RT Journal Article
SR Electronic
T1 Expiratory Reserve Volume During Slow Expiration With Glottis Opened in Infralateral Decubitus Position (ELTGOL) in Chronic Pulmonary Disease: Technique Description and Reproducibility
JF Respiratory Care
FD American Association for Respiratory Care
SP 406
OP 411
DO 10.4187/respcare.03384
VO 60
IS 3
A1 Fernanda C Lanza
A1 Cintia Santos Alves
A1 Roberta Loures dos Santos
A1 Anderson Alves de Camargo
A1 Simone Dal Corso
YR 2015
UL http://rc.rcjournal.com/content/60/3/406.abstract
AB BACKGROUND: There has not been a detailed description of expiratory reserve volume (ERV) during slow expiration with glottis open in infralateral decubitus position (ELTGOL, for Expiration Lente Totale Glotte Ouverte en infraLatéral) and its reproducibility. The aim of this study was to determine ERV during ELTGOL and to evaluate ERV intra-observer and inter-observer reliability. METHODS: In this prospective study, subjects were 30–70 y of age with chronic lung disease. ELTGOL (an active-passive or active physiotherapy technique) was applied in random order by 3 observers: 2 trained physiotherapists (PT 1 and PT 2) and the subject him/herself. Two ELTGOL compressions (A and B) were applied by PT 1, PT 2, and the subject. RESULTS: Thirty-two subjects were evaluated with moderate lung obstruction, FEV1: 47.7 ± 15.4, and ERV: 61.7 ± 29.4. The mean value of ERV for PT 1 was 51.4 ± 24.8%; for PT 2, it was 54.3 ± 31.8%; and for the subject, it was 53.5 ± 26.2% (P = .49). Considering the mean value of ERV, the ELTGOL mobilized more than 80% of ERV. There was good reliability intra-PT: PT 1, intraclass correlation coefficient (ICC) 0.85 (0.70–0.93), P < .0001; PT 2, ICC 0.90 (0.80–0.95), P < .0001, and inter-PT (ICC 0.86 [95% CI 0.71–0.93], P < .001). The Bland-Altman plot with mean bias and limits of agreement for ERV of PT 1 and PT 2 was −3.3 (−42.7 to 35.9). CONCLUSIONS: ELTGOL mobilized more than 80% of ERV in subjects with moderate airway obstruction; there is no difference in ERV exhaled during the technique applied by a physiotherapist or by the subject. ELTGOL is a reproducible technique, determined by inter- and intra-observer testing.