Aspectos metodológicos da avaliação e medidas da espessura diafragmática com uso do ultrassom
DOI:
https://doi.org/10.34024/rnc.2023.v31.15422Palavras-chave:
Adulto, diafragma, diagnóstico por imagem, músculos respiratórios, ultrassonografiaResumo
Introdução. O músculo diafragma pode ter sua função comprometida por algumas doenças. Como ferramenta avaliativa deste músculo, a ultrassonografia (USG) vem sendo utilizada como uma grande aliada para a avaliação da espessura diafragmática (ED). Objetivo. Revisar a literatura acerca dos aspectos metodológicos da avaliação com uso da USG para medir a ED em respiração espontânea de adultos não saudáveis e reunir os valores do espessamento encontrados. Método. Revisão integrativa da literatura, de caráter descritivo. A busca foi realizada nas bases de dados PubMed, SciELO, PEDro, CAPES e BVS, selecionando estudos descritivos, analíticos, e intervencionais, nos últimos 10 anos, com maiores de 18 anos. Resultados. Dos 157 estudos, 151 foram excluídos, resultando em 6 estudos elegíveis. A ED foi avaliada em adultos com as seguintes patologias: Doença Pulmonar Obstrutiva Crônica (DPOC), Acidente Vascular Cerebral (AVC), Câncer (CA) no pulmão, Charcot-Marie-Tooth 1ª (CMT1A), Anemia Falciforme (AF) e Miosite por Corpos de Inclusão (MCI). A ED variou na média de 0,18 (ED-Inspiratória) a 0,48 (ED-inspiratória). A menor ED encontrada foi na MCI e o maior valor foi no AVC. Conclusão. Foram adotadas diferentes metodologias para a avaliação da ED. A revisão forneceu importantes dados de aspectos metodológicos, visto que podem facilitar o diagnóstico clínico e auxiliar na reabilitação pulmonar.
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Copyright (c) 2023 Larissa Kaliny Souza Amorim, Nehemias Pereira da Silva, Wirlla Carolaine Pimentel Silva Arandas, Barbara Estephany Paulino Silva, Bárbara Bernardo Figueirêdo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Aceito: 2023-11-07
Publicado: 2023-11-30
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