Reliability and validity of low cost pressure gauge manometer for measurement of respiratory muscle strength in healthy children: a cross-sectional study

Authors

  • Swathi Sundararajan Department of Cardiovascular and Respiratory Physiotherapy, PES Modern College of Physiotherapy, Pune, Maharashtra, India
  • Gauri Mayank Afle Department of Cardiovascular and Respiratory Physiotherapy, PES Modern College of Physiotherapy, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232655

Keywords:

Capsule sensing pressure gauge, Children, Maximal inspiratory pressure, Maximal expiratory pressure, Pressure gauge manometer, Respiratory muscle strength

Abstract

Background: Assessing respiratory muscle strength is an important aspect for clinical practice as well as in research. Multiple factors such as health status of an individual, level of physical fitness and postsurgical recovery of an individual have an influence on respiratory biomechanics. Respiratory muscle strength is determined by measuring maximal inspiratory pressure and maximal expiratory pressure. There is a need for a cost effective, portable, easy to build device specifically to estimate respiratory muscle strength. There is insufficient literature regarding the resources used to determine the respiratory muscle strength testing in children, hence this study aims to establish the reliability and validity of low cost pressure gauge manometer which could be a useful tool in measuring respiratory muscle strength in children.

Methods: A capsule sensing pressure gauge constructed according to the American thoracic society guidelines with a calibration of pressure between −200 cmH2O to +200 cmH2O. It was used to measure the respiratory muscle strength. The study was conducted on 300 healthy children.

Results: SPSS software was used for statistical analysis. Reliability of 0.92 and 0.97 was obtained for MIP and MEP respectively by test retest method. Construct validity index showed a validity score of 0.8 for MIP and MEP.

Conclusions: The results indicate that the low cost pressure gauge manometer can be used as a reliable and valid device to measure respiratory muscle strength in children.

References

Barreiro E. ATS/ERS Statement on Respiratory Muscle Testing. Am J Respir Crit Care Med. 2002;166(4):518-624.

Laveneziana P, Albuquerque A, Aliverti A, Babb T, Barreiro E, Dres M, et al. ERS statement on respiratory muscle testing at rest and during exercise. Eur Respir J. 2019;53(6):1801214.

Dimitriadis Z, Kapreli E, Konstantinidou I, Oldham J, Strimpakos N. Test/Retest Reliability of Maximum Mouth Pressure Measurements With the Micro RPM in Healthy Volunteers. Respir Care. 2011;56(6):7.

Loring SH, Yoshino K, Kimball WR, Barnas GM. Gravitational and shear-associated pressure gradients in the abdomen. J Appl Physiol Bethesda. 1994;77(3):1375-82.

Evans JA, Whitelaw WA. The assessment of maximal respiratory mouth pressures in adults. Respir Care. 2009;54(10):13.

Aymerich C, Rodríguez-Lázaro M, Solana G, Farré R, Otero J. Low-Cost Open-Source Device to Measure Maximal Inspiratory and Expiratory Pressures. Front Physiol. 2021;12:719372.

Shyam AM, Sancheti PK. Intra- and inter-rater reliability of maximum inspiratory pressure measured using a portable capsule-sensing pressure gauge device in healthy adults. Front Physiol. 2015;51:5.

Caruso P, Albuquerque ALP de, Santana PV, Cardenas LZ, Ferreira JG, Prina E, et al. Diagnostic methods to assess inspiratory and expiratory muscle strength. J Bras Pneumol. 2015;41(2):110-23.

Volianitis S, McConnell AK, Jones DA. Assessment of maximum inspiratory pressureprior submaximal respiratory muscle activity (‘warm-up’) enhances maximum inspiratory activity and attenuates the learning effect of repeated measurement. Respiration. 2001;68(1):22-7.

Ferreira JG. Foundations of Clinical Research: Applications to Practice. Surv Ophthalmol. 2002;47(6):598.

Shi J, Mo X, Sun Z. Content validity index in scale development. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012;37(2):152-5.

Patil P, Deodhar A, Jadhav S. Respiratory Muscle Strength in Children in Age Group 7-12 Years: A Cross-Sectional Observational Pilot Study. Respiration. 2020;(11):12.

Victoria HM, Martina F, Mariela CC, Luz RM. Comparison of two mouthpieces in the measurement of MIP and MEP in adults. Front Physiol. 2018;18:11.

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Published

2023-08-28

How to Cite

Sundararajan, S., & Afle, G. M. (2023). Reliability and validity of low cost pressure gauge manometer for measurement of respiratory muscle strength in healthy children: a cross-sectional study. International Journal Of Community Medicine And Public Health, 10(9), 3127–3131. https://doi.org/10.18203/2394-6040.ijcmph20232655

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Original Research Articles