Publication:
Clinical significance of pectoralis muscle strength in elderly patients with idiopathic pulmonary fibrosis

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dc.contributor.authorYURDALAN, SAADET UFUK
dc.contributor.authorsYurdalan S. U., Durdu H., Ozmen I.
dc.date.accessioned2023-05-08T08:07:30Z
dc.date.available2023-05-08T08:07:30Z
dc.date.issued2022-01-01
dc.description.abstractIntroduction: Investigations of muscle dysfunction in patients with idiopathic pulmonary fibrosis (IPF) are limited to peripheral muscles. However, decreased thoracic muscle mass is known and deterioration of chest wall muscle strength is not clear. Objective: The aims of the present study were to evaluate pectoralis muscle strength located on the chest wall and to investigate the relationship of spirometric measurements and respiratory muscle strength with pectoralis muscle strength. Methods: Elderly patient with IPF (mean disease duration 7.47 +/- 7.04 years) and the age-and sex-matched healthy volunteers were recruited in this cross-sectional study. The pulmonary function test was performed by a portable spirometer for spirometric variables and a gas analyzer for diffusing capacity for carbon monoxide (DLCO). Maximal inspiratory (MIP) and expiratory pressure (MEP) were measured with mouth pressure device. Modified Medical Research Council Dyspnea Scale (MMRC) was used to determined dyspnea severity. The pectoralis muscle strength was assessed isometrically during shoulder joint horizontal adduction movement with a hand-held dynamometer. Results: A total of 17 patients with IPF (9 males, mean age 69.06 +/- 3.94 years) and 19 healthy controls (10 males, mean age 70.95 +/- 4.99 years) were included. Patients with IPF had lower pectoralis muscle strength than healthy controls (p<0.001). Significant relationships were found between pectoralis muscle strength and MIP (r=0.79, p<0.001), MEP (r=0.81, p<0.001), FEV1% (r=0.54, p=0.02), FVC% (r=0.68, p<0.003) and DLCO (r=0.61, p=0.009). With multiple linear regression analysis, pectoralis muscle strength was the only independent predictor of FVC% (adjusted R-2=0.37, p<0.05). Conclusion: In patients with IPF, pectoralis muscle strength decreases and is associated with pulmonary function. In particular pectoralis muscle strength is likely to have an important impact on FVC%. Therefore, we consider that this test should be included routinely in chest diseases and rehabilitation clinics.
dc.identifier.citationYurdalan S. U., Durdu H., Ozmen I., "CLINICAL SIGNIFICANCE OF PECTORALIS MUSCLE STRENGTH IN ELDERLY PATIENTS WITH IDIOPATHIC PULMONARY FIBROSIS", SARCOIDOSIS VASCULITIS AND DIFFUSE LUNG DISEASES, cilt.39, sa.1, 2022
dc.identifier.doi10.36141/svdld.v39i1.12094
dc.identifier.issn1124-0490
dc.identifier.issue1
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/35494168/
dc.identifier.urihttps://hdl.handle.net/11424/289155
dc.identifier.volume39
dc.language.isoeng
dc.relation.ispartofSARCOIDOSIS VASCULITIS AND DIFFUSE LUNG DISEASES
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectGöğüs Hastalıkları ve Allerji
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectInternal Medicine Sciences
dc.subjectChest Diseases and Allergy
dc.subjectSOLUNUM SİSTEMİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectRESPIRATORY SYSTEM
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectSolunum Bakımı
dc.subjectAkciğer ve Solunum Tıbbı
dc.subjectRespiratory Care
dc.subjectPulmonary and Respiratory Medicine
dc.subjectIdiopathic pulmonary fibrosis
dc.subjectPectoralis muscle strength
dc.subjectPulmonary function test
dc.subjectChest wall muscle
dc.subjectQUADRICEPS WEAKNESS
dc.subjectEXERCISE CAPACITY
dc.subjectLUNG-DISEASE
dc.subjectUPPER-LIMB
dc.subjectENDURANCE
dc.subjectPATTERN
dc.subjectIdiopathic pulmonary fibrosis
dc.subjectPectoralis muscle strength
dc.subjectPulmonary function test
dc.subjectChest wall muscle
dc.titleClinical significance of pectoralis muscle strength in elderly patients with idiopathic pulmonary fibrosis
dc.typearticle
dspace.entity.typePublication
local.avesis.idb8b53417-4e6b-44d7-9f94-227e7252ca94
local.indexed.atWOS
local.indexed.atPUBMED
relation.isAuthorOfPublication24ef701d-6b86-47e7-afda-7017c3941fd4
relation.isAuthorOfPublication.latestForDiscovery24ef701d-6b86-47e7-afda-7017c3941fd4

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