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Diaphragm ultrasound for muscle strength assessment: A systematic literature review

2025-11-03Journal article Open access
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datacite.subject.fosCiências Sociais::Psicologia
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorLeote, Joao
dc.contributor.authorMonteiro, Margarida
dc.contributor.authorRocha, Cláudia
dc.contributor.authorRodrigues, Carolina
dc.contributor.authorPereira, Marco
dc.contributor.authorAntunes, Maria Luz
dc.contributor.authorDias, Hermínia
dc.contributor.authorAntunes, Maria da Luz
dc.date.accessioned2025-12-11T19:53:35Z
dc.date.available2025-12-11T19:53:35Z
dc.date.issued2025-11-03
dc.description.abstractObjective: To assess if diaphragmatic ultrasound (DU) reflects diaphragmatic muscle strenght when compared to respiratory tests and neurophysiological studies. Methods: A systematic literature review was conducted on adults undergoing DU, compared to any respiratory or neurophysiological technique. The search strategy was applied in PubMed, Scopus, and Web of Science, and the analysis was conducted using the PRISMA methodology. Three eligibility assessment stages were performed: title, abstract, and full-text reading. The risk of bias was evaluated using the RoB 2.0, ROBINS-I, and Newcastle-Ottawa Scale tools. Results: Out of 155 identified articles, 25 were selected for full-text review (14 nonrandomised studies, 8 case-control studies, and 3 randomised studies). The overall risk of bias was moderate, with the main biases related to population selection and intervention assessment. Twenty-three articles used maximal inspiratory pressure easurement as a comparator which showed a weak-to-moderate correlation, significant in 10 studies, with diaphragmatic excursion. Three studies reported a weak association between diaphragmatic thickening and sniff pressure. Five articles reported a concordant correlation between iaphragmatic thickening and compound muscle action potential amplitude, significant only in one study. Conclusion: The variability of results obtained across different pathologies does not support the use of DU alone to predict diaphragmatic muscle strengtheng
dc.identifier.citationJoao Leote, Margarida Monteiro, Cláudia Rocha, Carolina Rodrigues, Marco Pereira, Maria Luz Antunes, & Hermínia Dias. (2025). Diaphragm ultrasound for muscle strength assessment: A systematic literature review. Pulmonology, 31(1). https://doi.org/10.1080/25310429.2025.2572252
dc.identifier.doi10.1080/25310429.2025.2572252
dc.identifier.issn2531-0429
dc.identifier.issn2531-0437
dc.identifier.urihttp://hdl.handle.net/10400.12/13703
dc.language.isoeng
dc.peerreviewedyes
dc.publisherInforma UK Limited
dc.relation.ispartofPulmonology
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDiaphragm
dc.subjectUltrasound
dc.subjectMuscle
dc.subjectDysfunction
dc.titleDiaphragm ultrasound for muscle strength assessment: A systematic literature revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage27
oaire.citation.issue1
oaire.citation.startPage1
oaire.citation.titlePulmonology
oaire.citation.volume31
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAntunes
person.givenNameMaria da Luz
person.identifier.ciencia-idB111-6F38-5904
person.identifier.orcid0000-0003-0942-7601
relation.isAuthorOfPublicationbbd6ef4a-1738-49b1-8c16-85497339fe36
relation.isAuthorOfPublication.latestForDiscoverybbd6ef4a-1738-49b1-8c16-85497339fe36

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