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The absence of normality values in smaller children has been ascribed mainly to the technical difficulty and the children's lack of understanding while the test is being performed, 13 , 14 demonstrating that the age factor may be the main limitation to evaluating and using respiratory muscle strength in this population group.
However, there is as yet no evidence showing how the success rates of the respiratory muscle strength test behave in different age groups.
Therefore, considering the importance of this resource under different conditions and clinical situations, and due to the absence of information about the success rate of the respiratory muscle strength test in the pediatric age group, the purpose of this study was to determine the success rate of the respiratory muscle strength test in children aged years old.
The use of this evaluative method at early ages may help achieve a better evaluation and follow-up of patients under different situations and conditions in clinical practice.
Method This is a cross-sectional, observational study with children and adolescents aged years who were regularly enrolled at three basic education schools two public and one private in Porto Alegre, state of Rio Grande do Sul, during and First, all the children and adolescents were invited to participate in the study, and they received a letter of invitation, together with the free and informed consent form.
The anthropometric evaluation was performed by measuring weight and height in triplicate, or until two identical values were obtained.
Weight was obtained with the individuals in the orthostatic position, wearing a minimum amount of clothes and no shoes, using digital scales G-Tech, Glass 1 FW, Rio de Janeiro, Brazil previously calibrated with a g precision. Then, height was obtained, with the participants barefoot and feet in a parallel position, ankles joined together, arms extended along the body, and the head in a neutral position.
Respiratory muscle strength was evaluated always by the same evaluator physiotherapist , who presented over a year of previous experience performing the test and who was also trained and supervised by the principal investigator of the study.
The instrument was connected to a silicone tube, coupled to an isolating filter and to a connector with an inner diameter of approximately 2.
The flattish, semi-rigid mouthpiece had an orifice, with a diameter of approximately 2mm to prevent an increase in intra-oral pressure generated by the contraction of the oral cavity muscles. Both measurements were performed with maximum efforts, at approximately 1-min intervals between the measures, and sustained for at least one second.
The last value recorded could not be larger than the previous ones, 4 and the final result was the highest value obtained. The test was considered inadequate failure when the subject evaluated did not reach the criteria of acceptability and reproducibility described above. J Pediatr Rio J ;— Effects of body fat on ventilatory function in children and adolescents: cross-sectional findings from a random population sample of school children.
Pediatr Pulmonol. Obesity and respiratory diseases in childhood. Clin Chest Med. Physiology of obesity and effects on lung function. J Appl Physiol. Rev Paul Pediatr.
Evaluation of the effect of childhood and adolescent obesity on the ventilometric properties and muscle strength of the respiratory system. ConScientiae Saude.
J Invest Allergol Clin Immunol. Pediatr Allergy Immunol.
Polgar C, Weng TR. The functional development of the respiratory system from the period of gestation to adulthood. Am Rev Respir Dis. Standardisation of spirometry. Eur Respir J.
Armitage P, Berry G. The planning of a statistical investigations.
In: Armitage P, Berry G, editors. Statistical methods in medical research.
Respiratory muscle strength test: is it realistic in young children?
Oxford: Blackwell; Respiratory muscle assessment. Eur Respir Mon. Predicted normal values for maximal respiratory pressures in Caucasian adults and children. Normal values of maximal inspiratory and expiratory pressures with a portable apparatus in children, adolescents, and young adults.
Maximal static respiratory pressures in children and adolescents. Normal values for respiratory muscle strength in healthy preschoolers and school children. Respir Med. Rev Cienc Med. Lung function reference values in children and adolescents aged 6 to 18 years in Galicia.
Arch Bronconeumol. Pediatr Mod. Troyer A, Loring SH.
Action of the respiratory muscles. Handbook of physiology, the respiratory system, mechanics of breathing. Diaphragmatic response to body position changes in obese patients with obstructive sleep apnea. Altered respiratory physiology in obesity.
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