Correlation of Peak Cough Flow Rate with Peak Expiratory Flow Rate In Patients With Chronic Respiratory Diseases
Keywords:
Chronic Respiratory disease, Peak Expiratory Flow Rate, Peak Cough Flow Rate.Abstract
Background & Objective: Chronic cough is a most common symptom of chronic respiratory disease. Peak expiratory flow rate (PEFR) is routinely used as a bed- side tool to evaluate the degree of airway obstruction in these patients. Whereas Peak cough flow rate (PCFR) a measure of cough strength is rarely used. There is no established data regarding any association between PEFR and PCFR. Hence the objective was to study the association between the two variables and compare PCFR and PEFR of respiratory patients with that of age matched controls. Method: 113 patients diagnosed with stable chronic respiratory diseases and presentation of cough/sputum production as a symptom were included. Patients with exacerbation, or any other recent surgery were excluded. 113 age and BMI matched healthy controls were recruited to obtain normative data. The evaluation of PEFR and PCFR was done by the Mini wright Peak flow meter. Result: A statistically significant positive correlation was found between PEFR and PCFR (r-0.718). Conclusion: The study concluded that there is a significant positive correlation between PEFR and PCFR and a significant reduction in PEFR and PCFR in patients than the matched controls. [N Shahane, Natl J Integr Res Med, 2018; 9(3):21-25]
References
1. World Health Organization Publication online.http://www.who.int/gard/publications/chronic_respiratory_diseases.pdf.
2. WHO strategy for prevention and control of chronic respiratory diseases, WHO World Health Report 2004.
3. Morice HA. Chronic cough: diagnosis, treatment and psychological consequences, Breathe.2006;3(2):165-74.
4. K. Sembulingam, Prema Semubuligam: Essentials of Medical Physiology 6th Ed 2013: New Delhi; jaypeebrothers medical publishers(P) LTD697.
5. Bianchi C andBaiardi P. Cough Peak Flows: Standard Values for Children and Adolescents,Am. J. Phys. Med. Rehabil, 2008; 87(6):461-67.
6. Bach JR. Mechanical insufflation-exsufflation. Comparison of peak expiratory Slows with manually assisted and unassisted coughing techniques. CHEST 1993;104(5):1553-62.
7. Suarez AA, Pessolano FA, Monteiro SG, Ferreyra G, Capria ME, Mesa Let al.Peak flow and peak cough flow in the evaluation of expiratory muscle weakness and bulbar impairment in patients with neuromuscular disease. Am. J. Phys. Med. Rehabil. 2002; 81(7):506-11.
8. Bach JR, Ishikama Y, and Kim H. Prevention of pulmonary morbidity for patients with Duchenne muscular dystrophy. CHEST 1997;122:1024-8
9. Ishikawa Y, Bach JR, Komaroff E, Miura T, Jackson-Parekh R. Cough augmentation in Duchennemuscular dystrophy. Am J Phys Med Rehabil.2008; 87(9):726-30.
10. Irwin RS. Assessing cough severity and efficacy of therapy in clinical Research. ACCP Evidence-Based Clinical Practice Guidelines. CHEST 2006; 129:232S–237S.
11. IlangoS, Christy A, Saravanan. A and Sembulingam P. Correlation of Obesity Indices with Peak Expiratory Flow Rate in Males and Females. IOSR Journal Of Pharmacy2014; 4(2):21-27.
12. Sudha. D, Selvi C and Saikumar. P. Correlation of Nutritional Status and Peak Expiratory Flow Rate in Normal South Indian Children Aged 6 to 10 Years. IOSR Journal of Dental and Medical Sciences 2012;2(3):11-16.
13. Krishna K.V, Dr.Kumar A. Peak Expiratory Flow Rate in Normal School Children and Its Correlation with Height.IOSR Journal of Dental and Medical Sciences. 2014; 13(9): 108-110.
14. Ishida H, KobaraK, Osaka H, Suehiro T, ItoT, Kurozumi C et al. Correlation between Peak Expiratory Flow and Abdominal Muscle ThicknessJ. Phys. Ther. Sci. 2014 26: 1791–1793.
15. Park HJ, Kang S.W, Lee CS, Choi AW and Hyun Kim HD. How Respiratory Muscle Strength Correlateswith Cough Capacity in Patients with Respiratory Muscle Weakness. Yonsei Med J. 2010; 51(3): 392-397.
16. Seong-Woong Kang, Yeoun-Seung Kang, Hong-SeokSohn, Jung-Hyun Park, and Jae-Ho Moon. Respiratory Muscle Strength and Cough Capacity in Patients with Duchenne Muscular Dystrophy. Yonsei Medical Journal. 2006; 47(2):184 –190.
17. British Thoracic Society Reports. Concise BTS/ACPRC guidelines Physiotherapy management of the adult, medical, spontaneously breathing patient.2009;Thorax, 64(1):1-25.
18. Dikshit M B, Raje S, Agarawal M.J. Lung functions with Spirometry: An Indian perspective-I. Peak expiratory flow rates; Indian J PhysiolPharmacol2005: 49 (1): 8-18.
19. Aggrawal AN, Gupta D, Kumar V, Jindal SK. Assessment of diurnal variability of peak expiratory flow in stable asthmatics. J Asthma 2002; 39: 487–491.
20. S C Gupta, B.L Agarwal. Fundamentals of statistics. Research Methodology.
21. Jain SK, Kumar R, Sharma DA. Peak Expiratory flow rates (PEFR) in healthy Indian adults: A statistical evaluation -I. Lung India 1983; 3: 88–91.
22. Badr C, Elkins RK and Ellis RE.The effect of body position on maximalexpiratory pressure and flow.Australian Journal of Physiotherapy. 2002; 48: 95-102.
23. Jain SK, Kumar R, Sharma DA. Factors influencing peak expiratory flow rate in normal subjects. Lung India. 1983; 3:92-97.
24. KulnikT.S, MacBean V, Birring S.S, Moxham J, Rafferty F.G and Kalra L.Accuracy of portable devices in measuringpeak cough flow.Physiol. Meas. 2015; 36 : 243–257.
25. Jones U, Enright S and Busse M.Management of respiratory problems in people with neurodegenerative conditions: A narrative review.Physiotherapy.March 2012; 98(1):1-12.
26. Bach JR, Saporito LR. Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure. A different approach. CHEST 1996; 110:1566-71.
27. Leevers AM and Road JD .Reflex influences acting on the respiratory muscles of the chest wall.1995. In RoussosC (Ed.): The Thorax (2nd Ed.):821-867.
28. Hardy KA (1994): A review of airway clearance: newtechniques, indications and recommendations.Respiratory Care 39: 440-452.
29. Jenkins S and Tucker B (1998): Patients’ problems, management and outcomes. In Pryor JA and Webber BA: Physiotherapy for Respiratory and CardiacProblems (2nd ed.): 227-263.
30. McCool F.D. Global physiology and pathophysiology of cough. ACCP Evidence-Based Clinical Practice Guidelines. Chest. 2006; 129:48S–53S.
31. Gauld L.Mand Boynton A.Relationship between peak cough flow and spirometry in Duchenne muscular dystrophy.Pediatr Pulmonol. 2005 May;39(5):457-60.
32. Pande JN, Mohan A, Khilani S, Khilani GC. Peak expiratory flow rate in school going children. Indian J Chest Dis & Allied Sci 1997; 39: 87–95.
33. Venkatesan EA, Walter S, Ray D. An evaluation of the Assess peak flow meter on human volunteers. Indian J PhysiolPharmacol 1994; 38: 285–288.
34. G.C. Leiner, S. Abramowitz, M.J. Small, Cough peak flow rate. Am. J. Med. Sci.1996;22:121–124.
35. Cardoso F,De Abreu LC, Raimundo RD, Faustino N, Araújo S, Valenti Vet al.Evaluation of peak cough flow in Brazilian healthy adults.International Archives of Medicine 2012; 5:25.
2. WHO strategy for prevention and control of chronic respiratory diseases, WHO World Health Report 2004.
3. Morice HA. Chronic cough: diagnosis, treatment and psychological consequences, Breathe.2006;3(2):165-74.
4. K. Sembulingam, Prema Semubuligam: Essentials of Medical Physiology 6th Ed 2013: New Delhi; jaypeebrothers medical publishers(P) LTD697.
5. Bianchi C andBaiardi P. Cough Peak Flows: Standard Values for Children and Adolescents,Am. J. Phys. Med. Rehabil, 2008; 87(6):461-67.
6. Bach JR. Mechanical insufflation-exsufflation. Comparison of peak expiratory Slows with manually assisted and unassisted coughing techniques. CHEST 1993;104(5):1553-62.
7. Suarez AA, Pessolano FA, Monteiro SG, Ferreyra G, Capria ME, Mesa Let al.Peak flow and peak cough flow in the evaluation of expiratory muscle weakness and bulbar impairment in patients with neuromuscular disease. Am. J. Phys. Med. Rehabil. 2002; 81(7):506-11.
8. Bach JR, Ishikama Y, and Kim H. Prevention of pulmonary morbidity for patients with Duchenne muscular dystrophy. CHEST 1997;122:1024-8
9. Ishikawa Y, Bach JR, Komaroff E, Miura T, Jackson-Parekh R. Cough augmentation in Duchennemuscular dystrophy. Am J Phys Med Rehabil.2008; 87(9):726-30.
10. Irwin RS. Assessing cough severity and efficacy of therapy in clinical Research. ACCP Evidence-Based Clinical Practice Guidelines. CHEST 2006; 129:232S–237S.
11. IlangoS, Christy A, Saravanan. A and Sembulingam P. Correlation of Obesity Indices with Peak Expiratory Flow Rate in Males and Females. IOSR Journal Of Pharmacy2014; 4(2):21-27.
12. Sudha. D, Selvi C and Saikumar. P. Correlation of Nutritional Status and Peak Expiratory Flow Rate in Normal South Indian Children Aged 6 to 10 Years. IOSR Journal of Dental and Medical Sciences 2012;2(3):11-16.
13. Krishna K.V, Dr.Kumar A. Peak Expiratory Flow Rate in Normal School Children and Its Correlation with Height.IOSR Journal of Dental and Medical Sciences. 2014; 13(9): 108-110.
14. Ishida H, KobaraK, Osaka H, Suehiro T, ItoT, Kurozumi C et al. Correlation between Peak Expiratory Flow and Abdominal Muscle ThicknessJ. Phys. Ther. Sci. 2014 26: 1791–1793.
15. Park HJ, Kang S.W, Lee CS, Choi AW and Hyun Kim HD. How Respiratory Muscle Strength Correlateswith Cough Capacity in Patients with Respiratory Muscle Weakness. Yonsei Med J. 2010; 51(3): 392-397.
16. Seong-Woong Kang, Yeoun-Seung Kang, Hong-SeokSohn, Jung-Hyun Park, and Jae-Ho Moon. Respiratory Muscle Strength and Cough Capacity in Patients with Duchenne Muscular Dystrophy. Yonsei Medical Journal. 2006; 47(2):184 –190.
17. British Thoracic Society Reports. Concise BTS/ACPRC guidelines Physiotherapy management of the adult, medical, spontaneously breathing patient.2009;Thorax, 64(1):1-25.
18. Dikshit M B, Raje S, Agarawal M.J. Lung functions with Spirometry: An Indian perspective-I. Peak expiratory flow rates; Indian J PhysiolPharmacol2005: 49 (1): 8-18.
19. Aggrawal AN, Gupta D, Kumar V, Jindal SK. Assessment of diurnal variability of peak expiratory flow in stable asthmatics. J Asthma 2002; 39: 487–491.
20. S C Gupta, B.L Agarwal. Fundamentals of statistics. Research Methodology.
21. Jain SK, Kumar R, Sharma DA. Peak Expiratory flow rates (PEFR) in healthy Indian adults: A statistical evaluation -I. Lung India 1983; 3: 88–91.
22. Badr C, Elkins RK and Ellis RE.The effect of body position on maximalexpiratory pressure and flow.Australian Journal of Physiotherapy. 2002; 48: 95-102.
23. Jain SK, Kumar R, Sharma DA. Factors influencing peak expiratory flow rate in normal subjects. Lung India. 1983; 3:92-97.
24. KulnikT.S, MacBean V, Birring S.S, Moxham J, Rafferty F.G and Kalra L.Accuracy of portable devices in measuringpeak cough flow.Physiol. Meas. 2015; 36 : 243–257.
25. Jones U, Enright S and Busse M.Management of respiratory problems in people with neurodegenerative conditions: A narrative review.Physiotherapy.March 2012; 98(1):1-12.
26. Bach JR, Saporito LR. Criteria for extubation and tracheostomy tube removal for patients with ventilatory failure. A different approach. CHEST 1996; 110:1566-71.
27. Leevers AM and Road JD .Reflex influences acting on the respiratory muscles of the chest wall.1995. In RoussosC (Ed.): The Thorax (2nd Ed.):821-867.
28. Hardy KA (1994): A review of airway clearance: newtechniques, indications and recommendations.Respiratory Care 39: 440-452.
29. Jenkins S and Tucker B (1998): Patients’ problems, management and outcomes. In Pryor JA and Webber BA: Physiotherapy for Respiratory and CardiacProblems (2nd ed.): 227-263.
30. McCool F.D. Global physiology and pathophysiology of cough. ACCP Evidence-Based Clinical Practice Guidelines. Chest. 2006; 129:48S–53S.
31. Gauld L.Mand Boynton A.Relationship between peak cough flow and spirometry in Duchenne muscular dystrophy.Pediatr Pulmonol. 2005 May;39(5):457-60.
32. Pande JN, Mohan A, Khilani S, Khilani GC. Peak expiratory flow rate in school going children. Indian J Chest Dis & Allied Sci 1997; 39: 87–95.
33. Venkatesan EA, Walter S, Ray D. An evaluation of the Assess peak flow meter on human volunteers. Indian J PhysiolPharmacol 1994; 38: 285–288.
34. G.C. Leiner, S. Abramowitz, M.J. Small, Cough peak flow rate. Am. J. Med. Sci.1996;22:121–124.
35. Cardoso F,De Abreu LC, Raimundo RD, Faustino N, Araújo S, Valenti Vet al.Evaluation of peak cough flow in Brazilian healthy adults.International Archives of Medicine 2012; 5:25.
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Published
2018-07-19
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Shahane, N., & Jiandani, M. P. (2018). Correlation of Peak Cough Flow Rate with Peak Expiratory Flow Rate In Patients With Chronic Respiratory Diseases. National Journal of Integrated Research in Medicine, 9(3), 21–25. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2346
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