Spirometry in selected clinical situations

Keywords: Spirometry

Abstract

Spirometry is the most frequently performed functional test of the respiratory system. In pulmonological practice it is a basic tool used to diagnose ventilation disorders and to monitor treatment. The results obtained during the test are compared to predicted values, that is, assumed parameter values, computed on the basis of anthropometrical data such as: age, gender and height, with the use of complex equations.  The use of additional variables including, e.g. an ethnic group or a race as well as corrective factors, enables a more exact determination of their values. Spirometry can be conducted in a sitting or standing position; however, for the subject safety reasons it is usually performed in a sitting position. It allows to eliminate the risk of fall as a result of syncope or impaired balance. Spirometry in a standing position should be considered in measurably obese patients or in patients with a wide abdominal circumference caused by other reasons. Patients with normal body weight obtain equivalent or slightly higher spirometric values in a standing position. In the selected clinical situations some problems with the measurement of the actual hight of patients in a standard way (measurement without shoes, feet together, upright position, eyes straight ahead) and with correct calculation of predicted values occur. They are, among others, silhouette-disturbing disorders or diseases causing changes in body proportions, from the less often occurring, like Marfan syndrome or achondroplasia, to more frequent posture defects and mobility impairments. These diseases influence the change of the predictive functional parameter values which are used to compare with the obtained results. The aim of the study is to demonstrate the methods of height and predicted values determination on the basis of measurements of ranges between different body points with the use of simple and complex equations in a group of patients in whom the application of standard measurement methods is impossible.

References

Boros P, Franczuk M, Wesołowski S. Zalecenia polskiego towarzystwa chorób płuc dotyczące wykonywania badań spirometrycznych. Pneumonologia i Alergologia Polska. 2006.

Boros P, Franczuk M, Wesołowski S. Zalecenia polskiego towarzystwa chorób płuc dotyczące wykonywania badań spirometrycznych. Pneumonologia i Alergologia Polska. 2006.

Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. General considerations for lung function testing. European Respiratory Journal. 2005;26:153–161.

Cameron Chumlea WM, Guo SS, Steinbaugh ML. Prediction of stature from knee height for black and white adults and children with application to mobility‑impaired or handicapped persons. Journal of the American Dietetic Association. 1994;94:1385–1391.

Haeuslerab M, McHenry HM. Body proportions of Homo habilis reviewed. Journal of Human Evolution. 2004;46:433–465.

Bogin B, Varela‑Silva MI. Leg Length, Body Proportion, and Health: A Review with a Note on Beauty. Int J Environ Res Public Health. 2010;7:1047–1075.

Bogin B, Varela‑Silva MI. Leg Length, Body Proportion, and Health: A Review with a Note on Beauty. Int J Environ Res Public Health. 2010;7:1047–1075.

Ng BKW, Hung VWY, Cheng JCY, Lam TP. Limb Lengthening for Short Stature: A 10-year Clinical Experience. J Paediatr. 2003;8:307–317.

Bogin B, Varela‑Silva MI. Leg Length, Body Proportion, and Health: A Review with a Note on Beauty. Int J Environ Res Public Health. 2010;7:1047–1075. Haeuslerab M, McHenry HM. Body proportions of Homo habilis reviewed. Journal of Human Evolution. 2004;46:433–465.

Cameron Chumlea WM, Guo SS, Steinbaugh ML. Prediction of stature from knee height. Journal of the American Dietetic Association. 1994;94:1385–1391.

Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. General considerations for lung function testing. European Respiratory Journal. 2005;26:153–161.

Golshan M, Crapo RO, Amra B, Jensen RL, Golshan R. Arm span as an independent predictor of pulmonary function parameters: validation and reference values. Respirology. 2007;12:361–366.

Golshan M, Crapo RO, Amra B, Jensen RL, Golshan R. Arm span as an independent predictor of pulmonary function parameters: validation and reference values. Respirology. 2007;12:361–366.

Golshan M, Crapo RO, Amra B, Jensen RL, Golshan R. Arm span as an independent predictor of pulmonary function parameters: validation and reference values. Respirology. 2007;12:361–366.

Haeuslerab M, McHenry HM. Body proportions of Homo habilis reviewed. Journal of Human Evolution. 2004;46:433–465.

Aggarwal AN, Grupa D, Jindal SK. Interpreting spirometric data: impact of substitution of arm span for standing height in adults from North India. Chest. 1999;115:557–562.

Parker JM, Dillard TA, Phillips YY. Arm span‑height relationship in patients referred for spirometry. Am J Respir Crit Care Med. 1996;154:533–536.

Cameron Chumlea WM, Guo SS, Steinbaugh ML. Prediction of stature from knee height for black and white adults and children with application to mobility‑impaired or handicapped persons. Journal of the American Dietetic Association. 1994;94:1385–1391.

Chiu HH, Wu MH, Chen HC, Kao FY. Epidemiological profile of Marfan syndrome in a general population: a national database study. Elsevier Inc. 2014.

Streeten EA, Murphy EA, Pyeritz RE. Pulmonary Function in the Marfan Syndrome. Chest. 1987;91:408–412.

Giske L. Pulmonary Function, Working Capacity and Strenght in Young Adults with Marfan Syndrome. J Rehabil Med. 2003;35:221–228.

Giudicelli MD, Serazin V, Le Sciellour CR, Albert M. Increased achondroplasia mutation frequency with advanced age and evidence for G1138A mosaicism in human testis biopsies. Fertil Steril. 2008:89;1651–1656.

Stokes DC, Pyeritz RE, Wise RA, Fairclough DL, Murphy EA. Spirometry and Chest Wall Dimensions in Achondroplasia. Chest. 1988;93;364–369.

Stokes DC, Wohl ME, Wise RA, Pyeritz RE, Fairclough DL. The Lungs and Airways in Achondroplasia: Do Little People Have Little Lungs? Chest. 1990;98:145–152.

Published
2019-03-13
How to Cite
Szczechowiak, P., & Piorunek, T. (2019). Spirometry in selected clinical situations. Journal of Medical Science, 88(2), 112-116. https://doi.org/10.20883/jms.339
Section
Review Papers