Diaphragmatic thickness in chronic obstructive lung disease and relationship with clinical severity parameters
Sonographic assessment of diaphragm structure and function would be a useful clinical tool in patients with chronic obstructive pulmonary disease (COPD). Our aim was to determine the muscle thickness of the diaphragm and the usefulness of clinical practice in patients with COPD. The diaphragmatic th...
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| Veröffentlicht in: | TURKISH JOURNAL OF MEDICAL SCIENCES 2019-08, Vol.49 (4), p.1073-1078 |
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| container_title | TURKISH JOURNAL OF MEDICAL SCIENCES |
| container_volume | 49 |
| creator | Ogan, Nalan Aydemir, Yusuf EVrin, Togay Ataç, Gökçe Kaan Baha, Ayşe Katipoğlu, Burak Süzen, Banu Akpınar, Evrim Eylem |
| description | Sonographic assessment of diaphragm structure and function would be a useful clinical tool in patients with chronic obstructive pulmonary disease (COPD). Our aim was to determine the muscle thickness of the diaphragm and the usefulness of clinical practice in patients with COPD.
The diaphragmatic thickness of 34 COPD patients and 34 healthy subjects was measured during tidal volume (Tmin) and deep inspiration (Tmax) on both sides using a B-mode ultrasound. The body mass index and the modified Medical Research Council (mMRC) index values were reported.
There was no correlation among TminR (P = 0.134), TminL (P = 0.647), TmaxR (P = 0.721), and TmaxL (P = 0.905) between the patients with COPD and the control group. There was also no significant difference between diaphragmatic thickness and COPD severity, respiratory function (P = 0.410), and frequency of exacerbations (P = 0.881) and mMRC (P = 0.667).
Diaphragmatic dysfunction in COPD is related to mobility restriction rather than muscle thickness. |
| doi_str_mv | 10.3906/sag-1901-164 |
| format | Article |
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The diaphragmatic thickness of 34 COPD patients and 34 healthy subjects was measured during tidal volume (Tmin) and deep inspiration (Tmax) on both sides using a B-mode ultrasound. The body mass index and the modified Medical Research Council (mMRC) index values were reported.
There was no correlation among TminR (P = 0.134), TminL (P = 0.647), TmaxR (P = 0.721), and TmaxL (P = 0.905) between the patients with COPD and the control group. There was also no significant difference between diaphragmatic thickness and COPD severity, respiratory function (P = 0.410), and frequency of exacerbations (P = 0.881) and mMRC (P = 0.667).
Diaphragmatic dysfunction in COPD is related to mobility restriction rather than muscle thickness.</description><identifier>ISSN: 1303-6165</identifier><identifier>ISSN: 1300-0144</identifier><identifier>EISSN: 1303-6165</identifier><identifier>DOI: 10.3906/sag-1901-164</identifier><identifier>PMID: 31293145</identifier><language>eng</language><publisher>Turkey: The Scientific and Technological Research Council of Turkey</publisher><subject>Aged ; Aged, 80 and over ; Case-Control Studies ; Diaphragm - diagnostic imaging ; Diaphragm - pathology ; Diaphragm - physiopathology ; Female ; Humans ; Inspiratory Capacity - physiology ; Male ; Pulmonary Disease, Chronic Obstructive - diagnostic imaging ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary Disease, Chronic Obstructive - pathology ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Ultrasonography</subject><ispartof>TURKISH JOURNAL OF MEDICAL SCIENCES, 2019-08, Vol.49 (4), p.1073-1078</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><rights>Copyright © 2019 The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-8dda505bb7c769a5e847a7a7954086b43b3fb915e45426c11f1d67c11c9800c83</citedby><orcidid>0000-0001-9040-9309 ; 0000-0001-5232-3803 ; 0000-0002-7950-824X ; 0000-0002-8306-4303 ; 0000-0002-5975-5868 ; 0000-0002-9649-250X ; 0000-0003-2479-2949 ; 0000-0002-4145-8275 ; 0000-0002-0465-6707</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018351/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018351/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31293145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogan, Nalan</creatorcontrib><creatorcontrib>Aydemir, Yusuf</creatorcontrib><creatorcontrib>EVrin, Togay</creatorcontrib><creatorcontrib>Ataç, Gökçe Kaan</creatorcontrib><creatorcontrib>Baha, Ayşe</creatorcontrib><creatorcontrib>Katipoğlu, Burak</creatorcontrib><creatorcontrib>Süzen, Banu</creatorcontrib><creatorcontrib>Akpınar, Evrim Eylem</creatorcontrib><title>Diaphragmatic thickness in chronic obstructive lung disease and relationship with clinical severity parameters</title><title>TURKISH JOURNAL OF MEDICAL SCIENCES</title><addtitle>Turk J Med Sci</addtitle><description>Sonographic assessment of diaphragm structure and function would be a useful clinical tool in patients with chronic obstructive pulmonary disease (COPD). Our aim was to determine the muscle thickness of the diaphragm and the usefulness of clinical practice in patients with COPD.
The diaphragmatic thickness of 34 COPD patients and 34 healthy subjects was measured during tidal volume (Tmin) and deep inspiration (Tmax) on both sides using a B-mode ultrasound. The body mass index and the modified Medical Research Council (mMRC) index values were reported.
There was no correlation among TminR (P = 0.134), TminL (P = 0.647), TmaxR (P = 0.721), and TmaxL (P = 0.905) between the patients with COPD and the control group. There was also no significant difference between diaphragmatic thickness and COPD severity, respiratory function (P = 0.410), and frequency of exacerbations (P = 0.881) and mMRC (P = 0.667).
Diaphragmatic dysfunction in COPD is related to mobility restriction rather than muscle thickness.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Diaphragm - diagnostic imaging</subject><subject>Diaphragm - pathology</subject><subject>Diaphragm - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Inspiratory Capacity - physiology</subject><subject>Male</subject><subject>Pulmonary Disease, Chronic Obstructive - diagnostic imaging</subject><subject>Pulmonary Disease, Chronic Obstructive - epidemiology</subject><subject>Pulmonary Disease, Chronic Obstructive - pathology</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Ultrasonography</subject><issn>1303-6165</issn><issn>1300-0144</issn><issn>1303-6165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkMtOwzAQRS0EoqWwY438AQTs-pF4g4TKU6rEBtaW4ziJIXEi2y3q3-OqUBXN4o5m5t6RDgCXGN0QgfhtUE2GBcIZ5vQITDFBJOOYs-ODfgLOQvhEaE4oE6dgQvBcEEzZFLgHq8bWq6ZX0WoYW6u_nAkBWgd16weXhkMZol_paNcGdivXwMoGo4KBylXQmy45BxdaO8JvG1uoO5tcqoPBrI23cQNH5VVvovHhHJzUqgvm4ldn4OPp8X3xki3fnl8X98tMk4LGrKgqxRAry1znXChmCpqrVIJRVPCSkpLUpcDMUEbnXGNc44rnSbUoENIFmYG7Xe64KntTaeOiV50cve2V38hBWfl_42wrm2Etc4QLwnAKuN4FaD-E4E2992Ikt9xl4i633GXins6vDv_tj_9Akx_9HYJg</recordid><startdate>20190808</startdate><enddate>20190808</enddate><creator>Ogan, Nalan</creator><creator>Aydemir, Yusuf</creator><creator>EVrin, Togay</creator><creator>Ataç, Gökçe Kaan</creator><creator>Baha, Ayşe</creator><creator>Katipoğlu, Burak</creator><creator>Süzen, Banu</creator><creator>Akpınar, Evrim Eylem</creator><general>The Scientific and Technological Research Council of Turkey</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9040-9309</orcidid><orcidid>https://orcid.org/0000-0001-5232-3803</orcidid><orcidid>https://orcid.org/0000-0002-7950-824X</orcidid><orcidid>https://orcid.org/0000-0002-8306-4303</orcidid><orcidid>https://orcid.org/0000-0002-5975-5868</orcidid><orcidid>https://orcid.org/0000-0002-9649-250X</orcidid><orcidid>https://orcid.org/0000-0003-2479-2949</orcidid><orcidid>https://orcid.org/0000-0002-4145-8275</orcidid><orcidid>https://orcid.org/0000-0002-0465-6707</orcidid></search><sort><creationdate>20190808</creationdate><title>Diaphragmatic thickness in chronic obstructive lung disease and relationship with clinical severity parameters</title><author>Ogan, Nalan ; Aydemir, Yusuf ; EVrin, Togay ; Ataç, Gökçe Kaan ; Baha, Ayşe ; Katipoğlu, Burak ; Süzen, Banu ; Akpınar, Evrim Eylem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-8dda505bb7c769a5e847a7a7954086b43b3fb915e45426c11f1d67c11c9800c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Diaphragm - diagnostic imaging</topic><topic>Diaphragm - pathology</topic><topic>Diaphragm - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Inspiratory Capacity - physiology</topic><topic>Male</topic><topic>Pulmonary Disease, Chronic Obstructive - diagnostic imaging</topic><topic>Pulmonary Disease, Chronic Obstructive - epidemiology</topic><topic>Pulmonary Disease, Chronic Obstructive - pathology</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogan, Nalan</creatorcontrib><creatorcontrib>Aydemir, Yusuf</creatorcontrib><creatorcontrib>EVrin, Togay</creatorcontrib><creatorcontrib>Ataç, Gökçe Kaan</creatorcontrib><creatorcontrib>Baha, Ayşe</creatorcontrib><creatorcontrib>Katipoğlu, Burak</creatorcontrib><creatorcontrib>Süzen, Banu</creatorcontrib><creatorcontrib>Akpınar, Evrim Eylem</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogan, Nalan</au><au>Aydemir, Yusuf</au><au>EVrin, Togay</au><au>Ataç, Gökçe Kaan</au><au>Baha, Ayşe</au><au>Katipoğlu, Burak</au><au>Süzen, Banu</au><au>Akpınar, Evrim Eylem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diaphragmatic thickness in chronic obstructive lung disease and relationship with clinical severity parameters</atitle><jtitle>TURKISH JOURNAL OF MEDICAL SCIENCES</jtitle><addtitle>Turk J Med Sci</addtitle><date>2019-08-08</date><risdate>2019</risdate><volume>49</volume><issue>4</issue><spage>1073</spage><epage>1078</epage><pages>1073-1078</pages><issn>1303-6165</issn><issn>1300-0144</issn><eissn>1303-6165</eissn><abstract>Sonographic assessment of diaphragm structure and function would be a useful clinical tool in patients with chronic obstructive pulmonary disease (COPD). Our aim was to determine the muscle thickness of the diaphragm and the usefulness of clinical practice in patients with COPD.
The diaphragmatic thickness of 34 COPD patients and 34 healthy subjects was measured during tidal volume (Tmin) and deep inspiration (Tmax) on both sides using a B-mode ultrasound. The body mass index and the modified Medical Research Council (mMRC) index values were reported.
There was no correlation among TminR (P = 0.134), TminL (P = 0.647), TmaxR (P = 0.721), and TmaxL (P = 0.905) between the patients with COPD and the control group. There was also no significant difference between diaphragmatic thickness and COPD severity, respiratory function (P = 0.410), and frequency of exacerbations (P = 0.881) and mMRC (P = 0.667).
Diaphragmatic dysfunction in COPD is related to mobility restriction rather than muscle thickness.</abstract><cop>Turkey</cop><pub>The Scientific and Technological Research Council of Turkey</pub><pmid>31293145</pmid><doi>10.3906/sag-1901-164</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9040-9309</orcidid><orcidid>https://orcid.org/0000-0001-5232-3803</orcidid><orcidid>https://orcid.org/0000-0002-7950-824X</orcidid><orcidid>https://orcid.org/0000-0002-8306-4303</orcidid><orcidid>https://orcid.org/0000-0002-5975-5868</orcidid><orcidid>https://orcid.org/0000-0002-9649-250X</orcidid><orcidid>https://orcid.org/0000-0003-2479-2949</orcidid><orcidid>https://orcid.org/0000-0002-4145-8275</orcidid><orcidid>https://orcid.org/0000-0002-0465-6707</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Case-Control Studies Diaphragm - diagnostic imaging Diaphragm - pathology Diaphragm - physiopathology Female Humans Inspiratory Capacity - physiology Male Pulmonary Disease, Chronic Obstructive - diagnostic imaging Pulmonary Disease, Chronic Obstructive - epidemiology Pulmonary Disease, Chronic Obstructive - pathology Pulmonary Disease, Chronic Obstructive - physiopathology Ultrasonography |
| title | Diaphragmatic thickness in chronic obstructive lung disease and relationship with clinical severity parameters |
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