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Is forced oscillation technique the next respiratory function test of choice in childhood asthma
Respiratory diseases, especially asthma, are common in children. While spirometry contributes to asthma diagnosis and management in older children, it has a limited role in younger children whom are often unable to perform forced expiratory manoeuvre. The development of novel diagnostic methods whic...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746666/ https://www.ncbi.nlm.nih.gov/pubmed/29354485 http://dx.doi.org/10.5662/wjm.v7.i4.129 |
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author | Alblooshi, Afaf Alkalbani, Alia Albadi, Ghaya Narchi, Hassib Hall, Graham |
author_facet | Alblooshi, Afaf Alkalbani, Alia Albadi, Ghaya Narchi, Hassib Hall, Graham |
author_sort | Alblooshi, Afaf |
collection | PubMed |
description | Respiratory diseases, especially asthma, are common in children. While spirometry contributes to asthma diagnosis and management in older children, it has a limited role in younger children whom are often unable to perform forced expiratory manoeuvre. The development of novel diagnostic methods which require minimal effort, such as forced oscillation technique (FOT) is, therefore, a welcome and promising addition. FOT involves applying external, small amplitude oscillations to the respiratory system during tidal breathing. Therefore, it requires minimal effort and cooperation. The FOT has the potential to facilitate asthma diagnosis and management in pre-school children by faciliting the objective measurement of baseline lung function and airway reactivity in children unable to successfully perform spirometry. Traditionally the use of FOT was limited to specialised centres. However, the availability of commercial equipment resulted in its use both in research and in clinical practice. In this article, we review the available literature on the use of FOT in childhood asthma. The technical aspects of FOT are described followed by a discussion of its practical aspects in the clinical field including the measurement of baseline lung function and associated reference ranges, bronchodilator responsiveness and bronchial hyper-responsiveness. We also highlight the difficulties and limitations that might be encountered and future research directions. |
format | Online Article Text |
id | pubmed-5746666 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-57466662018-01-19 Is forced oscillation technique the next respiratory function test of choice in childhood asthma Alblooshi, Afaf Alkalbani, Alia Albadi, Ghaya Narchi, Hassib Hall, Graham World J Methodol Review Respiratory diseases, especially asthma, are common in children. While spirometry contributes to asthma diagnosis and management in older children, it has a limited role in younger children whom are often unable to perform forced expiratory manoeuvre. The development of novel diagnostic methods which require minimal effort, such as forced oscillation technique (FOT) is, therefore, a welcome and promising addition. FOT involves applying external, small amplitude oscillations to the respiratory system during tidal breathing. Therefore, it requires minimal effort and cooperation. The FOT has the potential to facilitate asthma diagnosis and management in pre-school children by faciliting the objective measurement of baseline lung function and airway reactivity in children unable to successfully perform spirometry. Traditionally the use of FOT was limited to specialised centres. However, the availability of commercial equipment resulted in its use both in research and in clinical practice. In this article, we review the available literature on the use of FOT in childhood asthma. The technical aspects of FOT are described followed by a discussion of its practical aspects in the clinical field including the measurement of baseline lung function and associated reference ranges, bronchodilator responsiveness and bronchial hyper-responsiveness. We also highlight the difficulties and limitations that might be encountered and future research directions. Baishideng Publishing Group Inc 2017-12-26 /pmc/articles/PMC5746666/ /pubmed/29354485 http://dx.doi.org/10.5662/wjm.v7.i4.129 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Review Alblooshi, Afaf Alkalbani, Alia Albadi, Ghaya Narchi, Hassib Hall, Graham Is forced oscillation technique the next respiratory function test of choice in childhood asthma |
title | Is forced oscillation technique the next respiratory function test of choice in childhood asthma |
title_full | Is forced oscillation technique the next respiratory function test of choice in childhood asthma |
title_fullStr | Is forced oscillation technique the next respiratory function test of choice in childhood asthma |
title_full_unstemmed | Is forced oscillation technique the next respiratory function test of choice in childhood asthma |
title_short | Is forced oscillation technique the next respiratory function test of choice in childhood asthma |
title_sort | is forced oscillation technique the next respiratory function test of choice in childhood asthma |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746666/ https://www.ncbi.nlm.nih.gov/pubmed/29354485 http://dx.doi.org/10.5662/wjm.v7.i4.129 |
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