PMID- 21285020 OWN - NLM STAT- MEDLINE DCOM- 20120105 LR - 20120119 IS - 1308-0032 (Electronic) IS - 1302-8723 (Linking) VI - 11 IP - 2 DP - 2011 Mar TI - [A comparison of pulmonary function, peripheral and respiratory muscle strength and functional capacity in the heart failure patients with different functional classes]. PG - 101-6 LID - 10.5152/akd.2011.027 [doi] AB - OBJECTIVE: This cross-sectional, observational study was planned to compare pulmonary function, respiratory and peripheral muscle strength, and functional capacity in different functional classes of heart failure patients. METHODS: Thirty-four heart failure patients, in New York Heart Association (NYHA) Class II and III (68.59+/-9.84 years, left ventricular ejection fraction (LVEF) =34.24+/-7.59%) were included. Class II and III patients' pulmonary function was assessed using spirometry, respiratory muscle strength using a mouth pressure device, functional capacity using six minute walk test (6MWT), quadriceps femoris and biceps brachii muscle strength were evaluated using a hand-held dynamometer, and variables were compared. Student t, Chi-square, Mann-Whitney U tests, and Spearman correlation coefficients were used for statistical analysis. RESULTS: There were no statistically significant differences in pulmonary function and respiratory muscle strength between the two groups (p>0.05). The 6MWT distance (328.35+/-101.56 m; vs. 480.05+/-104.19 m) quadriceps femoris (218.83+/-63.62 N; vs. 290.69+/-115.53 N) and biceps brachii (164.22+/-44.78 N; vs. 219.19+/-49.37 N) muscle strength of Class III patients were significantly lower than of Class II patients (p<0.05 for all). The NYHA classification system was significantly correlated with measured and predicted 6MWT distance (r=-0.59, r=-0.65, respectively), biceps brachii muscle strength (r=-0.46, r=-0.40, respectively), and % quadriceps femoris muscle strength (r=-0.43) (p<0.05). CONCLUSION: Functional capacity and peripheral muscle strength decrease as the illness progresses in heart failure. Pulmonary function and respiratory muscle strength are preserved. The NYHA classification system is a reliable method in the detection of changes in functional capacity and peripheral muscle strength. Changes in functional capacity and peripheral muscle strength are consistent with the NYHA classification system. FAU - Bosnak Guclu, Meral AU - Bosnak Guclu M AD - Gazi Universitesi Saglik Bilimleri Fakultesi, Fizyoterapi ve Rehabilitasyon Bolumu, Ankara, Turkiye. bosnakmeral@hotmail.com FAU - Inal Ince, Deniz AU - Inal Ince D FAU - Arikan, Hulya AU - Arikan H FAU - Savci, Sema AU - Savci S FAU - Tulumen, Erol AU - Tulumen E FAU - Tokgozoglu, Lale AU - Tokgozoglu L LA - tur PT - Comparative Study PT - English Abstract PT - Journal Article TT - Farkli fonksiyonel siniflardaki kalp yetersizligi hastalarinda, solunum fonksiyonlari, periferik ve solunum kas kuvveti ve fonksiyonel kapasitenin karsilastirilmasi. DEP - 20110202 PL - Turkey TA - Anadolu Kardiyol Derg JT - Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology JID - 101095069 SB - IM MH - Aged MH - Aged, 80 and over MH - Female MH - Heart Failure/classification/*physiopathology MH - Humans MH - Lung/*physiopathology MH - Male MH - Middle Aged MH - *Muscle Strength MH - Muscle, Skeletal/*physiopathology MH - Myocardial Ischemia/physiopathology MH - Respiratory Function Tests MH - Respiratory Muscles/*physiopathology EDAT- 2011/02/03 06:00 MHDA- 2012/01/06 06:00 CRDT- 2011/02/03 06:00 PHST- 2011/02/03 06:00 [entrez] PHST- 2011/02/03 06:00 [pubmed] PHST- 2012/01/06 06:00 [medline] AID - 10.5152/akd.2011.027 [doi] PST - ppublish SO - Anadolu Kardiyol Derg. 2011 Mar;11(2):101-6. doi: 10.5152/akd.2011.027. Epub 2011 Feb 2.