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哮喘患儿静息状态及次极量运动后的呼吸与胸腹运动模式

Respiratory and thoracoabdominal motion pattern at rest and after sub-maximum effort in children with asthma.

作者信息

Cavassini Carla L F, Gomes Evelim L F D, Luiz Josiane G, David Maisi C M, Costa Dirceu

机构信息

Nove de Julho University, Post Graduation Program in Science Rehabilitation, São Paulo, Brazil.

Ibirapuera University, Post Graduation Program in Physiotherapy, São Paulo, Brazil.

出版信息

Curr Res Physiol. 2022 Jun 27;5:287-291. doi: 10.1016/j.crphys.2022.06.005. eCollection 2022.

Abstract

Asthma involves an increase in airway resistance even in periods between attacks, which generates changes in thoracoabdominal kinematics. The aim of the present study was to detect these adaptations at rest and after physical effort. Evaluations were performed using optoelectronic plethysmography at rest and immediately after physical effort of moderate intensity. Thirty-two children and adolescents participated in the present study (16 asthma- AG and 16 health controls-CG). After exercise, the AG exhibited a less variability of respiratory variables. The kinematic behavior of thoracoabdominal motion was the inverse of that found in healthy controls. These findings suggest mechanical and physiological adaptations to minimize the possible turbulence of the airflow and reduce the impact of airway resistance during physical exertion. Moreover, these changes are found even at rest and in patients whose asthma is clinically controlled.

摘要

哮喘即使在发作间期也会导致气道阻力增加,进而引起胸腹部运动学的变化。本研究的目的是检测静息状态和体力活动后这些适应性变化。使用光电体积描记法在静息状态和中等强度体力活动后立即进行评估。32名儿童和青少年参与了本研究(16名哮喘患者——AG组和16名健康对照者——CG组)。运动后,AG组呼吸变量的变异性较小。胸腹部运动的运动学行为与健康对照组相反。这些发现表明存在机械和生理适应性变化,以尽量减少气流可能的紊乱,并降低体力活动期间气道阻力的影响。此外,即使在静息状态下以及哮喘临床得到控制的患者中也发现了这些变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0399/9254261/9256d91eafa9/gr1.jpg

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