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Title: ULTRASONOGRAFIJA TREBUŠNE PREPONE PRI ZDRAVIH PREISKOVANCIH Authors: Gorenc, Martina (Author) Omejec, Gregor (Mentor) More about this co-author... Language: Slovenian Work type: Bachelor thesis/paper Organization: FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA Abstract: Uvod in namen: Ultrasonografska (US) preiskava je uporabna metoda za oceno disfunkcije trebušne prepone (TP). Namen magistrske naloge je izračun normativnih vrednosti za debelino in gibanje TP, primerjava rezultatov z že objavljenimi ter izračun napovednih dejavnikov za debelino in gibanje TP. Metode: Na zdravih preiskovancih smo opravili meritve spirometrije, nosnega inspiratornega pritiska (MNIP) in US preiskavo TP. Normativne vrednosti smo določili kot 5–95 percentil. Za napovedovanje debeline in gibanja TP smo uporabili antropometrične spremenljivke, spirometrijo in MNIP. Rezultati: Vzorec je zajel 156 zdravih preiskovancev. Rezultati kažejo, da imajo moški značilno debelejšo TP (1,8 ± 0,5 proti 1,5 ± 0,4 mm, p < 0,0001; 3,3 ± 1,2 proti 2,8 ± 0,9 mm, p = 0,009), večjo amplitudo (65,0 ± 16,1 proti 52,7 ± 14,9 mm, p < 0,0001) in hitrost (99,7 ± 37,4 proti 84,1 ± 28,5 mm/s, p = 0,003) gibanja TP v primerjavi z ženskami. Indeks telesne mase značilno napove debelino TP (R2 0,388, p < 0,0001; R2 0,159, p < 0,0001), spol (R2 0,252, p < 0,0001) in MNIP (R2 0,252, p = 0,008) pa napovesta gibanje med globokim vdihom. Značilne razlike smo našli tudi med debelino TP z izključeno in vključeno membrano (1,6 proti 2,3, p < 0,0001) ter med najmanjšo in največjo izmerjeno vrednostjo pri naključnih položajih sonde (1,4 proti 2,1 mm med sproščenim izdihom ter 2,3 proti 4,1 mm med globokim vdihom). Uporabnost: V kliničnem okolju za diagnostiko in spremljanje pacientov. Keywords: ultrasonografija, trebušna prepona, normativne vrednosti, spirometrija Year of publishing: 2024 COBISS_ID: 194499587  VisID: 4044 Views: 89 Downloads: 13 Files:  1936$$magistrska_naloga_koncna.pdf (2,94 MB)   Metadata:

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Secondary language

Language:	English
Title:	Diaphragm Ultrasonography in Normal Subjects
Abstract:	Introduction and purpose: Ultrasonographic (US) examination is a useful method to assess thoracic diaphragm (TD) dysfunction. The purpose of the master’s thesis is to calculate normative values for the thickness and movement of TD, compare the results with those already published, and calculate the predictive factors for the thickness and movement of TD. Method: The measurements of spirometry, sniff nasal inspiratory pressure (SNIP), and US examination of TD were performed on healthy subjects. Normative values were determined as the 5-95 percentile range. Anthropometric characteristics, spirometry and SNIP were used to predict the thickness and movement of TD. Results: The sample included 165 healthy subjects. The results show that men have significantly thicker TD (1.8 ± 0.5 vs. 1.5 ± 0.4 mm, p < 0.0001; 3.3 ± 1.2 vs. 2.8 ± 0.9 mm, p = 0.009), greater amplitude (65.0 ± 16.1 vs. 52.7 ± 14.9 mm, p < 0.0001) and velocity (99.7 ± 37.4 vs. 84.1 ± 28.5 mm /s, p = 0.003) of TD movements compared to women. Body mass index is a significant predictor of TD thickness (R2 0.388, p < 0.0001; R2 0.159, p < 0.0001), whereas gender (R2 0.252, p < 0.0001) and SNIP (R2 0.252, p = 0.008) are significant predictors of movement during a deep inhalation. Significant differences were also found between the TD thickness with the membranes included and excluded (1.6 vs. 2.3; p <0.0001) as well as between the minimum and maximum values measured at random probe positions (1.4 vs. 2.1 mm during relaxed exhalation and 2.3 vs. 4.1 mm during deep inhalation). Usefulness: In the clinical setting for diagnostics and monitoring of the patients.
Keywords:	ultrasonography, thoracic diaphragm, normative values, spirometry

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