Beta
16205

Assessment of the Respiratory Muscles Function in Chronic Obstructive Pulmonary Disease patients

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a public health problem worldwide. It is a polygenic disease and a classical example of gene-environment interaction. Of the many inhalational exposures that may be encountered over a lifetime, only tobacco smoke and occupational dusts and chemicals (vapors, irritants, and fumes) are known to cause COPD on their own. Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) may be impaired in patients with COPD. Aim of the study: to assess respiratory muscle function in male COPD patients by measuring MIP and MEP values and  to identify possible correlation between MIP and MEP and the anthropometric parameters as well as degree of airflow obstruction among COPD patients. Subjects and methods: A case-control study was carried out on 50 COPD male patients and 50 of age and sex matched healthy subjects as a control group. All participants were subjected to assessment of respiratory muscle (RM) strength by MIP and MEP, pulmonary function tests {flow/volume spirometry, and MVV}, as well as the functional exercise capacity (6MWT) and the anthropometric measurements. Results: the values of MIP and MEP in COPD cases were lower than those of the control group with a statistically significant difference. In COPD cases the MIP and MEP were positively correlated with VC%, FEV1\FVC, FEV1%, FVC%, PEF%, MVV%, and 6MWD (p<0.00). Furthermore, COPD patients were subdivided according to the presence of respiratory muscle (RM) affection into two subgroups: Group A (patients with RM affection) and Group B (patients without RM affection). There was a significant difference between the two subgroups concerning smoking index , disease duration, VC% , FVC% ,FEV1\FVC, FEV1%, PEF%, MVV%, and 6MWD  (P< 0.05). Conclusion: RM is affected in patients with COPD. Measurement of MIP and MEP indicates the state of RM which is related to smoking index, disease duration, and spirometric-indices (VC%, FVC%, FEV1\FVC, FEV1%, PEF%, and MVV %). Recommendation: Health care workers involved in the diagnosis and management of COPD patients especially those with severe airflow obstruction should consider the possibility of RM deterioration and should have an  access to RM function assessment.  

DOI

10.21608/ejhm.2012.16205

Keywords

COPD, MIP, MEP, respiratory muscle function and pulmonary function test

Authors

First Name

Manal R.

Last Name

Hafez

MiddleName

-

Affiliation

Chest Department Faculty of Medicine for Girls Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Rawda M.

Last Name

Elsheikh

MiddleName

-

Affiliation

Community& Occupational Medicine Department Faculty of Medicine for Girls Al-Azhar University

Email

-

City

-

Orcid

-

Volume

49

Article Issue

1

Related Issue

3460

Issue Date

2012-10-01

Receive Date

2018-10-09

Publish Date

2012-10-01

Page Start

661

Page End

671

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_16205.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=16205

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Assessment of the Respiratory Muscles Function in Chronic Obstructive Pulmonary Disease patients

Details

Type

Article

Created At

22 Jan 2023