{"id":8049,"date":"2014-02-19T17:06:30","date_gmt":"2014-02-19T17:06:30","guid":{"rendered":"http:\/\/ibecbarcelona.eu\/new\/enfermedades-pulmonares-cronicas-bajo-control\/"},"modified":"2015-08-31T13:41:53","modified_gmt":"2015-08-31T13:41:53","slug":"enfermedades-pulmonares-cronicas-bajo-control","status":"publish","type":"post","link":"https:\/\/ibecbarcelona.eu\/es\/enfermedades-pulmonares-cronicas-bajo-control\/","title":{"rendered":"El aire que respiras"},"content":{"rendered":"

<\/strong> <\/p>\n

\u2022\u00a0\u00a0 \u00a01,5 millones de enfermos de EPOC en Espa\u00f1a, la tercera causa de muerte en Estados Unidos <\/strong><\/p>\n

\u2022\u00a0\u00a0 \u00a0Mediante la monitorizaci\u00f3n de las se\u00f1ales mec\u00e1nicas del diafragma se podr\u00e1 evaluar el grado de mejora en rehabilitaci\u00f3n<\/strong><\/p>\n

\u2022\u00a0\u00a0 \u00a0Un proyecto colaborativo entre el Instituto de Bioingenier\u00eda de Catalu\u00f1a y el Hospital Germans Trias i Pujol<\/strong><\/p>\n

Investigadores del grupo de Procesamiento e Interpretaci\u00f3n de Se\u00f1ales Biom\u00e9dicas del Instituto de Bioingenier\u00eda de Catalu\u00f1a (IBEC), han publicado un art\u00edculo en la revista Plos One en el que se propone un m\u00e9todo basado en un nuevo algoritmo que eval\u00faa las se\u00f1ales producidas por la actividad muscular respiratoria. Estas se\u00f1ales permiten detectar y cuantificar el grado de debilidad muscular causada por patolog\u00edas como la enfermedad pulmonar obstructiva cr\u00f3nica (EPOC).<\/p>\n

La EPOC es la enfermedad respiratoria que afecta a m\u00e1s personas. En el Reino Unido mueren del orden de 30.000 personas al a\u00f1o (m\u00e1s que de c\u00e1ncer de mama, de intestino o de pr\u00f3stata) y es la tercera causa de muerte en Estados Unidos. En Espa\u00f1a se estima que hay unos 1,5 millones de personas afectadas.<\/p>\n

En el art\u00edculo publicado se propone un m\u00e9todo no invasivo que mejorar\u00e1 la monitorizaci\u00f3n de personas con problemas respiratorios. Se mide la actividad mec\u00e1nica de los m\u00fasculos respiratorios mediante aceler\u00f3metros colocados en la superficie del pecho, a la altura del diafragma.<\/p>\n

\u201cActualmente la EPOC no tiene cura, pero mediante tratamiento y rehabilitaci\u00f3n el paciente puede incrementar la actividad muscular y compensar, relativamente, la obstrucci\u00f3n pulmonar\u201d explica Raimon Jan\u00e9, investigador principal del IBEC. \u201cEs por eso que interesa tener un m\u00e9todo no invasivo como \u00e9ste para monitorizar al paciente y poder evaluar su grado de mejora\u201d.<\/p>\n

El m\u00e9todo cl\u00e1sico para diagnosticar y evaluar a estos pacientes es la espirometr\u00eda que se basa en la medida de la presi\u00f3n y el flujo respiratorio. Los problemas de esta pr\u00e1ctica son que, adem\u00e1s de suponer mucha dificultad para personas enfermas, requiere la colaboraci\u00f3n del paciente, es una prueba puntual y no sirve para monitorizarlos.<\/p>\n

Al contraerse, el diafragma vibra de forma lateral y son estas vibraciones las que recogen los sensores. Pero durante la adquisici\u00f3n de este tipo de se\u00f1ales quedan registradas tambi\u00e9n otro tipo de vibraciones como las se\u00f1ales mec\u00e1nicas del coraz\u00f3n. Para determinar correctamente el grado de debilidad muscular las interferencias deben eliminarse. El m\u00e9todo, basado en la estimaci\u00f3n de la entrop\u00eda muestral de la se\u00f1al (fSampEn), es m\u00e1s fiable que los ya existentes para estimar el esfuerzo muscular respiratorio, incluso a bajos niveles de flujo respiratorio.<\/p>\n

\u201cLa actividad mec\u00e1nica est\u00e1 m\u00e1s vinculada al esfuerzo muscular y se ha estudiado en m\u00fasculos perif\u00e9ricos donde la se\u00f1al es m\u00e1s intensa\u201d comenta Raimon Jan\u00e9. \u201cEn el caso del diafragma la actividad ser\u00e1 menor y, entonces, la se\u00f1al mec\u00e1nica que se registra es m\u00e1s d\u00e9bil y tiene una mayor interferencia card\u00edaca. Lo que se busca es el m\u00e9todo m\u00e1s eficiente para poder estimar adecuadamente esta se\u00f1al, que permita valorar el esfuerzo respiratorio realizado por este tipo de pacientes con EPOC\u201d.<\/p>\n

—<\/p>\n

Articulo de referencia: <\/strong>Sarlabous, L., Torres, A., Fiz, J.A., & Jan\u00e9, R. (2014). Evidence towards Improved Estimation of Respiratory Muscle Effort from Diaphragm Mechanomyographic Signals with Cardiac Vibration Interference Using Sample Entropy with Fixed Tolerance Values.<\/a> PlosOne<\/em>, 9(2): e88902 <\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Se desarrolla un nuevo m\u00e9todo no invasivo para monitorizar a los pacientes con patolog\u00edas respiratorias<\/h3>\n

\u2022\u00a0\u00a0 \u00a0Nuevo m\u00e9todo no invasivo para los pacientes con enfermedad pulmonar obstructiva cr\u00f3nica (EPOC) <\/strong><\/p>\n","protected":false},"author":4,"featured_media":8044,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[97],"tags":[],"post_formats":[],"class_list":["post-8049","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias-de-investigacion"],"yoast_head":"\nEl aire que respiras - 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\/es\/enfermedades-pulmonares-cronicas-bajo-control\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El aire que 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