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Thoracic surgery may alter body static balance via diaphragm dysfunction

Many diseases and conditions can alter an ability to maintain body balance. The aim of the present study was to investigate whether thoracic surgery may elicit diaphragm dysfunction thereby impairing postural stability. 40 patients qualified to video-assisted thoracoscopy (VATS) lobectomy or lobecto...

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Autores principales: Kocjan, Janusz, Gzik-Zroska, Bożena, Nowakowska-Lipiec, Katarzyna, Burkacki, Michał, Suchoń, Sławomir, Michnik, Robert, Czyżewski, Damian, Adamek, Mariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432710/
https://www.ncbi.nlm.nih.gov/pubmed/36044444
http://dx.doi.org/10.1371/journal.pone.0273641
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author Kocjan, Janusz
Gzik-Zroska, Bożena
Nowakowska-Lipiec, Katarzyna
Burkacki, Michał
Suchoń, Sławomir
Michnik, Robert
Czyżewski, Damian
Adamek, Mariusz
author_facet Kocjan, Janusz
Gzik-Zroska, Bożena
Nowakowska-Lipiec, Katarzyna
Burkacki, Michał
Suchoń, Sławomir
Michnik, Robert
Czyżewski, Damian
Adamek, Mariusz
author_sort Kocjan, Janusz
collection PubMed
description Many diseases and conditions can alter an ability to maintain body balance. The aim of the present study was to investigate whether thoracic surgery may elicit diaphragm dysfunction thereby impairing postural stability. 40 patients qualified to video-assisted thoracoscopy (VATS) lobectomy or lobectomy via thoracotomy due to pulmonary carcinoma were examined two times: a day before lung resection and 3–5 days after surgical procedure. Diaphragm assessment was performed using ultrasonography, while postural sways were evaluated by Zebris FDM-S stabilometric platform. Thoracic surgery was associated with decrease of diaphragm thickness and movement, as well as, with deterioration of static body balance maintenance. Upper lobe resection was linked with greater diaphragm excursion restriction and worse body sway parameters than middle and lower lobe resection. VATS lobectomy was associated with better postoperative diaphragm function and better postural sway parameters than lobectomy via thoracotomy. Patients after lobectomy via thoracotomy had significantly more load on lower limb on the operated side than patients after VATS lobectomy. Impairment of diaphragm function is closely associated with equilibrium impairment after pulmonary resection. VATS lobectomy was less invasive than lobectomy via thoracotomy in terms of primary respiratory muscle function and body balance maintenance parameters.
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spelling pubmed-94327102022-09-01 Thoracic surgery may alter body static balance via diaphragm dysfunction Kocjan, Janusz Gzik-Zroska, Bożena Nowakowska-Lipiec, Katarzyna Burkacki, Michał Suchoń, Sławomir Michnik, Robert Czyżewski, Damian Adamek, Mariusz PLoS One Research Article Many diseases and conditions can alter an ability to maintain body balance. The aim of the present study was to investigate whether thoracic surgery may elicit diaphragm dysfunction thereby impairing postural stability. 40 patients qualified to video-assisted thoracoscopy (VATS) lobectomy or lobectomy via thoracotomy due to pulmonary carcinoma were examined two times: a day before lung resection and 3–5 days after surgical procedure. Diaphragm assessment was performed using ultrasonography, while postural sways were evaluated by Zebris FDM-S stabilometric platform. Thoracic surgery was associated with decrease of diaphragm thickness and movement, as well as, with deterioration of static body balance maintenance. Upper lobe resection was linked with greater diaphragm excursion restriction and worse body sway parameters than middle and lower lobe resection. VATS lobectomy was associated with better postoperative diaphragm function and better postural sway parameters than lobectomy via thoracotomy. Patients after lobectomy via thoracotomy had significantly more load on lower limb on the operated side than patients after VATS lobectomy. Impairment of diaphragm function is closely associated with equilibrium impairment after pulmonary resection. VATS lobectomy was less invasive than lobectomy via thoracotomy in terms of primary respiratory muscle function and body balance maintenance parameters. Public Library of Science 2022-08-31 /pmc/articles/PMC9432710/ /pubmed/36044444 http://dx.doi.org/10.1371/journal.pone.0273641 Text en © 2022 Kocjan et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kocjan, Janusz
Gzik-Zroska, Bożena
Nowakowska-Lipiec, Katarzyna
Burkacki, Michał
Suchoń, Sławomir
Michnik, Robert
Czyżewski, Damian
Adamek, Mariusz
Thoracic surgery may alter body static balance via diaphragm dysfunction
title Thoracic surgery may alter body static balance via diaphragm dysfunction
title_full Thoracic surgery may alter body static balance via diaphragm dysfunction
title_fullStr Thoracic surgery may alter body static balance via diaphragm dysfunction
title_full_unstemmed Thoracic surgery may alter body static balance via diaphragm dysfunction
title_short Thoracic surgery may alter body static balance via diaphragm dysfunction
title_sort thoracic surgery may alter body static balance via diaphragm dysfunction
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432710/
https://www.ncbi.nlm.nih.gov/pubmed/36044444
http://dx.doi.org/10.1371/journal.pone.0273641
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