Improvements in Perimeter Thoracic Mobility on Patients with COPD after Pulmonary Rehabilitation: A Case Series
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Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, LUXEMBOURG
AOU San Luigi Gonzaga, Orbassano, ITALY
Casa di Cura Villa Serena, Piossasco (TO), ITALY
IRCCS Fondazione Don Carlo Gnocchi, Milan, ITALY
Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, SPAIN
Publication date: 2022-02-02
Electron J Gen Med 2022;19(3):em361
To evaluate if the perimeter thoracic mobility (PTM) improvements could be identified by measuring its perimeter during pulmonary rehabilitation (PR), searching for its correlations with standards clinical and functional assessments.

A case series.

Twenty patients underwent a PR and accessed the arterial blood gas analyses, FVC, FEV1, FEV/FEV1, 6-minute walk test (6MWT), and the PTM measurement assessed at the angle of the Louis level and the xiphoid process level.

PR improved PTM on the angle of Louis (p=0.03) but not on the xiphoid process. These improvements are negatively correlated with improvements in PaCO2.

In COPD patients, a successful PR is accompanied by a reduction of the upper chest wall resting perimeter and by an improvement of the perimeter thoracic mobility.

Clinical relevance:
The centimeter tape is a useful device able to identify PTM improvements in COPD patients.

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