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this study aim to evaluate wether new, non-invasive and non-contact devices such as Structured Light Plethysmography (SLP) and Sonar would be able to accurately detect and quantify diaphragm dysfunction (mono-or-bilateral) by assessing the asymmetric chest wall motion generated during spontaneous breathing as compared with a classic, standard and invasive technique.
The measurements of chest and abdominal wall movements during quiet tidal breathing will be performed simultaneously using SLP and Sonar devices.
Subjects will be asked to sit down on a chair with their neck in a neutral position and their back as straight as possible. The SLP and the Sonar will be lined up to project the grid of light and the ultrasonic wave sonar over the participant's chest and abdomen. Data will be collected during 5 minutes of tidal breathing. The same procedure will be repeated while having the patient lying down in supine position on the same chair for 5 additional minutes. During both sessions (sitting and supine), patients will be asked to perform a gentle inspiratory capacity (IC) maneuver to better appreciate the thoraco-abdominal asymmetry and distortion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Patients with a suspicion of diaphragmatic dysfunction |
| |
| Healthy volunteers | Subjects without any medical condition |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sonar | Device | Measurements of chest wall and abdominal wall movement will be performed while subjects are breathing quietly |
|
| Measure | Description | Time Frame |
|---|---|---|
| amplitude of displacement of thoraco-abdominal compartments | asymmetry of displacement of thoraco-abdominal compartments during tidal breathing and respiratory manoeuvres | 10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| displacement speed of thoraco-abdominal compartments | asynchrony of displacement of thoraco-abdominal compartments during tidal breathing and respiratory manoeuvres measurement | 10 minutes |
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FOR HEALTHY VOLUNTEERS
Inclusion Criteria:
Exclusion criteria
FOR PATIENTS
Inclusion Criteria:
Exclusion Criteria:
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Patients with a suspicion of diaphragmatic dysfunction and healthy volunteers without any medical condition.
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| Name | Affiliation | Role |
|---|---|---|
| Pierantonio LAVENEZIANA, MD, PhD | UMRS_1158 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| INSERM-UPC UMR_S 1158 Service de Pneumologie et Réanimation, R3S, Groupe Hospitalier Pitié-Salpêtrière | Paris | 75013 | France |
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| ID | Term |
|---|---|
| D012133 | Respiratory Paralysis |
| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010243 | Paralysis |
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| Structured light plethysmography (SLP) | Device | Measurements of chest wall and abdominal wall movement will be performed while subjects are breathing quietly |
|
| D009461 |
| Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |