Banca de DEFESA: JACKSON CLAUDIO COSTA DE LIMA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : JACKSON CLAUDIO COSTA DE LIMA
DATE: 31/08/2023
TIME: 14:00
LOCAL: Remoto
TITLE:

Reliability of maximal respiratory nasal pressure tests in healthy young adults

KEY WORDS:

respiratory muscles; reproducibility of results; biostatistics; clinical research

PAGES: 64
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: nasal inspiratory pressure (SNIP) and nasal expiratory pressure (SNEP) tests are important methods used to assess inspiratory and expiratory muscle strength in different populations. Precision rehabilitation requires that the tests used to assess respiratory pressures are reliable and reproducible. Low reliability and reproducibility methods cannot be presented as an evaluation alternative. The reliability and reproducibility of SNIP and SNEP in adults are still unknown. Objective: to establish the reliability of the SNIP and SNEP tests in healthy young adults and discuss the necessary number of maneuvers for each test to obtain reproducible data. Methods: an observational analytical cross-sectional study was carried out with healthy individuals, of both sexes, between 18 and 29 years of age. The protocol used consisted of two evaluation sequences, according to the simple randomization of the tests. Sequence 1 - (PImax + SNIP 1-20 ) and (MEP + SNEP 1-20 ). Sequence 2 - (PEmax + SNEP 1-20 ) and (PImax + SNIP 1-20 ). Each volunteer performed 20 SNIP and SNEP tests with a 30-second interval between maneuvers. Reliability was measured using the intraclass correlation coefficient (ICC), standard error of measurement (SEM) and the minimum detectable change (MDC) between the highest measurement and the first reproducible maneuver. Results: 49 participants were recruited, of which 17 were excluded. The sample of this study consisted of 32 subjects, median age of 23 years, with equal distribution of men and women. The ICC SNIP in both sexes was 0.992. Men had SEM 2.074 and MDC 5.747. Women had SEM 1.152 and MDC 3.193. Considering the total sample, the ICC was 0.994 with SEM 1.820 and MDC 5.043. The ICC SNEP was 0.877 in men (SEM 7.660 and MDC 21.231) and 0.957 in women (SEM 6.115 and MDC 16.950). Considering the sample, the CCI was 0.950 with SEM 6.031 and MDC 16.716. Also, 60% of the highest SNIPs occurred among the 11th and 20th maneuvers in men and women. In men, 55% of the highest SNEPs occurred among the 11th and 20th maneuvers; this value was 50% in women. Conclusion: SNIP showed excellent reliability in both sexes. SNEP presented good reliability in men and excellent in women. The results show that SNIP and SNEP are reliable and reproducible and can be applied in different populations.

COMMITTEE MEMBERS:
Presidente - 1545315 - GUILHERME AUGUSTO DE FREITAS FREGONEZI
Externa à Instituição - JESSICA DANIELLE MEDEIROS DA FONSECA - UnP
Externa à Instituição - LAYANA MARQUES DE OLIVEIRA
Externo à Instituição - MATIAS OTTO-YANES
Externa à Instituição - PALOMMA RUSSELLY SALDANHA DE ARAÚJO OLIVEIRA