{"id":21344,"date":"2016-02-01T12:34:30","date_gmt":"2016-02-01T12:34:30","guid":{"rendered":"http:\/\/ibecbarcelona.eu\/?p=21344"},"modified":"2016-02-02T11:46:46","modified_gmt":"2016-02-02T11:46:46","slug":"la-col%c2%b7laboracio-amb-els-clinics-condueix-a-un-nou-monitoratge-no-invasiva-de-lepoc","status":"publish","type":"post","link":"https:\/\/ibecbarcelona.eu\/ca\/la-col%c2%b7laboracio-amb-els-clinics-condueix-a-un-nou-monitoratge-no-invasiva-de-lepoc\/","title":{"rendered":"La col\u00b7laboraci\u00f3 amb els cl\u00ednics condueix a un nou monitoratge no invasiva de l&#8217;EPOC"},"content":{"rendered":"<p>Fins ara, l&#8217;\u00fanica manera d&#8217;avaluar la disfunci\u00f3 dels m\u00fasculs respiratoris ha estat mesurant la relaci\u00f3 entre la pressi\u00f3 transdiafragm\u00e0tica i l&#8217;activitat el\u00e8ctrica del diafragma, la qual cosa implica m\u00e8todes invasius que no s\u00f3n c\u00f2modes per als pacients.<\/p>\n<p>Publicat en la European Respiratory Journal, l&#8217;estudi realitzat pel grup de Raimon Jan\u00e9 i els seus col\u00b7laboradors a l&#8217;Hospital Germans Trias i Pujol i Hospital del Mar descriu com van utilitzar la mecanomiografia dels m\u00fasculs respiratoris (MMG) &#8211; una forma no invasiva per mesurar les vibracions relacionades amb l&#8217;activaci\u00f3 mec\u00e0nica dels m\u00fasculs utilitzant acceler\u00f2metres col\u00b7locats en la pell &#8211; per avaluar la funci\u00f3 dels m\u00fasculs respiratoris en deu pacients amb EPOC severa o molt severa.<\/p>\n<p>Utilitzant la MMG, amb pacients que respiren normalment a trav\u00e9s d&#8217;un filtre i un tub mentre portaven una pin\u00e7a en el nas, els investigadors i els cl\u00ednics van mostrar, per primera vegada, una comparaci\u00f3 directa entre l&#8217;activaci\u00f3 mec\u00e0nica dels m\u00fasculs inspiratoris, estimat a trav\u00e9s de l&#8217;amplitud de la MMG, i l&#8217;esfor\u00e7 inspiratori en relaci\u00f3 al volum corrent &#8211; el volum d&#8217;aire mogut dins o fora dels pulmons durant la respiraci\u00f3 tranquil\u00b7la.<\/p>\n<p>&#8220;Els nostres resultats indiquen que l&#8217;amplitud de la MMG dels pacients amb EPOC severa o molt severa est\u00e0 estretament relacionat amb l&#8217;esfor\u00e7 inspiratori, i que la MMG \u00e9s major en pacients m\u00e9s greus, fins i tot durant la respiraci\u00f3 tranquil\u00b7la, mostrant aix\u00ed una menor efici\u00e8ncia dels m\u00fasculs respiratoris&#8221;, diu Raimon. &#8220;En altres paraules, com m\u00e9s gran sigui el grau d&#8217;obstrucci\u00f3 del flux d&#8217;aire, es requereix una major activaci\u00f3 mec\u00e0nica dels m\u00fasculs inspiratoris.&#8221;<\/p>\n<p>Els investigadors confien que la seva contribuci\u00f3 pot ser una eina molt \u00fatil per avaluar la progressi\u00f3 de l&#8217;EPOC, i que podria proporcionar informaci\u00f3 valuosa sobre l&#8217;efecte dels tractaments.<\/p>\n<p>&#8212;<\/p>\n<p>Leonardo Sarlabous, Abel Torres1, Jos\u00e9 A.Fiz, Joaquim Gea, Juana M. Mart\u00ednez-Llorens and Raimon Jan\u00e9 (2015). <a href=\"http:\/\/erj.ersjournals.com\/content\/46\/6\/1808?ctkey=ERJtw00434-2015\">Efficiency of mechanical activation of inspiratory muscles in COPD using sample entropy.<\/a> <em>Eur Respir J<\/em>. 46(6):1808-11<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<h3><a href=\"https:\/\/ibecbarcelona.eu\/wp-content\/uploads\/2016\/02\/raimon-feb.jpg\" rel=\"attachment wp-att-21274\"><img decoding=\"async\" class=\"left size-medium wp-image-21274 lazyload\" data-src=\"https:\/\/ibecbarcelona.eu\/wp-content\/uploads\/2016\/02\/raimon-feb-300x224.jpg\" alt=\"raimon feb\" width=\"300\" height=\"224\" data-srcset=\"https:\/\/ibecbarcelona.eu\/wp-content\/uploads\/2016\/02\/raimon-feb-300x224.jpg 300w, https:\/\/ibecbarcelona.eu\/wp-content\/uploads\/2016\/02\/raimon-feb-174x130.jpg 174w, https:\/\/ibecbarcelona.eu\/wp-content\/uploads\/2016\/02\/raimon-feb-150x112.jpg 150w, https:\/\/ibecbarcelona.eu\/wp-content\/uploads\/2016\/02\/raimon-feb.jpg 600w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/224;\" \/><\/a><\/strong>Una col\u00b7laboraci\u00f3 entre el grup de Processament i Interpretaci\u00f3 de Senyals Biom\u00e8dics de l&#8217;IBEC i dos hospitals locals ha donat lloc a un nou m\u00e8tode no invasiu d&#8217;avaluar l&#8217;efici\u00e8ncia dels m\u00fasculs respiratoris en pacients amb malaltia pulmonar obstructiva cr\u00f2nica (EPOC).<\/h3>\n<p>La disfunci\u00f3 muscular respirat\u00f2ria \u00e9s un problema com\u00fa en els pacients amb EPOC, majorment relacionats amb la hiperinflaci\u00f3 pulmonar. L&#8217;escur\u00e7ament del diafragma i els canvis perjudicials en la relaci\u00f3 for\u00e7a-longitud del m\u00fascul causen una reducci\u00f3 de la capacitat dels m\u00fasculs per generar pressi\u00f3, col\u00b7locant-los en desavantatge mec\u00e0nic.<\/p>\n","protected":false},"author":4,"featured_media":21276,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[],"post_formats":[],"class_list":["post-21344","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticies-de-recerca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La col\u00b7laboraci\u00f3 amb els cl\u00ednics condueix a un nou monitoratge no invasiva de l&#039;EPOC - Institute for Bioengineering of Catalonia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ibecbarcelona.eu\/ca\/la-col\u00b7laboracio-amb-els-clinics-condueix-a-un-nou-monitoratge-no-invasiva-de-lepoc\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La col\u00b7laboraci\u00f3 amb els cl\u00ednics condueix a un nou monitoratge no invasiva de l&#039;EPOC - Institute for Bioengineering of Catalonia\" \/>\n<meta property=\"og:description\" content=\"Una col\u00b7laboraci\u00f3 entre el grup de Processament i Interpretaci\u00f3 de Senyals Biom\u00e8dics de l&#039;IBEC i dos hospitals locals ha donat lloc a un nou m\u00e8tode no invasiu d&#039;avaluar l&#039;efici\u00e8ncia dels m\u00fasculs respiratoris en pacients amb malaltia pulmonar obstructiva cr\u00f2nica (EPOC).  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