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    Effect of posture on lung ventilation distribution and associations with structure in children with cystic fibrosis

    Access Status
    Fulltext not available
    Authors
    Ramsey, K.
    McGirr, C.
    Stick, S.
    Hall, Graham
    Simpson, S.
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Ramsey, K. and McGirr, C. and Stick, S. and Hall, G. and Simpson, S. 2016. Effect of posture on lung ventilation distribution and associations with structure in children with cystic fibrosis. Journal of Cystic Fibrosis. 16 (6), pp. 713-718.
    Source Title
    Journal of Cystic Fibrosis
    DOI
    10.1016/j.jcf.2017.01.013
    ISSN
    1569-1993
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/54872
    Collection
    • Curtin Research Publications
    Abstract

    Background: We assessed the effect of posture on ventilation distribution and the impact on associations with structural lung disease. Methods: Multiple breath washout (MBW) was performed in seated and supine postures in 25 healthy children and 21 children with CF. Children with CF also underwent a chest CT scan. Functional residual capacity (FRC), lung clearance index (LCI) and moment ratios were calculated from the MBW test. CT scans were evaluated for CF-related structural lung disease. Results: FRC was lower in the supine than in the seated posture, whereas LCI was higher in the supine than in the seated posture. In children with CF, associations between LCI and the extent of structural lung disease were stronger when performed in the supine posture. Conclusions: Body posture influences lung volumes and ventilation distribution in both healthy children and children with CF. MBW testing in the supine posture strengthened associations with structural lung damage.

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