Correlation between respiratory muscle strength and peripheral muscle strength in patients with closed thoracic drainage
Artigo original - número: e225387 -publicado 20 de junho de 2023
DOI:
https://doi.org/10.33233/rbfex.v22i1.5387Keywords:
thoracic injuries, drainage, maximum inspiratory pressure, maximum expiratory pressure, Physical therapyAbstract
Introduction: Thoracic trauma comprises a variety of injuries to the rib cage, tissues and organs located therein. In cases of pneumothorax, hemothorax or hemopneumothorax, the most common treatment is the placement of an intercostal drain to restore pleural pressure. The presence of drains, pain and rib fractures may favor the decline in respiratory muscle strength in these patients. Objective: To correlate respiratory muscle strength and peripheral muscle strength in patients with closed thoracic drainage (CTD). Methods: This is an analytical cross-sectional study. The participants were given the demographic and clinical evaluation form, Visual Analog Scale, then the Peak cough flow test, MIP, MEP, palmar grip dynamometry in both limbs and the Medical Research Council Scale (MRC) for strength assessment. Results: 17 patients participated, 82.4% male, with a mean age of 32.3 years. There was a strong correlation between right handgrip dynamometry and MEP (p.0.00; r = 0.72), between MEP and MRC (p. 0.001; r = 0.79), in addition to a weak association between MEP and left handgrip strength (p.0.04; r = 0.54). Regarding the average of predicted values, the participants obtained 46.3% of MIP and 47.4% of MEP. Of the Peak Cough Flow values performed by the patients, 70.6% were classified as effective cough. The pain according to the VAS was mostly moderate. Conclusion: We found a correlation between expiratory muscle strength and peripheral muscle strength in patients after chest trauma and with CTD. The strength parameters evaluated were lower than those expected in the literature.
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Copyright (c) 2023 Suellen Silva Moreira, Letícia de Souza Pereira, Maristela Lúcia Soares Campos, Lucas Silvério Borges da Silva, Anna Paula Nogueira, Erika Leticia Gomes Nunes, Giulliano Gardenghi
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