Concurrent Validity of a Low-Cost Manometer for Objective Assessments of Respiratory Muscle Strength.


Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
Apr 2024
Historique:
revised: 26 09 2023
received: 20 07 2023
accepted: 28 09 2023
medline: 18 3 2024
pubmed: 15 10 2023
entrez: 14 10 2023
Statut: ppublish

Résumé

This study examined the agreement in maximal expiratory (MEP) and inspiratory (MIP) pressure readings between two digital manometers: (1) the MicroRPM - the gold-standard manometer for respiratory muscle strength testing; and (2) the LDM - a low-cost, commercially available, alternative manometer. Positive (MEP) and negative (MIP) pressures were simultaneously applied to the MicroRPM and LDM using a 3-liter syringe within a controlled laboratory setting. Pressure readings were compared, and agreement was analyzed using Lin's concordance correlation (ρ A total of 150 trials were completed, ranging from -167 to +208 cmH There was a median difference of 1.0% in MEP and MIP pressure readings consistently observed between the LDM and MicroRPM. Despite these relatively small differences, excellent agreement between the two manometers was present. These data suggest the LDM may be a valid, lower cost alternative to the MicroRPM for objectively assessing respiratory strength in clinical practice; however, additional research is needed in healthy adults and in patient populations. NA Laryngoscope, 134:1831-1836, 2024.

Identifiants

pubmed: 37837395
doi: 10.1002/lary.31106
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1831-1836

Subventions

Organisme : NIA NIH HHS
ID : K76 AG079040
Pays : United States
Organisme : ODCDC CDC HHS
ID : OT2 OD032720
Pays : United States
Organisme : NIA NIH HHS
ID : K76 AG079040
Pays : United States
Organisme : ODCDC CDC HHS
ID : OT2 OD032720
Pays : United States

Informations de copyright

© 2023 The American Laryngological, Rhinological and Otological Society, Inc.

Références

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):719-727.
Padkao T, Boonla O, Padkao T, Boonla O. Relationships between respiratory muscle strength, chest wall expansion, and functional capacity in healthy nonsmokers. J Exerc Rehabil. 2020;16(2):189-196.
Wheeler-Hegland KM, Rosenbek JC, Sapienza CM. Submental sEMG and hyoid movement during Mendelsohn maneuver, effortful swallow, and expiratory muscle strength training. J Speech Lang Hear Res. 2008;51(5):1072-1087.
Hutcheson KA, Hammer MJ, Rosen SP, Jones CA, McCulloch TM. Expiratory muscle strength training evaluated with simultaneous high-resolution manometry and electromyography. Laryngoscope. 2017;127:797-804.
Man WDC, Kyroussis D, Fleming TA, et al. Cough gastric pressure and maximum expiratory mouth pressure in humans. Am J Respir Crit Care Med. 2003;168(6):714-717.
Kaneko H, Suzuki A, Horie J. Relationship of cough strength to respiratory function, physical performance, and physical activity in older adults. Respir Care. 2019;64(7):828-834.
Park JH, Kang SW, Lee SC, Choi WA, Kim DH. How respiratory muscle strength correlates with cough capacity in patients with respiratory muscle weakness. Yonsei Med J. 2010;51(3):392-397.
Arora NS, Gal TJ. Cough dynamics during progressive expiratory muscle weakness in healthy curarized subjects. J Appl Physiol. 1981;51(2):494-498.
Machado JRS, Bilheri DFD, Tomasi LL, dos Steidl EMS, Mancopes R. Respiratory muscle training outcomes on swallowing biomechanics and respiratory function measures in normal subjects. Rev CEFAC. 2018;20(6):778-784.
Brooks M, McLaughlin E, Shields N. Expiratory muscle strength training improves swallowing and respiratory outcomes in people with dysphagia: a systematic review. Int J Speech Lang Pathol. 2019;21(1):89-100.
Wang Z, Wang Z, Fang Q, Li H, Zhang L, Liu X. Effect of expiratory muscle strength training on swallowing and cough functions in patients with neurological diseases: a meta-analysis. Am J Phys Med Rehabil. 2019;98(12):1060-1066.
Laciuga H, Rosenbek JC, Davenport PW, Sapienza CM. Functional outcomes associated with expiratory muscle strength training: narrative review. J Rehabil Res Dev. 2014;51(4):535-546.
Troche MS, Curtis JA, Sevitz JS, et al. Rehabilitating cough dysfunction in Parkinson's disease: a randomized controlled trial. Mov Disord. 2023;38(2):201-211.
Hegland KW, Davenport PW, Brandimore AE, Singletary FF, Troche MS. Rehabilitation of swallowing and cough functions following stroke: an expiratory muscle strength training trial. Arch Phys Med Rehabil. 2016;97(8):1345-1351.
MicroRPM Respiratory Pressure Meter. MD Spiro. 2023. https://mdspiro.com/product/microrpm-respiratory-pressure-meter/.
Shortland HAL, Webb G, Vertigan AE, Hewat S. Speech-language Pathologists' use of Myofunctional devices in therapy programs. Perspect ASHA SIGs. 2022;7(6):2012-2026.
Husaini H, Krisciunas GP, Langmore S, et al. A survey of variables used by speech-language pathologists to assess function and predict functional recovery in Oral cancer patients. Dysphagia. 2014;29(3):376-386.
Kim BS, Lee MM. A study on the clinical usefulness, validity, and test-retest reliability of the Spirokit, a device that combines the pulmonary function test and respiratory muscle strength test. Phys Ther Rehabil Sci. 2020;9(2):120-130.
Torres-Castro R, Sepúlveda-Cáceres N, Garrido-Baquedano R, et al. Agreement between clinical and non-clinical digital manometer for assessing maximal respiratory pressures in healthy subjects. PLoS ONE. 2019;14(10):e0224357.
Stavrou VT, Tourlakopoulos KN, Daniil Z. Gourgoulianis KI respiratory muscle strength: new technology for easy assessment. Cureus. 2021;13(5):e14803.
Silveira BMF, Pereira MCB, Cardoso DR, Ribeiro-Samora GA, Martins HR, Parreira VF. New method for evaluating maximal respiratory pressures: concurrent validity, test-retest, and inter-rater reliability. Braz J Phys Ther. 2021;25(6):741-748.
Amazon.com: Manometer, Professional Air Pressure Meter, Dual-Port Manometer Gas Pressure Tester, 12 Selectable Units Differential Pressure Gauge, HVAC Digital Manometer, Gas Pressure Tester (Included Battery): Industrial & Scientific. https://www.amazon.com/Manometer-Professional-Pressure-Differential-Measuring/dp/B07CWQJD6D/ref=sr_1_4?keywords=autool+digital+manometer&qid=1684939629&sprefix=autool+digit%2Caps%2C104&sr=8-4.
Enright PL, Kronmal RA, Manolio TA, Schenker MB. Respiratory muscle strength in the elderly correlates and reference values. Am J Respir Crit Care Med. 1994;149(2):430-438.
Wilson SH, Cooke NT, Edwards RH, Spiro SG. Predicted normal values for maximal respiratory pressures in caucasian adults and children. Thorax. 1984;39(7):535-538.
R Core Team. R: A Language and Environment for Statistical Computing. 2021. R Core Team. https://www.R-project.org/
Lin LIK. A concordance correlation coefficient to evaluate reproducibility. Biometrics. 1989;45(1):255-268.
McBride GB. A proposal for strength-of-agreement criteria for Lin's concordance correlation coefficient. NIWA Client Report: HAM2005-062. 2005;45:1-10.

Auteurs

James A Curtis (JA)

Aerodigestive Innovations Research Lab (AIR), Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medical College, New York, New York, U.S.A.
Department of Otolaryngology-Head & Neck Surgery, Sean Parker Institute for the Voice, Weill Cornell Medicine, New York, New York, U.S.A.

Valentina Mocchetti (V)

Department of Otolaryngology-Head & Neck Surgery, Sean Parker Institute for the Voice, Weill Cornell Medicine, New York, New York, U.S.A.

Anaïs Rameau (A)

Department of Otolaryngology-Head & Neck Surgery, Sean Parker Institute for the Voice, Weill Cornell Medicine, New York, New York, U.S.A.
Laryngology Innovation Lab, Department of Otolaryngology-Head & Neck Surgery, Weill Cornell Medical College, New York, New York, U.S.A.

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