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    Respiratory Muscle Assessment

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    drniz
    The document discusses various methods for assessing respiratory muscle function including tests of overall lung function, respiratory muscle strength and endurance, electrophysiological techniques, and imaging. It also describes different types of respiratory muscle fatigue and methods for training respiratory muscles, such as voluntary isocapnic hypernea and inspiratory resistive breathing/loading.

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    Attribution Non-Commercial (BY-NC)
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    Respiratory Muscle Assessment

    Uploaded by

    drniz
    238 views16 pages
    The document discusses various methods for assessing respiratory muscle function including tests of overall lung function, respiratory muscle strength and endurance, electrophysiological techniques, and imaging. It also describes different types of respiratory muscle fatigue and methods for training respiratory muscles, such as voluntary isocapnic hypernea and inspiratory resistive breathing/loading.

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    description about respiratory muscle assessment

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    The document discusses various methods for assessing respiratory muscle function including tests of overall lung function, respiratory muscle strength and endurance, electrophysiological techniques, and imaging. It also describes different types of respiratory muscle fatigue and methods for training respiratory muscles, such as voluntary isocapnic hypernea and inspiratory resistive breathing/loading.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    238 views16 pages

    Respiratory Muscle Assessment

    Uploaded by

    drniz
    The document discusses various methods for assessing respiratory muscle function including tests of overall lung function, respiratory muscle strength and endurance, electrophysiological techniques, and imaging. It also describes different types of respiratory muscle fatigue and methods for training respiratory muscles, such as voluntary isocapnic hypernea and inspiratory resistive breathing/loading.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    Assessment

    1. Tests of Overall Respiratory Function


    2. Tests of Respiratory Muscle Strength 3. Electrophysiologic Techniques for the

    4.

    5.
    6. 7.

    Assessment of Respiratory Muscle Function Tests of Respiratory Muscle Endurance Assessment of Respiratory Muscle Fatigue Assessment of Chest Wall Function Imaging Respiratory Muscle Function

    Tests of Overall Respiratory Function


    Static lung volumes VC, TLC. Dynamic spirometry FEV1/ FVC Maximum voluntary ventilation ABG (PaO2 & PCO2) Exercise testing

    Test of respiratory muscle strength


    Pressure measurement Pressure transducer Probe for internal pressures(balloon catheter system) etc Volitional test of respiratory muscle strength Maximal static inspiratory and expiratory pressure. (PiMax=-30 cmH2O & Pemax=+40 cm H2O) Sniff test Cough test

    Non Volitional tests Pressure after phrenic nerve stimulation TENS Magnetic stimulation Abdominal muscle stimulation

    Electrophysiological tests
    Respiratory muscle EMG Stimulation test

    Respiratory muscle endurance


    Pressure time product Ventilatory endurance tests Max voluntary ventilation Max sustained ventilation Work of breathing External load to airways Repeated max inspiratorypressure test 18 repeated tests each lasting 10 sec with

    5 sec gap

    Assessment of respiratory muscle fatigue


    Fatigue types Central High freq fatigue Low freq fatigue

    Breathing pattern Thoracoabdominal motion EMG Relaxation rate

    Assessment of chest wall function


    Chest wall pressures Spirometry Direct measurements Plathysmographs

    Assessing respiratory muscles in ICU


    Breathing patterns Lung volumes Pressure measurement PEEP

    Methods of Ventilatory muscle training


    Voluntary isocapnieic hypernea Inspiratory resistive breathing Inspiratory resistive loading Inspiratory threshold loading

    Voluntary isocapnic hypernea


    It is dynamic process which is used to

    increase the endurance of the respiratory muscles. Expiratory muscles also benefits from this method. Technique: in this patient is asked to breath at the highest rate they can manage for 15 to 30 minutes.

    Note: A rebreathing circuit or addition of CO2 is necessary to prevent hypocapnea.

    Resistive breathing
    INSPIRATORY RESISTIVE LOADING This device is used to increase the strength of respiratory muscles. This device offer resistance to the airflow by narrowing the aperture. In this patient is asked to breathe through the device for 15 to 30 mins in one to three daily sessions.

    INSPIRATORY THRESHOLD LOADING This device is also used to increase both strength and endurance of respiratory muscle. This device permits respiration only after the threshold mouth pressure is achieved. The load is adjusted by therapist or nurse. usually patients begins with 1/3rd (15-30%) of their Pimax and then progressing to about 60%.

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