title: [Influence of cheeks support on the results of respiratory resistance measured by the interrupter technique in children].
abstract: BACKGROUND
  Interrupter technique (TIF) determines the respiratory resistance (Rocc) and can be used successfully in children, even at low ages as it requires only minimal cooperation. Efforts to standardize this technique are focused on limiting the contribution of upper airway resistance during the measurement.
  
  
  OBJECTIVE
  Assessing the influence of cheeks support during the examination on the results of Rocc determined by TIF, both when used as basal examination or for measurement of bronchodilator response.
  
  
  METHODS
  Sixty-one children diagnosed with asthma were included. Rocc was determined in all patients with both cheeks supported, and without support. Forty-three children subsequently performed spirometry in order to assess the correlation between spirometry and Rocc in the two situations described. To assess bronchodilator response two groups of children were studied, one with the basal and postsalbutamol measurements made with the cheeks supported and the other group with the same tests made without support.
  
  
  RESULTS
  Rocc mean values were higher when the cheeks are supported during the examination, the difference being statistically significant. Regarding the correlation with spirometry, there is a good correlation between FEV1, PEF, MEF50 and Rocc in both cases (P < 0.001). deltaFEV1 correlated better with deltaRocc when cheeks were supported.
  
  
  CONCLUSIONS
  Rocc measurements using interrupter technique with the cheeks supported registered higher values than those obtained in the absence of cheek support. Assessment of bronchodilator response using the interrupter technique is more accurate when performed with the cheeks supported.
authors.affiliation: Disciplina Pediatrie III, UMF Iuliu Haţieganu Cluj-Napoca.
authors.forename: Sorin C
authors.initials: SC
authors.lastname: Man
authors.forename: Simona A
authors.initials: SA
authors.lastname: Tătăr
mesh_terms: D000293:Adolescent; D000403:Airway Resistance; D000420:Albuterol / Q000008:administration & dosage; D001249:Asthma / Q000175:diagnosis / Q000503:physiopathology*; D001993:Bronchodilator Agents / Q000008:administration & dosage; D002610:Cheek; D002648:Child; D002675:Child, Preschool; D005260:Female; D005540:Forced Expiratory Flow Rates; D005541:Forced Expiratory Volume; D006801:Humans; D016014:Linear Models; D008297:Male; D008450:Maximal Midexpiratory Flow Rate; D012016:Reference Values; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013147:Spirometry / Q000379:methods; D014797:Vital Capacity
chemical_list: D001993:Bronchodilator Agents; D000420:Albuterol