The Evaluation of Referance Values for Diaphragmatic Excursion in Turkish Population

Year 2019, Volume: 1 Issue: 2, 65 - 70, 03.09.2019

Burak Katipoğlu , Eylem Kuday Kaykısız , Lukasz Szarpak Ramazan Güven , Gökçe Kaan Ataç Togay Evrin , Abdullah Osman Koçak

Abstract

Background:
The
diaphragm is the largest respiratory muscle that contributes to the respiratory
work. The aim of this study was to measure the diaphragm excursion, which shows
diaphragm function in healthy volunteers, and to determine the reference values
in the Turkish population.

Material-Methods:
This
cross-sectional descriptive study was carried out at a university hospital between
01.01-01.04.2019. Two hundred and thirthy (230) healthy subjects had no history
of pulmonar or neuromusculary disease were included in the study. Age, sex and diaphragmatic
excursion measurements of subjects were recorded. Measurements were obtained by
lung silhouette, anterior and Right
Hemidiaphmgm and Left Hemidiaphragm Ultrasonographic Method with M  Mode. p<0.05 was considered statistically
significant.

Results:
230
healthy subjects were included in the study. The male/female ratio was 1.04. No
statistically significant difference was found between male and female in terms
of age and body mass index. It is concluded that there were statistically significant
higher LungSilR, Ant Ax. B Mode R, Ant Ax. B Mode L, Ant. Ax. M Mode R, Ant.
Ax. M Mode L of male than female sex. There were a significantly strong positive
association between LungSilR and LungSilL, Ant Ax. B Mode R and Ant Ax. B Mode
L,  Ant. Ax. M Mode R and Ant. Ax. M Mode
L.There were a significantly strong positive association between LungSilR and Ant
Ax. B Mode R, LungSilL and Ant Ax. B Mode L; significantly weak association between
LungSilR and Ant Ax. M Mode R, Ant Ax. B Mode R and Ant. Ax. M Mode R, LungSilL
and Ant Ax. M Mode L, Ant Ax. B Mode L and Ant. Ax. M Mode L.

Conclusion: It
was concluded that diaphragmatic excursion in theTurkish population was 55.9 -
62 mm in female sex and 67.1 - 71 mm in male sex, since it was found that there
was no obstacle in the creation of reference values due to changes in
measurement methods and direction, and correlation was found in all methods and
right-left measurements for diaphragmatic excursion results.

Keywords

diaphragm ultrasonography, excursion, healthy subjects, referans values, Turkish population

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