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New scale to assess breathing movements of the chest and abdominal wall: preliminary reliability testing.

Kaneko H, Horie J, Ishikawa A - J Phys Ther Sci (2015)

Bottom Line: The BMS used to assess QB and DB movements of the upper chest, lower chest, and abdomen was based on a scale of -1 to 8.Scale values were measured while in the supine position using a pen-sized breathing movement-measuring device used by two raters during the same session.Scale values at five observation points and total values were recorded.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Japan.

ABSTRACT
[Purpose] Physical examinations for chest movements by inspection and palpation are poorly reproducible. This study aimed to investigate the inter-rater reliability of a new breathing movement scale for patients with respiratory diseases, in clinical practice. [Subjects and Methods] Twenty-six patients with respiratory diseases were enrolled. BMS measurements were obtained during quiet breathing for 13 patients and during deep breathing for the other 13 patients. The BMS used to assess QB and DB movements of the upper chest, lower chest, and abdomen was based on a scale of -1 to 8. Scale values were measured while in the supine position using a pen-sized breathing movement-measuring device used by two raters during the same session. Scale values at five observation points and total values were recorded. A weighted Kappa coefficient and percentage agreement were used to assess inter-rater reliability with this BMS. [Results] The weighted Kappa coefficients during quiet and deep breathing had substantial to excellent strength of agreement (0.63-1.00) with percentage agreements of 31-100%. [Conclusion] Our results provide preliminary evidence to support the reliability of breathing movement scale measurements to assess breathing movements and chest and abdominal mobility for patients with respiratory diseases.

No MeSH data available.


Related in: MedlinePlus

Criteria for the breathing movement scale. These criteria were based on our previousdata for three-dimensional (3D) distances of quiet breathing (QB) and deep breathing(DB) movements that were measured by 3D motion analysis for healthy subjects. Thevertical axis indicates the number of subjects. The abscissa axis indicates the 3Ddistances of breathing movements during QB and DB. Scale values of 1 and 4–7 wereconsidered normal for QB and DB respectively. For the upper and lower chest, thecriteria values for each scale were similar. For the abdomen, the criteria values weregreater than for those at the upper and lower chest.
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fig_002: Criteria for the breathing movement scale. These criteria were based on our previousdata for three-dimensional (3D) distances of quiet breathing (QB) and deep breathing(DB) movements that were measured by 3D motion analysis for healthy subjects. Thevertical axis indicates the number of subjects. The abscissa axis indicates the 3Ddistances of breathing movements during QB and DB. Scale values of 1 and 4–7 wereconsidered normal for QB and DB respectively. For the upper and lower chest, thecriteria values for each scale were similar. For the abdomen, the criteria values weregreater than for those at the upper and lower chest.

Mentions: The criteria used with the BMS were specified based on our previous data for normal QB andDB movements measured by 3D motion analysis6). These criteria were: scale value of −1, <0 mm; 0, <10thpercentile of normal QB; 1, 10th–90th percentiles of QB; 2 (3), > (<) the valueintermediate between the 90th percentile of QB and the 10th percentile of normal DB; 4,10th–25th percentiles of DB; 5, 25th–50th percentiles of DB; 6, 50th–75th percentiles of DB;7, 75th–90th percentiles of DB; and 8, > the 90th percentile of DB (Fig. 2Fig. 2.


New scale to assess breathing movements of the chest and abdominal wall: preliminary reliability testing.

Kaneko H, Horie J, Ishikawa A - J Phys Ther Sci (2015)

Criteria for the breathing movement scale. These criteria were based on our previousdata for three-dimensional (3D) distances of quiet breathing (QB) and deep breathing(DB) movements that were measured by 3D motion analysis for healthy subjects. Thevertical axis indicates the number of subjects. The abscissa axis indicates the 3Ddistances of breathing movements during QB and DB. Scale values of 1 and 4–7 wereconsidered normal for QB and DB respectively. For the upper and lower chest, thecriteria values for each scale were similar. For the abdomen, the criteria values weregreater than for those at the upper and lower chest.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4500027&req=5

fig_002: Criteria for the breathing movement scale. These criteria were based on our previousdata for three-dimensional (3D) distances of quiet breathing (QB) and deep breathing(DB) movements that were measured by 3D motion analysis for healthy subjects. Thevertical axis indicates the number of subjects. The abscissa axis indicates the 3Ddistances of breathing movements during QB and DB. Scale values of 1 and 4–7 wereconsidered normal for QB and DB respectively. For the upper and lower chest, thecriteria values for each scale were similar. For the abdomen, the criteria values weregreater than for those at the upper and lower chest.
Mentions: The criteria used with the BMS were specified based on our previous data for normal QB andDB movements measured by 3D motion analysis6). These criteria were: scale value of −1, <0 mm; 0, <10thpercentile of normal QB; 1, 10th–90th percentiles of QB; 2 (3), > (<) the valueintermediate between the 90th percentile of QB and the 10th percentile of normal DB; 4,10th–25th percentiles of DB; 5, 25th–50th percentiles of DB; 6, 50th–75th percentiles of DB;7, 75th–90th percentiles of DB; and 8, > the 90th percentile of DB (Fig. 2Fig. 2.

Bottom Line: The BMS used to assess QB and DB movements of the upper chest, lower chest, and abdomen was based on a scale of -1 to 8.Scale values were measured while in the supine position using a pen-sized breathing movement-measuring device used by two raters during the same session.Scale values at five observation points and total values were recorded.

View Article: PubMed Central - PubMed

Affiliation: Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Japan.

ABSTRACT
[Purpose] Physical examinations for chest movements by inspection and palpation are poorly reproducible. This study aimed to investigate the inter-rater reliability of a new breathing movement scale for patients with respiratory diseases, in clinical practice. [Subjects and Methods] Twenty-six patients with respiratory diseases were enrolled. BMS measurements were obtained during quiet breathing for 13 patients and during deep breathing for the other 13 patients. The BMS used to assess QB and DB movements of the upper chest, lower chest, and abdomen was based on a scale of -1 to 8. Scale values were measured while in the supine position using a pen-sized breathing movement-measuring device used by two raters during the same session. Scale values at five observation points and total values were recorded. A weighted Kappa coefficient and percentage agreement were used to assess inter-rater reliability with this BMS. [Results] The weighted Kappa coefficients during quiet and deep breathing had substantial to excellent strength of agreement (0.63-1.00) with percentage agreements of 31-100%. [Conclusion] Our results provide preliminary evidence to support the reliability of breathing movement scale measurements to assess breathing movements and chest and abdominal mobility for patients with respiratory diseases.

No MeSH data available.


Related in: MedlinePlus