Thoracic excursion measurement in children with cystic fibrosis

J W H Custers; H G M Arets; R H H Engelbert; F T C Kooijmans; C K van der Ent; P J M Helders

doi:10.1016/j.jcf.2004.12.007

Thoracic excursion measurement in children with cystic fibrosis

J W H Custers, H G M Arets, R H H Engelbert, F T C Kooijmans, C K van der Ent, P J M Helders

Faculty of Health (FH)

Research output: Contribution to journal › Article › Academic › peer-review

6 Citations (Scopus)

Abstract

BACKGROUND: Measurement of thoracic excursion (TEM) during maximal ventilation is part of the physiotherapy assessment in children with cystic fibrosis (CF).

OBJECTIVES: The purpose of our study was to examine the reliability of TEM and its relation with pulmonary function.

METHODS: Thoracic excursions were measured using a measuring tape. Thirty children participated in an intra-observer and inter-observer reliability study. Reliability was determined by calculating the typical error in repeated measurement, limits of agreement and correlation coefficients. Cross-sectional data from the annual check-ups were used to measure the relation between TEM and pulmonary function.

RESULTS: In the intra-observer reliability study the typical error was 0.31 cm, the limits of agreement were +/-0.86 cm. Pearson's r and ICC were 0.96 and 0.95, respectively. In the inter-observer reliability study these values were 0.56 cm, +/-1.55 cm, 0.85 and 0.85, respectively. TEM correlated significantly with height (0.31, P<0.001), FVC (0.44, P<0.001), FEV1 (0.41, P<0.001) and TLC (0.19, P<0.05), and there was a significant inverse correlation with RV%TLC (-0.45, P<0.001).

CONCLUSIONS: TEM is a reliable assessment tool. Thoracic excursion is significantly, although moderately correlated with pulmonary function.

Original language	English
Pages (from-to)	129-33
Number of pages	5
Journal	Journal of cystic fibrosis
Volume	4
Issue number	2
DOIs	https://doi.org/10.1016/j.jcf.2004.12.007
Publication status	Published - 2005

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@article{b535ceca72db4ca2b99a7274014edc7a,

title = "Thoracic excursion measurement in children with cystic fibrosis",

abstract = "BACKGROUND: Measurement of thoracic excursion (TEM) during maximal ventilation is part of the physiotherapy assessment in children with cystic fibrosis (CF).OBJECTIVES: The purpose of our study was to examine the reliability of TEM and its relation with pulmonary function.METHODS: Thoracic excursions were measured using a measuring tape. Thirty children participated in an intra-observer and inter-observer reliability study. Reliability was determined by calculating the typical error in repeated measurement, limits of agreement and correlation coefficients. Cross-sectional data from the annual check-ups were used to measure the relation between TEM and pulmonary function.RESULTS: In the intra-observer reliability study the typical error was 0.31 cm, the limits of agreement were +/-0.86 cm. Pearson's r and ICC were 0.96 and 0.95, respectively. In the inter-observer reliability study these values were 0.56 cm, +/-1.55 cm, 0.85 and 0.85, respectively. TEM correlated significantly with height (0.31, P<0.001), FVC (0.44, P<0.001), FEV1 (0.41, P<0.001) and TLC (0.19, P<0.05), and there was a significant inverse correlation with RV%TLC (-0.45, P<0.001).CONCLUSIONS: TEM is a reliable assessment tool. Thoracic excursion is significantly, although moderately correlated with pulmonary function.",

keywords = "Adolescent, Body Weights and Measures, Child, Child, Preschool, Cross-Sectional Studies, Cystic Fibrosis, Female, Humans, Male, Observer Variation, Pulmonary Ventilation, Reproducibility of Results, Respiratory Function Tests, Thorax, Journal Article",

author = "Custers, {J W H} and Arets, {H G M} and Engelbert, {R H H} and Kooijmans, {F T C} and {van der Ent}, {C K} and Helders, {P J M}",

year = "2005",

doi = "10.1016/j.jcf.2004.12.007",

language = "English",

volume = "4",

pages = "129--33",

journal = "Journal of cystic fibrosis ",

issn = "1569-1993",

publisher = "Elsevier",

number = "2",

}

TY - JOUR

T1 - Thoracic excursion measurement in children with cystic fibrosis

AU - Custers, J W H

AU - Arets, H G M

AU - Engelbert, R H H

AU - Kooijmans, F T C

AU - van der Ent, C K

AU - Helders, P J M

PY - 2005

Y1 - 2005

N2 - BACKGROUND: Measurement of thoracic excursion (TEM) during maximal ventilation is part of the physiotherapy assessment in children with cystic fibrosis (CF).OBJECTIVES: The purpose of our study was to examine the reliability of TEM and its relation with pulmonary function.METHODS: Thoracic excursions were measured using a measuring tape. Thirty children participated in an intra-observer and inter-observer reliability study. Reliability was determined by calculating the typical error in repeated measurement, limits of agreement and correlation coefficients. Cross-sectional data from the annual check-ups were used to measure the relation between TEM and pulmonary function.RESULTS: In the intra-observer reliability study the typical error was 0.31 cm, the limits of agreement were +/-0.86 cm. Pearson's r and ICC were 0.96 and 0.95, respectively. In the inter-observer reliability study these values were 0.56 cm, +/-1.55 cm, 0.85 and 0.85, respectively. TEM correlated significantly with height (0.31, P<0.001), FVC (0.44, P<0.001), FEV1 (0.41, P<0.001) and TLC (0.19, P<0.05), and there was a significant inverse correlation with RV%TLC (-0.45, P<0.001).CONCLUSIONS: TEM is a reliable assessment tool. Thoracic excursion is significantly, although moderately correlated with pulmonary function.

AB - BACKGROUND: Measurement of thoracic excursion (TEM) during maximal ventilation is part of the physiotherapy assessment in children with cystic fibrosis (CF).OBJECTIVES: The purpose of our study was to examine the reliability of TEM and its relation with pulmonary function.METHODS: Thoracic excursions were measured using a measuring tape. Thirty children participated in an intra-observer and inter-observer reliability study. Reliability was determined by calculating the typical error in repeated measurement, limits of agreement and correlation coefficients. Cross-sectional data from the annual check-ups were used to measure the relation between TEM and pulmonary function.RESULTS: In the intra-observer reliability study the typical error was 0.31 cm, the limits of agreement were +/-0.86 cm. Pearson's r and ICC were 0.96 and 0.95, respectively. In the inter-observer reliability study these values were 0.56 cm, +/-1.55 cm, 0.85 and 0.85, respectively. TEM correlated significantly with height (0.31, P<0.001), FVC (0.44, P<0.001), FEV1 (0.41, P<0.001) and TLC (0.19, P<0.05), and there was a significant inverse correlation with RV%TLC (-0.45, P<0.001).CONCLUSIONS: TEM is a reliable assessment tool. Thoracic excursion is significantly, although moderately correlated with pulmonary function.

KW - Adolescent

KW - Body Weights and Measures

KW - Child

KW - Child, Preschool

KW - Cross-Sectional Studies

KW - Cystic Fibrosis

KW - Female

KW - Humans

KW - Male

KW - Observer Variation

KW - Pulmonary Ventilation

KW - Reproducibility of Results

KW - Respiratory Function Tests

KW - Thorax

KW - Journal Article

U2 - 10.1016/j.jcf.2004.12.007

DO - 10.1016/j.jcf.2004.12.007

M3 - Article

C2 - 15914097

SN - 1569-1993

VL - 4

SP - 129

EP - 133

JO - Journal of cystic fibrosis

JF - Journal of cystic fibrosis

IS - 2

ER -

Thoracic excursion measurement in children with cystic fibrosis

Abstract

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