Abstract
Dyspnea is a general term used to characterize a range of qualitatively distinct descriptors which may contribute to our understanding of the mechanisms of dyspnea. In general the language of dyspnea complements physiological measurements, essential to a comprehensive understanding of exercise tolerance and dyspnea. Like leg exercise, arm exercise is associated with increased dynamic hyperinflation which correlates with increases in dyspnea, and arm effort in moderately to severely obstructed patients. These patients speak in an interrupted fashion, unable to sustain long sentence because the downstream excursion in end expiratory lung volume is likely to increase the amount of tidal expiratory flow limitation and dyspnea. Patients often spontaneously employ breathing retraining strategies to relieve dyspnea. Pursed-lip breathing, impacts on dyspnea by decreasing end expiratory volumes of the chest wall. Finally, a method is proposed to quantify the presence and degree of Hoovers sign and evaluate the agreement between clinical and quantitative analysis.
Keywords: Dyspnea, speech activities, perception of bronchoconstriction, pursed-lip breathing, Hoover's sign
Current Respiratory Medicine Reviews
Title: Symptoms and Signs
Volume: 4 Issue: 4
Author(s): Giorgio Scano, Loredana Stendardi, Barbara Binazzi and Francesco Gigliotti
Affiliation:
Keywords: Dyspnea, speech activities, perception of bronchoconstriction, pursed-lip breathing, Hoover's sign
Abstract: Dyspnea is a general term used to characterize a range of qualitatively distinct descriptors which may contribute to our understanding of the mechanisms of dyspnea. In general the language of dyspnea complements physiological measurements, essential to a comprehensive understanding of exercise tolerance and dyspnea. Like leg exercise, arm exercise is associated with increased dynamic hyperinflation which correlates with increases in dyspnea, and arm effort in moderately to severely obstructed patients. These patients speak in an interrupted fashion, unable to sustain long sentence because the downstream excursion in end expiratory lung volume is likely to increase the amount of tidal expiratory flow limitation and dyspnea. Patients often spontaneously employ breathing retraining strategies to relieve dyspnea. Pursed-lip breathing, impacts on dyspnea by decreasing end expiratory volumes of the chest wall. Finally, a method is proposed to quantify the presence and degree of Hoovers sign and evaluate the agreement between clinical and quantitative analysis.
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Cite this article as:
Scano Giorgio, Stendardi Loredana, Binazzi Barbara and Gigliotti Francesco, Symptoms and Signs, Current Respiratory Medicine Reviews 2008; 4 (4) . https://dx.doi.org/10.2174/157339808786263806
DOI https://dx.doi.org/10.2174/157339808786263806 |
Print ISSN 1573-398X |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6387 |
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