Thoracoabdominal asynchrony: Two methods in healthy, COPD, and interstitial lung disease patients

PLoS One. 2017 Aug 2;12(8):e0182417. doi: 10.1371/journal.pone.0182417. eCollection 2017.

Abstract

Background: Thoracoabdominal asynchrony is the nonparallel motion of the ribcage and abdomen. It is estimated by using respiratory inductive plethysmography and, recently, using optoelectronic plethysmography; however the agreement of measurements between these 2 techniques is unknown. Therefore, the present study compared respiratory inductive plethysmography with optoelectronic plethysmography for measuring thoracoabdominal asynchrony to see if the measurements were similar or different.

Methods: 27 individuals (9 healthy subjects, 9 patients with interstitial lung disease, and 9 with chronic obstructive pulmonary disease performed 2 cycle ergometer tests with respiratory inductive plethysmography or optoelectronic plethysmography in a random order. Thoracoabdominal asynchrony was evaluated at rest, and at 50% and 75% of maximal workload between the superior ribcage and abdomen using a phase angle.

Results: Thoracoabdominal asynchrony values were very similar in both approaches not only at rest but also with exercise, with no statistical difference. There was a good correlation between the methods and the Phase angle values were within the limits of agreement in the Bland-Altman analysis.

Conclusion: Thoracoabdominal asynchrony measured by optoelectronic plethysmography and respiratory inductive plethysmography results in similar values and has a satisfactory agreement at rest and even for different exercise intensities in these groups.

Publication types

  • Comparative Study

MeSH terms

  • Abdomen / physiopathology*
  • Adult
  • Cross-Sectional Studies
  • Female
  • Healthy Volunteers
  • Humans
  • Lung Diseases, Interstitial / physiopathology*
  • Male
  • Middle Aged
  • Plethysmography
  • Pulmonary Disease, Chronic Obstructive / physiopathology*
  • Respiratory Mechanics
  • Thorax / physiopathology*

Grants and funding

Funded by Fundação de Amparo à Pesquisa do Estado de São Paulo (Brazil) http://www.fapesp.br/en/.