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Development of new measurement system of thoracic excursion with biofeedback: reliability and validity

BACKGROUND: Respiratory rehabilitation reduces breathlessness from patient with respiratory dysfunction. Chest expansion score, which represents the circumference magnitude of the thoracic cage, is used for a target when treating patients with respiratory disease. However, it is often difficult for...

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Autores principales: Nishigaki, Yukiko, Mizuguchi, Hiroko, Takeda, Eriko, Koike, Tomokazu, Ando, Takeshi, Kawamura, Kazuya, Shimbo, Takuro, Ishikawa, Hidetoshi, Fujimoto, Masashi, Saotome, Ikuko, Odo, Reiko, Omoda, Kazuko, Yamashita, Shohei, Yamada, Tomoko, Omi, Toshihito, Matsushita, Yuya, Takeda, Manami, Sekiguchi, Sawako, Tanaka, Saki, Fujie, Masakatsu, Inokuchi, Haruhi, Fujitani, Junko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669041/
https://www.ncbi.nlm.nih.gov/pubmed/23687911
http://dx.doi.org/10.1186/1743-0003-10-45
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author Nishigaki, Yukiko
Mizuguchi, Hiroko
Takeda, Eriko
Koike, Tomokazu
Ando, Takeshi
Kawamura, Kazuya
Shimbo, Takuro
Ishikawa, Hidetoshi
Fujimoto, Masashi
Saotome, Ikuko
Odo, Reiko
Omoda, Kazuko
Yamashita, Shohei
Yamada, Tomoko
Omi, Toshihito
Matsushita, Yuya
Takeda, Manami
Sekiguchi, Sawako
Tanaka, Saki
Fujie, Masakatsu
Inokuchi, Haruhi
Fujitani, Junko
author_facet Nishigaki, Yukiko
Mizuguchi, Hiroko
Takeda, Eriko
Koike, Tomokazu
Ando, Takeshi
Kawamura, Kazuya
Shimbo, Takuro
Ishikawa, Hidetoshi
Fujimoto, Masashi
Saotome, Ikuko
Odo, Reiko
Omoda, Kazuko
Yamashita, Shohei
Yamada, Tomoko
Omi, Toshihito
Matsushita, Yuya
Takeda, Manami
Sekiguchi, Sawako
Tanaka, Saki
Fujie, Masakatsu
Inokuchi, Haruhi
Fujitani, Junko
author_sort Nishigaki, Yukiko
collection PubMed
description BACKGROUND: Respiratory rehabilitation reduces breathlessness from patient with respiratory dysfunction. Chest expansion score, which represents the circumference magnitude of the thoracic cage, is used for a target when treating patients with respiratory disease. However, it is often difficult for patients to understand the changes in the respiratory status and be motivated for therapy continuously. We developed a new measurement system with biofeedback named BREATH which shows chest expansion scores in real time. The purpose of this study was to determine the reliability and validity of the novel system in advance of clinical application. METHODS: Three evaluators measured chest expansion in 33 healthy individuals using tape measure, which is used for the measurement traditionally, and BREATH. The wire for BREATH system was threaded over the thoracic continuously and the data was recorded automatically; whereas the tape was winded and measured each maximal expiration and inspiration timing by evaluator. All participants were performed both measurement simultaneously for three times during deep breath. In this study, we studied chest expansion score without using biofeedback data of BREATH to check the validity of the result. To confirm intra- and inter-evaluator reliability, we computed intra-class correlations (ICCs). We used Pearson’s correlation coefficient to evaluate the validity of measurement result by BREATH with reference to the tape measure results. RESULTS: The average (standard deviation) chest expansion scores for all, men and women by the tape measure were 5.53 (1.88), 6.40 (1.69) and 5.22 (1.39) cm, respectively, and those by BREATH were 3.89 (2.04), 4.36 (1.83) and 2.89 (1.66) cm, respectively. ICC within and among the three evaluators for BREATH and the tape measure were 0.90-0.94 and 0.85-0.94 and 0.85 and 0.82, respectively. The correlation coefficient between the two methods was 0.76-0.87. CONCLUSION: The novel measurement system, BREATH, has high intra- and inter-evaluator reliabilities and validity; therefore it can lead us more effective respiratory exercise. Using its biofeedback data, this system may help patients with respiratory disease to do exercises more efficiently and clinicians to assess the respiratory exercise more accurately.
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spelling pubmed-36690412013-06-01 Development of new measurement system of thoracic excursion with biofeedback: reliability and validity Nishigaki, Yukiko Mizuguchi, Hiroko Takeda, Eriko Koike, Tomokazu Ando, Takeshi Kawamura, Kazuya Shimbo, Takuro Ishikawa, Hidetoshi Fujimoto, Masashi Saotome, Ikuko Odo, Reiko Omoda, Kazuko Yamashita, Shohei Yamada, Tomoko Omi, Toshihito Matsushita, Yuya Takeda, Manami Sekiguchi, Sawako Tanaka, Saki Fujie, Masakatsu Inokuchi, Haruhi Fujitani, Junko J Neuroeng Rehabil Research BACKGROUND: Respiratory rehabilitation reduces breathlessness from patient with respiratory dysfunction. Chest expansion score, which represents the circumference magnitude of the thoracic cage, is used for a target when treating patients with respiratory disease. However, it is often difficult for patients to understand the changes in the respiratory status and be motivated for therapy continuously. We developed a new measurement system with biofeedback named BREATH which shows chest expansion scores in real time. The purpose of this study was to determine the reliability and validity of the novel system in advance of clinical application. METHODS: Three evaluators measured chest expansion in 33 healthy individuals using tape measure, which is used for the measurement traditionally, and BREATH. The wire for BREATH system was threaded over the thoracic continuously and the data was recorded automatically; whereas the tape was winded and measured each maximal expiration and inspiration timing by evaluator. All participants were performed both measurement simultaneously for three times during deep breath. In this study, we studied chest expansion score without using biofeedback data of BREATH to check the validity of the result. To confirm intra- and inter-evaluator reliability, we computed intra-class correlations (ICCs). We used Pearson’s correlation coefficient to evaluate the validity of measurement result by BREATH with reference to the tape measure results. RESULTS: The average (standard deviation) chest expansion scores for all, men and women by the tape measure were 5.53 (1.88), 6.40 (1.69) and 5.22 (1.39) cm, respectively, and those by BREATH were 3.89 (2.04), 4.36 (1.83) and 2.89 (1.66) cm, respectively. ICC within and among the three evaluators for BREATH and the tape measure were 0.90-0.94 and 0.85-0.94 and 0.85 and 0.82, respectively. The correlation coefficient between the two methods was 0.76-0.87. CONCLUSION: The novel measurement system, BREATH, has high intra- and inter-evaluator reliabilities and validity; therefore it can lead us more effective respiratory exercise. Using its biofeedback data, this system may help patients with respiratory disease to do exercises more efficiently and clinicians to assess the respiratory exercise more accurately. BioMed Central 2013-05-20 /pmc/articles/PMC3669041/ /pubmed/23687911 http://dx.doi.org/10.1186/1743-0003-10-45 Text en Copyright © 2013 Nishigaki et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Nishigaki, Yukiko
Mizuguchi, Hiroko
Takeda, Eriko
Koike, Tomokazu
Ando, Takeshi
Kawamura, Kazuya
Shimbo, Takuro
Ishikawa, Hidetoshi
Fujimoto, Masashi
Saotome, Ikuko
Odo, Reiko
Omoda, Kazuko
Yamashita, Shohei
Yamada, Tomoko
Omi, Toshihito
Matsushita, Yuya
Takeda, Manami
Sekiguchi, Sawako
Tanaka, Saki
Fujie, Masakatsu
Inokuchi, Haruhi
Fujitani, Junko
Development of new measurement system of thoracic excursion with biofeedback: reliability and validity
title Development of new measurement system of thoracic excursion with biofeedback: reliability and validity
title_full Development of new measurement system of thoracic excursion with biofeedback: reliability and validity
title_fullStr Development of new measurement system of thoracic excursion with biofeedback: reliability and validity
title_full_unstemmed Development of new measurement system of thoracic excursion with biofeedback: reliability and validity
title_short Development of new measurement system of thoracic excursion with biofeedback: reliability and validity
title_sort development of new measurement system of thoracic excursion with biofeedback: reliability and validity
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669041/
https://www.ncbi.nlm.nih.gov/pubmed/23687911
http://dx.doi.org/10.1186/1743-0003-10-45
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