Sherrill DL. Spirometry and maximal respiratory pressure references from healthy Minnesota 65- to 85-yearold women and men. Chest. 1995;108(3):663-9.

9. Pessoa IMBS, Franco Parreira V, Fregonezi GAF, Sheel AW, Chung F, Reid WD. Reference values for maximal inspiratory pressure: a systematic review. Can Respir J. 2014;21(1):43-50.

10. Camelo Jr JS, Terra Filho J, Manço JC. Pressões respiratórias máximas em adultos normais. J Pneumol. 1985;11(4):181-4.

11. Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res.1999;32(6):719-27.

12. Parreira VF, França DC, Zampa CC, Fonseca MM, Tomich GM, Britto RR. Pressões respiratórias máximas: valores encontrados e preditos em indivíduos saudáveis. Rev Bras Fisioter. 2007;11(5):361-8.

13. Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes para Testes de Função Pulmonar 2002. J Bras Pneumol 2002;28(Supl 3):155-65.

14. Simões RP, Deus AP, Auad MA, Dionísio J, Mazzonetto M, Borghi-Silva A. Maximal respiratory pressure in healthy 20 to 89 year-old sedentary individuals of central São Paulo State. Rev Bras Fisioter. 2010;14(1):60-7.

15. Hautmann H, Hefele S, Schotten K, Huber RM. Maximal inspiratory mouth pressures (MIP) in healthy subjects—what is the lower limit of normal? Respir Med. 2000;94(7):689-93.

16. Sllanpaa E, Stenroth L, Bijlma AY, Rantanen T, McPhee JS, Maden-Wilkinson TM et al. Association between muscle strength, spirometric pulmonary function and mobility in healthy older adults. Age 2014;36(4):9667.

17. Leal AH, Hamasaki TA, Jamami M, Di Lorenzo VAP, Pessoa BV. Comparação entre valores de força muscular respiratória medidos e previstos por diferentes equações. Fisioter Pesqui. 2007;14(3):25-3.

18. Forti EMP, Souza FSP, Mendes CP, Junior IR, Moulim MB. Comportamento da força muscular respiratória por diferentes equações preditivas. Rev Bras Fisioterapia. 2012;16(6):479-86.

19. Cerqueira FW. Aspectos da população do Amazonas. Brasil Escola. Disponível em . Acesso em 12 de novembro de 2016.

20. Disponível em , acesso em 12 de novembro de 2016.

21. Disponível em , acesso em 12 de novembro de 2016.

588167f37f8c9d710a8b45f7 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections