Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 23578

Original article / research
Year : 2017 | Month : May | Volume : 11 | Issue : 5 | Page : CC08 - CC10

Effect of Recumbent Body Positions on Dynamic Lung Function Parameters in Healthy Young Subjects

Arvind Kumar Pal, Sunita Tiwari, Dileep Kumar Verma

1. Junior Resident, Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India. 2. Professor, Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India. 3. Associate Professor, Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Correspondence Address :
Dr. Arvind Kumar Pal,
Junior Resident, Department of Physiology, King George's Medical University, Chowk, Lucknow-226003, Uttar Pradesh, India.
E-mail: avineet2008@rediffmail.com

Abstract

Introduction: The change in body position can alter pulmonary functions parameters, therefore it is important to understand the physiological basis of these alteration. Ideally, spirometry is done in sitting position until the subject is unable to do so. Hospitalized patients often assume recumbent body positions irrespective of underlying pathology. Hence, need arises to find out best recumbent body positions for the benefit of these patients to make breathing comfortable for them.

Aim: The aim of this study was to find out whether the change from the supine position to crook lying and Fowler’s position (45° dorsal elevation) causes change in spirometric parameters.

Materials and Methods: The present work was carried out at Department of Physiology, King Georges Medical University, Lucknow. A total 131 apparently healthy individuals were enrolled in this cross-sectional study. Lung function was assessed using a PC-based spirometer according to American Thoracic Society guideline in the supine, crook lying and Fowler’s position (450 dorsal elevation).

Results: The study consisted of 131 subjects (male 66%, female 34%), with mean age of 20.15±2.71 years and BMI 21.20±3.28 Kg/m2. Repeated measures ANOVA with post hoc Bonferroni test was used to compare the mean values between each body position. Compared with the other two positions, Fowler’s position showed significantly (p<0.05) higher values for FVC, FEV1, PEF, FEF 25-75%.

Conclusion: Recumbent body position influences spirometric parameters in young healthy subjects. We demonstrated that spirometric values are higher in the Fowler’s position than in the supine or crook lying position. The results of this study will help in the selection of the best alternative position for the spirometry in bed ridden patients.

Keywords

Bedridden, Crook lying position, Fowler’s position, Spirometry

How to cite this article :

Arvind Kumar Pal, Sunita Tiwari, Dileep Kumar Verma. EFFECT OF RECUMBENT BODY POSITIONS ON DYNAMIC LUNG FUNCTION PARAMETERS IN HEALTHY YOUNG SUBJECTS. Journal of Clinical and Diagnostic Research [serial online] 2017 May [cited: 2017 May 29 ]; 11:CC08-CC10. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=May&volume=11&issue=5&page=CC08-CC10&id=9828

DOI and Others

DOI: 10.7860/JCDR/2017/25202.9828


Date of Submission: Nov 10, 2016
Date of Peer Review: Dec 19 2016
Date of Acceptance: Feb 08, 2017
Date of Publishing: May 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • PubMed Central® (PMC)New
  • Academic Search Complete Database
  • Chemical Abstracts Service
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhostNew
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Open J-Gate
  • Popline (reproductive health literature)
  • SCOPUS
  • www.omnimedicalsearch.com