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Journal Information
Vol. 23. Issue 5.
Pages 253-255 (September - October 1987)
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Vol. 23. Issue 5.
Pages 253-255 (September - October 1987)
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Presion inspiratoria maxima estatica (PIM). Relacion entre las presiones pico-meseta y efecto del aprendizaje
Static maximum inspiratory pressure (PIM). Relationship between peak-plateau pressures and training effect
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5775
J.A. Fiz, J.M. Montserrat, C. Picado, A. Agusti-Vidal
Servei de Pneumologia. Hospital Clínic. Barcelona
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Article information

Se midieron las presiones inspiratorias máximas estáticas (pico y meseta) —PIM— en diez sujetos normales. Las medidas fueron repetidas 6 veces a lo largo de 6 semanas consecutivas. Se observó un aumento estadísticamente significativo a partir de la cuarta determinación en la presión pico y de la sexta en la presión meseta. La presión pico y la presión meseta se comportaron siempre de un modo similar siendo su diferencia prácticamente constante a lo largo de las seis semanas. En consecuencia, creemos que para una interpretación correcta de la PIM debe de tenerse en cuenta el efecto aprendizaje. Con fines prácticos la presión pico puede ser usada para medir la función muscular al igual que la presión meseta.

Static maximum inspiratory pressures (peak and plateau —PIM— were measured in ten normal healthy subjects. Measurements were repeated six times over a 6 consecutive weeks period. Peak pressure showed a statistically significant increase from the fourth measurement onwards while plateau pressure appeared significantly greater at the sixth measurement. Peak and plateau pressures showed a similar behaviour with an almost constant difference over the six weeks period. From these results we believe that the training effect should be taken into account in order to get a right interpretation of PIM. For practical purposes, both peak pressure and plateau pressure may be used in the assessment of muscular function.

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Bibliografia
[1.]
D.E. Serier, F.L. Mastaglia, G.J. Gibson.
Respiratory muscle function and ventilatory control I) In patients with motor neurone disease. II) In patients with myotonic dystrophy.
Q.J. Med NS, 51 (1982), pp. 205-226
[2.]
Ch. Roussos, P.T. Macklem.
The repiratory muscles.
N Engl J Med, (1982), pp. 307-786
[3.]
L.F. Black, R.E. Hyatt.
Maximal inspiratory pressure: normal values and relationship to age and sex.
Am Rev Respir Dis, 99 (1969), pp. 696-702
[4.]
R.J. Smyth, K.R. Chapman, A. Rebuck.
Maximal inspiratory and expiratory pressures in adolescents Normal values.
Chest, 86 (1984), pp. 568-572
[5.]
C. Gaultiuer, R. Zinman.
Maximal static pressures in healthy children.
Respiration Physiol, 51 (1983), pp. 46-61
[6.]
T. Ringqvist.
lite ventilatory capacity in healthy subjects: an anlysis of causal factors with special reference to the respiratory forces.
Scand J Clin Invenst, 18 (1966), pp. 87-93
[7.]
J.A. Leech, H. Ghezzo, D. Stevens, M.R. Becklake.
Respiratory pressures and function in young adults.
Am Rev Respir Dis, 128 (1983), pp. 17-23
[8.]
J.L. Clausen.
Maximal inspiratory and expiratory pressures.
Pulmonary function testing guidelines and controversies, pp. 187-191
[9.]
G. Berry.
Longitudinal observations. Their usefulness and limitations with special reference to the forced expiratory volume.
Bull Eur Physiopath Resp, 10 (1974), pp. 643-655
Copyright © 1987. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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