How Many Maneuvers Should We Do for Maximal Inspiratory and Expiratory Muscle Pressure Testing in Children: A Retrospective Review in Children with Cystic Fibrosis

Journal article


Boonjindasup, Wicharn, Chang, Anne B., Marchant, Julie M., Irons, J. Yoon and McElrea, Margaret S. 2021. How Many Maneuvers Should We Do for Maximal Inspiratory and Expiratory Muscle Pressure Testing in Children: A Retrospective Review in Children with Cystic Fibrosis. Lung. 199 (2021), pp. 213-222. https://doi.org/10.1007/s00408-021-00422-0
AuthorsBoonjindasup, Wicharn, Chang, Anne B., Marchant, Julie M., Irons, J. Yoon and McElrea, Margaret S.
Abstract

Objectives Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) could be useful clinical parameters in monitoring many conditions including cystic fibrosis (CF). However, current protocols for undertaking the measurements lack standardization including the number of repeated attempts to achieve best values. We aimed to (a) determine the optimum number of attempts to achieve best MIP/MEP values, and (b) evaluate if the number of attempts is consistent across two different test days. Methods We analyzed data of a previous randomized controlled trial involving the effect of singing on respiratory muscle strength in 35 children with CF. On two different days (T1, T2) children performed MIP/MEP with at least ten attempts each to achieve < 10% repeatability. Results All children achieved repeatable MIP/MEP values within 10–11 attempts with 24 (68.6%) and 26 (74.3%) of these achieving best values of MIP and MEP, respectively, at attempts 6–11. Median values of the pressures by three, five, eight and all attempts significantly increased with more attempts (all p < 0.05). At T2, 56% required fewer attempts to achieve best values, but 32% required more attempts, indicating that the number of attempts required was inconsistent between test days. Conclusion It is likely that at least ten attempts (best two within < 10% variability) is required to achieve best and reliable MIP/MEP in children with CF. A larger sample size in children with CF and various conditions is required to consolidate these findings.

Keywordspulmonary and respiratory medicine; cystic fibrosis; respiratory function tests; children; respiratory muscles; maximal respiratory pressures
Year2021
JournalLung
Journal citation199 (2021), pp. 213-222
PublisherSpringer Science and Business Media LLC
ISSN0341-2040
1432-1750
Digital Object Identifier (DOI)https://doi.org/10.1007/s00408-021-00422-0
Web address (URL)http://hdl.handle.net/10545/625743
https://creativecommons.org/licenses/by-nc-nd/4.0/
hdl:10545/625743
Publication dates15 Feb 2021
Publication process dates
Deposited29 Apr 2021, 15:33
Accepted27 Jan 2021
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Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

ContributorsCharles Darwin University, Darwin, NT, Australia, Queensland University of Technology, Brisbane, QLD, Australia, Chulalongkorn University, Bangkok, Thailand, Cough, Asthma & Airways Research Group, Centre for Children’s Health Research, Level 7, 62 Graham Street, South Brisbane, QLD, 4101, Australia, Queensland Children’s Hospital, Brisbane, QLD, Australia and University of Derby
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