title: Effects of hemiplegy on pulmonary function and diaphragmatic dome displacement.
abstract: We evaluated the diaphragmatic excursion, volumetric measurement, maximal inspiratory pressure (PI(max)), lung function tests (forced vital capacity-FVC, forced expiratory volume in the first second-FEV1, mean forced expiratory flow between 25 and 75% of the FVC maneuver-FEF(25-75%), peak expiratory flow-PEF and maximal voluntary ventilation-MVV), displacement of the domes diaphragmatics with ultrasonography and inspiratory capacity, the MAS scale (Motor Assessment Scale) in 20 hemiplegic patients volunteers and eight controls. In right-side hemiplegia, movement was 4.97 ± 0.78 cm and 4.20 ± 1.45 cm for the right and left domes of the diaphragm, respectively, whereas these values were 4.42 ± 0.92 cm and 4.66 ± 1.17 cm in left-side hemiplegia. PI(max) was -48.75 ± 27.5 cmH2O in right-side hemiplegic patients and -74.17 ± 13.57 cmH2O in left-side hemiplegic patients. Right-side hemiplegia exhibited greater impairment of the respiratory muscles than left-side hemiplegia due to the physiologic positioning of the domes of the diaphragm which may be compromised for hemiplegia.
authors.affiliation: Department of Physiology, Federal University of Pernambuco, Recife, Pernambuco, Brazil. bella fisio@hotmail.com
authors.forename: Izabella Cecília Lima
authors.initials: IC
authors.lastname: de Almeida
authors.forename: Adriana Carla Costa Ribeiro
authors.initials: AC
authors.lastname: Clementino
authors.forename: Eduardo Henrique Tenório
authors.initials: EH
authors.lastname: Rocha
authors.forename: Daniella Cunha
authors.initials: DC
authors.lastname: Brandão
authors.forename: Armele
authors.initials: A
authors.lastname: Dornelas de Andrade
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000000981:diagnostic imaging* / Q000502:physiology; D005260:Female; D005541:Forced Expiratory Volume / Q000502:physiology; D006429:Hemiplegia / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012123:Pulmonary Ventilation / Q000502:physiology*; D012129:Respiratory Function Tests / Q000295:instrumentation / Q000379:methods; D014160:Transducers, Pressure; D014463:Ultrasonography