Relationship of static and dynamic inspiratory muscle strength

Authors

DOI:

https://doi.org/10.56294/saludcyt2023331

Keywords:

Maximal Inspiratory Pressure, Respiratory Muscle

Abstract

Background: the non-invasive evaluation of the inspiratory muscles strength makes it possible to detect their weakness globally. The use of digital or aneroid manometers to determine the inspiratory force can be taken by a static technique, known as pymometry, obtaining the maximum inspiratory pressure. However, equipment such as PowerBreathe is also used to obtain the strength index, which is considered a dynamic technique.

Methods: the present work is a cross-sectional cohort study, focused on analyzing the inspiratory muscle force in a static and dynamic way in healthy subjects, using a non-clinical digital manometer Ht - 18909 compared with a PowerBreathe equipment. The study was conducted in 23 healthy volunteer patients with a mean age of 19 years.

Results: Inspiratory force measurements for both instruments reached a mean of 57,5 cmH2O and 55,3 cmH2O (SD 16,38 – 14,91) when taken with manometry and PowerBreathe equipment respectively, the correlation by calculating of the ICC with a reliability of 95 %, was 0,87, having a high level of agreement or similarity between the measures.

Conclusions: It was concluded that there are no significant differences when measuring the inspiratory force when using both devices that estimate the force statically and dynamically

References

1. American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. American Journal of Respiratory and Critical Care Medicine 2002; 166(4):518–624. https://doi.org/10.1164/rccm.166.4.518

2. Gayraud J, Ramonatxo M, Rivier F, Humberclaude V, Petrof B, Matecki S. Ventilatory parameters and maximal respiratory pressure changes with age in Duchenne muscular dystrophy patients. Pediatric Pulmonology 2010; 45(6):552–559. https://doi.org/10.1002/ppul.21204

3. Baptistella AR, Sarmento FJ, da Silva KR, Baptistella SF, Taglietti M, Zuquello RÁ, Nunes Filho JR. Predictive factors of weaning from mechanical ventilation and extubation outcome: A systematic review. Journal of Critical Care 2018; 48:56–62. https://doi.org/10.1016/j.jcrc.2018.08.023

4. Silveira BMF, Pereira MCB, Cardoso DR, Ribeiro-Samora GA, Martins HR, Parreira VF. New method for evaluating maximal respiratory pressures: Concurrent validity, test-retest, and inter-rater reliability. Brazilian Journal of Physical Therapy 2021; 25(6):741–748. https://doi.org/10.1016/j.bjpt.2021.04.012

5. Minahan C, Sheehan B, Doutreband R, Kirkwood T, Reeves D, Cross T . Repeated-sprint cycling does not induce respiratory muscle fatigue in active adults: measurements from the powerbreathe® inspiratory muscle trainer. Journal of Sports Science & Medicine 2015; 14(1):233.

6. Lee KB, Kim MK, Jeong JR, Lee WH. Reliability of an Electronic Inspiratory Loading Device for Assessing Pulmonary Function in Post-Stroke Patients. Medical science monitor: international medical Journal of Experimental and Clinical Research 2016; 22:191–196. https://doi.org/10.12659/msm.895573

7. Areias GS, Santiago LR, Teixeira, D. S., & Reis, M. S. (2020). Concurrent Validity of the Static and Dynamic Measures of Inspiratory Muscle Strength: Comparison between Maximal Inspiratory Pressure and S-Index. Brazilian journal of Cardiovascular Surgery, 35(4):459–464. https://doi.org/10.21470/1678-9741-2019-0269

8. Cook CD, Mead J, Orzalesi MM. Static Volume-Pressure Characteristics Of The Respiratory System During Maximal Efforts. Journal of Applied Physiology 1964; 19:1016–1022. https://doi.org/10.1152/jappl.1964.19.5.1016

9. Torres-Castro R, Sepúlveda-Cáceres N, Garrido-Baquedano R, Barros-Poblete M, Otto-Yáñez M, Vasconcello L, Vera-Uribe R, Puppo H, Fregonezi G. Agreement between clinical and non-clinical digital manometer for assessing maximal respiratory pressures in healthy subjects. PloS One 2019; 14(10):e0224357. https://doi.org/10.1371/journal.pone.0224357

10. Areias GS, Santiago LR, Teixeira DS, Reis MS. Concurrent Validity of the Static and Dynamic Measures of Inspiratory Muscle Strength: Comparison between Maximal Inspiratory Pressure and S-Index. Brazilian Journal of Cardiovascular Surgery 2020, 35(4):459–464. https://doi.org/10.21470/1678-9741-2019-0269

11. da Silva FMF, Cipriano G, Lima ACGB, Andrade JML, Nakano EY, Chiappa GR, Cahalin LP, Cipriano GFB. Maximal Dynamic Inspiratory Pressure Evaluation in Heart Failure: A Comprehensive Reliability and Agreement Study. Physical Therapy 2020; 100(12):2246–2253. https://doi.org/10.1093/ptj/pzaa165

12. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. The American Review of Respiratory Disease 1969; 99(5):696–702. https://doi.org/10.1164/arrd.1969.99.5.696

13. Sclauser Pessoa IM, Franco Parreira V, Fregonezi GA, Sheel AW, Chung F, Reid WD. Reference values for maximal inspiratory pressure: a systematic review. Canadian Respiratory Journal 2014, 21(1):43–50. https://doi.org/10.1155/2014/982374

14. Rodrigues A, Da Silva ML, Berton DC, Cipriano G, Jr Pitta F, O'Donnell DE, Neder JA. Maximal Inspiratory Pressure: Does the Choice of Reference Values Actually Matter? Chest 2017; 152(1):32–39. https://doi.org/10.1016/j.chest.2016.11.045

Downloads

Published

2023-04-26

How to Cite

1.
Rumiguano Jiménez RA, Caiza Lema SJ, Valencia Pasquel KP, Herrera Herrera GM, Espin Pastor VE, Romero Rodríguez MG. Relationship of static and dynamic inspiratory muscle strength. Salud, Ciencia y Tecnología [Internet]. 2023 Apr. 26 [cited 2025 Mar. 10];3:331. Available from: https://sct.ageditor.ar/index.php/sct/article/view/440