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Breathing pattern in patients with Parkinson’s disease

Identifieur interne : 001934 ( Main/Corpus ); précédent : 001933; suivant : 001935

Breathing pattern in patients with Parkinson’s disease

Auteurs : Laurent Vercueil ; Jean Pierre Linard ; Bernard Wuyam ; Pierre Pollak ; Gila Benchetrit

Source :

RBID : ISTEX:3B8F91B929A7A67AD577952D2FF038B3F7D2F7D7

English descriptors

Abstract

The improvement in motor performance resulting from levodopa administration in patients with Parkinson’s disease (PD) provides the opportunity to investigate ventilatory changes brought about by the disease. The aim of this study has been to investigate these changes in order to specify the mechanisms of the impairment in breathing in PD. Breathing patterns at rest were investigated in 11 patients with idiopathic PD both before (Off) and after (On) administration of levodopa at a dose improving their motor performance by at least 30%. Airflow (Fleisch head mounted on a mask), rib cage and abdomen movements (inductance plethysmography) were recorded in the Off condition 1 h after subjects woke up. Subjects then received levodopa and a new set of recordings was obtained 1 h later, in the On condition. Breath-by-breath processing of recordings was carried out and tidal volume (Vt), inspiratory (Ti) and expiratory (Te) durations were measured. The main finding was a lengthening of Ti resulting in a decrease in ventilation and in Vt/Ti, and an increase in Ti/Ttot in the On compared to the Off condition. In the On condition abnormal rib cage–abdomen plots patterns were found in four out of six subjects. A hypothesis on the effect of PD on breathing is proposed on grounds of normal diaphragmatic activity but impaired activity of the other respiratory muscles and more specifically the intercostal muscles.

Url:
DOI: 10.1016/S0034-5687(99)00075-4

Links to Exploration step

ISTEX:3B8F91B929A7A67AD577952D2FF038B3F7D2F7D7

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<note type="content">Fig. 1: Ventilatory pattern and mean rib cage versus mean abdomen plot in Off and On condition in patients with Parkinson’s disease. Rib cage and abdomen signals were recorded by inductance plethysmographie and mean signals for each recording were calculated from Fourier coefficients calculated breath by breath.</note>
<note type="content">Table 1: Patient’s characteristics</note>
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<ce:simple-para>The improvement in motor performance resulting from levodopa administration in patients with Parkinson’s disease (PD) provides the opportunity to investigate ventilatory changes brought about by the disease. The aim of this study has been to investigate these changes in order to specify the mechanisms of the impairment in breathing in PD. Breathing patterns at rest were investigated in 11 patients with idiopathic PD both before (O
<ce:small-caps>ff</ce:small-caps>
) and after (O
<ce:small-caps>n</ce:small-caps>
) administration of levodopa at a dose improving their motor performance by at least 30%. Airflow (Fleisch head mounted on a mask), rib cage and abdomen movements (inductance plethysmography) were recorded in the O
<ce:small-caps>ff</ce:small-caps>
condition 1 h after subjects woke up. Subjects then received levodopa and a new set of recordings was obtained 1 h later, in the O
<ce:small-caps>n</ce:small-caps>
condition. Breath-by-breath processing of recordings was carried out and tidal volume (V
<ce:small-caps>t</ce:small-caps>
), inspiratory (T
<ce:small-caps>i</ce:small-caps>
) and expiratory (T
<ce:small-caps>e</ce:small-caps>
) durations were measured. The main finding was a lengthening of T
<ce:small-caps>i</ce:small-caps>
resulting in a decrease in ventilation and in V
<ce:small-caps>t</ce:small-caps>
/T
<ce:small-caps>i,</ce:small-caps>
and an increase in T
<ce:small-caps>i</ce:small-caps>
/T
<ce:small-caps>tot</ce:small-caps>
in the O
<ce:small-caps>n</ce:small-caps>
compared to the O
<ce:small-caps>ff</ce:small-caps>
condition. In the O
<ce:small-caps>n</ce:small-caps>
condition abnormal rib cage–abdomen plots patterns were found in four out of six subjects. A hypothesis on the effect of PD on breathing is proposed on grounds of normal diaphragmatic activity but impaired activity of the other respiratory muscles and more specifically the intercostal muscles.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords class="keyword">
<ce:section-title>Keywords</ce:section-title>
<ce:keyword>
<ce:text>Disease, Parkinson</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Mammals, humans</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Pattern of breathing, Parkinson’s disease</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Pharmacological agents, levodopa</ce:text>
</ce:keyword>
</ce:keywords>
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<title>Breathing pattern in patients with Parkinson’s disease</title>
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<title>Breathing pattern in patients with Parkinson’s disease</title>
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<name type="personal">
<namePart type="given">Laurent</namePart>
<namePart type="family">Vercueil</namePart>
<affiliation>Clinique Neurologique, INSERM U-318, Centre Hospitalier Universitaire, 38 700 La Tronche, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Jean Pierre</namePart>
<namePart type="family">Linard</namePart>
<affiliation>Physiologie Respiratoire Expérimentale, Théorique et Appliquée, Faculté de Médecine de Grenoble, 38 700 La Tronche, France</affiliation>
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<name type="personal">
<namePart type="given">Bernard</namePart>
<namePart type="family">Wuyam</namePart>
<affiliation>Physiologie Respiratoire Expérimentale, Théorique et Appliquée, Faculté de Médecine de Grenoble, 38 700 La Tronche, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Pierre</namePart>
<namePart type="family">Pollak</namePart>
<affiliation>Clinique Neurologique, INSERM U-318, Centre Hospitalier Universitaire, 38 700 La Tronche, France</affiliation>
<role>
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</role>
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<name type="personal">
<namePart type="given">Gila</namePart>
<namePart type="family">Benchetrit</namePart>
<affiliation>E-mail: gila.benchetrit@imag.fr</affiliation>
<affiliation>Physiologie Respiratoire Expérimentale, Théorique et Appliquée, Faculté de Médecine de Grenoble, 38 700 La Tronche, France</affiliation>
<description>Corresponding author. Tel.: +33-4-76-63-71-06; fax: +33-4-76-63-71-86</description>
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<abstract lang="en">The improvement in motor performance resulting from levodopa administration in patients with Parkinson’s disease (PD) provides the opportunity to investigate ventilatory changes brought about by the disease. The aim of this study has been to investigate these changes in order to specify the mechanisms of the impairment in breathing in PD. Breathing patterns at rest were investigated in 11 patients with idiopathic PD both before (Off) and after (On) administration of levodopa at a dose improving their motor performance by at least 30%. Airflow (Fleisch head mounted on a mask), rib cage and abdomen movements (inductance plethysmography) were recorded in the Off condition 1 h after subjects woke up. Subjects then received levodopa and a new set of recordings was obtained 1 h later, in the On condition. Breath-by-breath processing of recordings was carried out and tidal volume (Vt), inspiratory (Ti) and expiratory (Te) durations were measured. The main finding was a lengthening of Ti resulting in a decrease in ventilation and in Vt/Ti, and an increase in Ti/Ttot in the On compared to the Off condition. In the On condition abnormal rib cage–abdomen plots patterns were found in four out of six subjects. A hypothesis on the effect of PD on breathing is proposed on grounds of normal diaphragmatic activity but impaired activity of the other respiratory muscles and more specifically the intercostal muscles.</abstract>
<note type="content">Fig. 1: Ventilatory pattern and mean rib cage versus mean abdomen plot in Off and On condition in patients with Parkinson’s disease. Rib cage and abdomen signals were recorded by inductance plethysmographie and mean signals for each recording were calculated from Fourier coefficients calculated breath by breath.</note>
<note type="content">Table 1: Patient’s characteristics</note>
<note type="content">Table 2: Clinical data in Off and On (in italics) conditionsa</note>
<note type="content">Table 3: Ventilatory data in Off and On (in italic) conditions</note>
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<genre>Keywords</genre>
<topic>Disease, Parkinson</topic>
<topic>Mammals, humans</topic>
<topic>Pattern of breathing, Parkinson’s disease</topic>
<topic>Pharmacological agents, levodopa</topic>
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<dateIssued encoding="w3cdtf">19991201</dateIssued>
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<identifier type="ISSN">0034-5687</identifier>
<identifier type="PII">S0034-5687(00)X0051-5</identifier>
<part>
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