Automatic Wheeze and Respiratory Phase Detectors to Evaluate Respiratory Physiotherapy in LRTI - A Preliminary Study

João Dinis, Ana Oliveira, Cátia Pinho, Guilherme Campos, João Rodrigues, Alda Marques

2013

Abstract

Respiratory physiotherapy is a gold standard intervention for chronic respiratory conditions. However, its application in acute respiratory diseases (e.g., LRTI) is not well established. The objective and reliable measurement of adventitious lung sounds (ALS), such as wheezes, has the potential to contribute to respiratory physiotherapy evidence base. This paper reports on the implementation of reliable and published automatic wheeze and respiratory phase detectors to assess wheezing parameters pre/post respiratory physiotherapy treatment in patients with LRTI. Twenty patients with LRTI were randomly allocated to control group, which received standard medication treatment, or experimental group, which received standard medication plus respiratory physiotherapy treatment. Respiratory sounds were recorded in seven chest locations. Wheeze parameters, namely occupation rate, main frequency, duration and type were obtained per respiratory phase. Wheeze occupation rate was statistically significantly reduced in both groups following treatment (p<0.001). There was a greater reduction in wheeze occupation rate in the experimental group reaching statistical significance for the inspiratory phase (p=0.019). This promising result indicates the potential value of respiratory physiotherapy in LRTI. It also highlights the potential to use acoustic methods to establish respiratory physiotherapy efficacy.

References

  1. American Association of Cardiovascular and Pulmonary Rehabilitation, 2006. Guidelines for pulmonary rehabilitation programs, USA, Human Kinetics.
  2. American College of Sports Medicine, 2006. Guidelines for Exercise Testing and Prescription, Philadelphia, Lippincott Williams and Wilkins.
  3. Baughman, R. P. & Loudon, R. G., 1984. Quantitation of wheezing in acute asthma. Chest, 86, 718-22.
  4. British Thoracic Society, 2001. Pulmonary rehabilitation. Thorax, 56, 827-34.
  5. Charbonneau, G., Ademovic, E., Cheetham, B., Malmberg, L., Vanderschoot, J. & Sovijärvi, A., 2000. Basic techniques for respiratory sound analysis. Eur Respir Rev., 10, 625-635.
  6. Earis, J. & Cheetham, B., 2000. Future perspectives for respiratory sound research. Eur Respir Rev, 10, 641- 646.
  7. Gabor, D. 1946. Theory of communication. Journal of the IEEE, 93, 429-457.
  8. Garrod, R. & Lasserson, T., 2007. Role of physiotherapy in the management of chronic lung diseases: an overview of systematic reviews. Respiratory Medicine, 101, 2429-2436.
  9. Graham, D., 2008. The patient with possible pneumonia. The Foundation Years, 4, 14-19.
  10. Huq, S. & Moussavi, Z., 2010. Automatic Breath Phase Detection Using Only Tracheal Sounds. 2010 Annual International Conference of the Ieee Engineering in Medicine and Biology Society (Embc), 272-275.
  11. Laennec, R., 1935. A treatise on the diseases of the chest and mediate auscultation, New York, Samuel Wood and Sons.
  12. Melbye, H., Kongerud, J. & Vorland, L., 1994. Reversible airflow limitation in adults with respiratory infection. Eur Respir J, 7, 1239-45.
  13. Meslier, N., Charbonneau, G. & Racineux, J. L., 1995. Wheezes. European respiratory journal, 8, 1942-8.
  14. Miller, M. R. 2005. Standardisation of spirometry. European Respiratory Journal, 26, 319-338.
  15. Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gotzsche, P. C., Devereaux, P. J., Elbourne, D., Egger, M. & Altman, D. G., 2010. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869.
  16. Oliveira, D., Pinho, C., Marques, A. & Dinis, J., 2011. Validation of a time-frequency wheeze detector in cystic fibrosis: A pilot study. Eur Respirator J, 38, 92s.
  17. Piirilä, P., Sovijärvi, A., Earis, J., Rossi, M., Dalmasso, F., Stoneman, S. & Vanderschoot, J., 2000. Reporting results of respiratory sound analysis. European Respiratory Review, 10, 636-640.
  18. Postiaux, G., 2004. Fisioterapia respiratória pediátrica, o tratamento guiado por ausculta pulmonar.
  19. Pryor, J. & Prasad, S., 2008. Physiotherapy for Respiratory and Cardiac Problems: Adults and Paediatrics, UK, Churchill Livingstone.
  20. Qiu, Y., Whittaker, A. R., Lucas, M. & Anderson, K., 2005. Automatic wheeze detection based on auditory modelling. Proceedings of the Institution of Mechanical Engineers Part H-Journal of Engineering in Medicine, 219, 219-227.
  21. Sovijärvi, A., Malmberg, L., Charbonneau, G., Vanderschoot, J., Dalmasso, F., Sacco, C., Rossi, M. & Earis, J. E., 2000. Characteristics of breath sounds and adventitious respiratory sounds. Eur Respir Rev, 10, 591-596.
  22. Taplidou, S. A. & Hadjileontiadis, L. J., 2007. Wheeze detection based on time-frequency analysis of breath sounds. Computers in Biology and Medicine, 37, 1073-1083.
  23. Ward, D. & Ayres, J., 2000. Pneumonia and acute bronchitis. The European respiratory journal Supplement, 5, 105-127.
  24. Waris, M., Helisto, P., Haltsonen, S., Saarinen, A. & Sovijarvi, A. R., 1998. A new method for automatic wheeze detection. Technol Health Care, 6, 33-40.
  25. Weiner, P., Man, A., Weiner, M., Rabner, M., Waizman, J., Magadle, R., Zamir, D. & Greiff, Y., 1997. The effect of incentive spirometry and inspiratory muscle training on pulmonary function after lung resection. J Thorac Cardiovasc Surg, 113, 552-7.
  26. Woodhead, M., Blasi, F., Ewig, S., Garau, J., Huchon, G., Ieven, M., Ortqvist, A., Schaberg, T., Torres, A., van der Heijden, G., Read, R., Verheij, T. J. M., Soc, E. R. & Microbiology, E. S. C., 2011. Guidelines for the management of adult lower respiratory tract infections - Summary. Clinical Microbiology and Infection, 17, 1-24.
  27. Yildirim, I., Ansari, R. & Moussavi, Z., 2008. Automated Respiratory Phase and Onset Detection Using Only Chest Sound Signal. 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Vols 1-8, 2578-2581.
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Paper Citation


in Harvard Style

Dinis J., Oliveira A., Pinho C., Campos G., Rodrigues J. and Marques A. (2013). Automatic Wheeze and Respiratory Phase Detectors to Evaluate Respiratory Physiotherapy in LRTI - A Preliminary Study . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013) ISBN 978-989-8565-37-2, pages 233-238. DOI: 10.5220/0004246702330238


in Bibtex Style

@conference{healthinf13,
author={João Dinis and Ana Oliveira and Cátia Pinho and Guilherme Campos and João Rodrigues and Alda Marques},
title={Automatic Wheeze and Respiratory Phase Detectors to Evaluate Respiratory Physiotherapy in LRTI - A Preliminary Study},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013)},
year={2013},
pages={233-238},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004246702330238},
isbn={978-989-8565-37-2},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013)
TI - Automatic Wheeze and Respiratory Phase Detectors to Evaluate Respiratory Physiotherapy in LRTI - A Preliminary Study
SN - 978-989-8565-37-2
AU - Dinis J.
AU - Oliveira A.
AU - Pinho C.
AU - Campos G.
AU - Rodrigues J.
AU - Marques A.
PY - 2013
SP - 233
EP - 238
DO - 10.5220/0004246702330238