Impulse oscillometry in adults: a complementary lung function test

Oscilometría de impulso en adultos: una prueba de función pulmonar complementaria

Published 2014-04-04

Open | Download
PDF (Spanish) FLIP
Issue
Vol. 26 No. 2 (2014)
Section
Topics review
How to Cite
1.
Impulse oscillometry in adults: a complementary lung function test. rev. colomb. neumol. [Internet]. 2014 Apr. 4 [cited 2024 Nov. 13];26(2). Available from: https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/46
DOI

https://doi.org/10.30789/rcneumologia.v26.n2.2014.46
Dimensions
PlumX
license

Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor; sin embargo  los usuarios pueden descargar la información contenida en ella, pero deben darle atribución o reconocimiento de propiedad intelectual, deben usarlo tal como está, sin derivación alguna.

Germán Díaz Santos, MD.
Hospital Santa Clara. Bogotá, Colombia.
    Gustavo Adolfo Hincapié, MD.
    Hospital Militar Central. Bogotá, Colombia.
      Jorge Ordóñez, MD.
      Hospital Santa Clara. Bogotá, Colombia.
        Carlos Awad, MD.
        Hospital Santa Clara. Bogotá, Colombia.
          Show authors biography

          Germán Díaz Santos, MD.,

          Medicina Interna, Fellow de Neumología. Hospital Santa Clara. Bogotá, Colombia.

          Gustavo Adolfo Hincapié, MD.,

          Medicina Interna, Neumólogo. Jefe de Neumología, Hospital Militar Central. Bogotá, Colombia.

          Jorge Ordóñez, MD.,

          Medicina Interna, Neumólogo. Hospital Santa Clara. Bogotá, Colombia.

          Carlos Awad, MD.,

          Medicina Interna, Neumólogo. Jefe de Laboratorio de Función Pulmonar, Hospital Santa Clara. Bogotá, Colombia.

          Impulse oscillometry is a non-invasite test that has been recently reintroduced to determine the impedance of the respiratory system, especially in patients with small-airway involvement and whenever an adequate effort or conventional maneuvers cannot be carried out. It can function as a supplementary or alternative to spirometry in the assessment of the condition of the respiratory system. It was developed since 1956, but only in 2007 it was included in the ATS/ERS guidelines for assessment of lung function in preschool children.

          It consists of measuring the natural impediment to airflow, which includes losses due to friction as well as elastic and inertial loads. It measures central resistances (R20) and total resistances (R5), as well as the delta of resistance (ΔR=R5-R20), distal capacitive reactance (X5), the frequency of resonance (Fres) and the area of reactance (AX). It has acceptability criteria that must be met, and it is suggested that the interpretation be made systematically. The comparative values for its interpretation have been taken from different equations according to age, sex, race, height and weight.

          It has been used for early assessment of respiratory system impedance in asthma and chronic obstructive pulmonary disease, interstitial lung diseases, mechanical pulmonary changes in patients with congestive heart failure, obstruction of the upper airway, vocal chord dysfunction, as an alternative to bronchoprovocation testing in the management of patients with chronic obstructive pulmonary disease, response to bronchodilators, changes in airway resistance in patients with obstructive sleep apnea/hypopnea syndrome, respiratory resistances in patients with spinal injury, among other applications.

          However, more studies of adequate quality are required to determine the usefulness of this diagnostic test in clinical practice.

          Article visits 27394 | PDF visits 8062

          Downloads

          Download data is not yet available.
          1. Tomalak W1, Czajkowska-Malinowska M, Radliński J. Application of impulse oscillometry in respiratory system evaluation in elderly patients. Pneumonol Alergol Pol. 2014;82(4):330-5. DOI: 10.5603/PiAP.2014.0041.
          2. Dencker M, Malmberg LP, Valind S, Thorsson O, Karlsson MK, et al. Reference values for respiratory system impedance by using impulse oscillometry in children aged 2–11 years. Clin Physiol Funct Imaging. 2006;26:247-50. DOI: 10.1111/j.1475-097x.2006.00682.
          3. Dubois AB, Brody AW, Lewis DH, Burgess BF. Oscillation mechanics of lung and chest in man. J Appl Physiol. 1956;8:587-94.
          4. Vogel J, Smidt U. Impulse oscillometry. Analysis of lung mechanics in general practice and the clinic, epidemiological and experimental research. Frankfurt am Main, Alemania: Ed. PMI Verlagsgruppe GmbH; 1994.
          5. Cavalcanti JV, Lopes AJ, Jansen JM, Melo PL. Detection of changes in respiratory mechanics due to increasing degrees of airway obstruction in asthma by forced oscillation technique. Resp Med. 2006;100(12):2207–19. DOI: 10.1016/j.rmed.2006.03.009
          6. Beydon N, Davis SD, Lombardi E, Allen JL, Arets HG, Aurora P. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175:1304-45.
          7. Smith HJ, Reinhold P, Goldman MD. Forced oscillation technique and impulse oscillometry. Eur Respir Mon. 2005;31:72-105.
          8. Kaczka DW, Dellacá RL. Oscillation mechanics of the respiratory system: applications to lung disease. Critical Reviews™ in Biomedical Engineering. 2011; 39(4):337-59.
          9. Al-Mutairi SS, Sharma PN, Al-Alawi A, Al-Deen JS. Impulse oscillometry: an alternative modality to the conventional pulmonary function test to categorize obstructive pulmonary disorders. Clin Exp Med. 2007;7(2):56-64.
          10. Smith HJ, Reinhold P, Goldman MD. Forced oscillation technique and impulse oscillometry. Eur Respir Mon. 2005;31:72-105.
          11. Oostveen E. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003; 22:1026-41.
          12. Guo YF, Herrmann F, Michel JP, Janssens JP. Normal values for respiratory resistance using forced oscillation in subjects >65 years old. Eur Respir J. 2005; 26:602-8.
          13. Shiota S, Katoh M, Fujii M, Aoki S, Matsuoka R, Fukuchi Y. Predictive equations and the reliability of the impulse oscillatory system in Japanese adult subjects. Respirology. 2005;10:310-5.
          14. Smolej Narancić N, Pavlović M, Zuskin E, Milicić J, Skarić Jurić T, Barbalić M, Rudan P. New reference equations for forced spirometry in elderly persons. Respir Med. 2009;103: 621-8. DOI:10.1016/j.rmed.2008.10.013
          15. Schulz H, Flexeder C, Behr J, Heier M, Holle R, Huber RM, et al. KORA Study Group. Reference values of impulse oscillometric lung function indices in adults of advanced age. PLoS One. 2013;8(5):e63366. DOI: 10.1371/journal.pone.0063366. Print 2013.
          16. Carefusion; IOS impulse spirometry, Spirometric and airway resistance diagnostics combined in one compact device. IOS Interpretation poster. Disponible en: : http://www.carefusion.com/pdf/Respiratory/Pulmonary_Function_Testing/IOS_Poster_Typical_Curves.pdf; (Acceso 27 Sep 2014).
          17. Kanda S, Fujimoto K, Komatsu Y, Yasuo M, Hanaoka M, Kubo K. Evaluation of respiratory impedance in asthma and COPD by an impulse oscillation system. Intern Med. 2010;49(1):23-30. Epub 2010 Jan 1.
          18. Frantz S, Nihlén U, Dencker M, Engström G, Löfdahl CG, Wollmer P. Impulse oscillometry may be of value in detecting early manifestations of COPD. Respir Med. 2012;106(8):1116-23. DOI:10.1016/j.rmed.2012.04.010.
          19. Crim C, Celli B, Edwards LD, Wouters E, Coxson HO, Tal-Singer R, et al. ECLIPSE investigators. Respiratory system impedance with impulse oscillometry in healthy and COPD subjects: ECLIPSE baseline results. Respir Med. 2011;105(7):1069-78. DOI:10.1016/j.rmed.2011.01.010.
          20. Goldman MD, Saadeh C, Ross D. Clinical applications of forced oscillation to assess peripheral airway function. Respir Physiol Neurobiol. 2005; 148:179-94.
          21. Sugiyama A, Hattori N, Haruta Y, Nakamura I, Nakagawa M, Miyamoto S, et al. Characteristics of inspiratory and expiratory reactance in interstitial lung disease. Respir Med. 2013;107(6):875-82. DOI: 10.1016/j.rmed.2013.03.005.
          22. Nourizadeh M, Ghelich Y, Amin A, Eidani E, Gholampoor Y, Asadmoghadam M, et al. Study the mechanical pulmonary changes in patients with congestive heart failure (CHF) by impulse oscillometry. J Cardiovasc Dis Res. 2013;4(2):130-3. DOI: 10.1016/j.jcdr.2012.06.001.
          23. Handa H, Huang J, Murgu SD, Mineshita M, Kurimoto N, Colt HG, Miyazawa T. Assessment of central airway obstruction using impulse oscillometry before and after interventional bronchoscopy. Respir Care. 2014;59(2):231-40. DOI: 10.4187/respcare.02094.
          24. Komarow HD1, Young M2, Nelson C3, Metcalfe DD3. Vocal cord dysfunction as demonstrated by impulse oscillometry. J Allergy Clin Immunol Pract. 2013;1(4):387-93. DOI: 10.1016/j.jaip.2013.05.005.
          25. Hira HS, Singh A. Significance of upper airway influence among patients of vocal cord dysfunction for its diagnosis: Role of impulse oscillometry. Lung India. 2009;26(1):5-8. DOI:10.4103/0970-2113.45197.
          26. Naji N, Keung E, Kane J, Watson RM, Killian KJ, Gauvreau GM. Comparison of changes in lung function measured by plethymography and IOS after bronchoprovocation. Respir Med. 2013;107(4):503-10. DOI: 10.1016/j.rmed.2012.12.022.
          27. Mineshita M, Shikama Y, Nakajima H, Nishihira R, Komatsu S, Kubota M, et al. COPD EXHALATION Investigators. The application of impulse oscillation system for the evaluation of treatment effects in patients with COPD. Respir Physiol Neurobiol. 2014;202:1-5. DOI:10.1016/j.resp.2014.07.008.
          28. Short PM, Williamson PA, Lipworth BJ. Sensitivity of impulse oscillometry and spirometry in beta-blocker induced bronchoconstriction and beta-agonist bronchodilatation in asthma. Ann Allergy Asthma Immunol. 2012;109(6):412-5. DOI:10.1016/j.anai.2012.09.010.
          29. Diong B1, Singh K, Menendez R. Effects of two inhaled corticosteroid/long-acting beta-agonist combinations on smallairway dysfunction in mild asthmatics measured by impulse oscillometry. J Asthma Allergy. 2013;6:109-16. DOI:10.2147/JAA.S48827.
          30. Cao J, Que C, Wang G, He B. Effect of posture on airway resistance in obstructive sleep apnea-hypopnea syndrome by means of impulse oscillation; Respiration. 2009;77(1):38-43. DOI:10.1159/000114146.
          31. Liu H1, Ni W, Zhao J, Xiong S, Xu Y, Zhang Z. The diagnosis value and its implication of impulse oscillometry in obstructive sleep apnea syndrome patients. J Tongji Med Univ. 2000;20(4):280-2.
          32. Cirnigliaro CM, Lesser M, Moyer J, Kirshblum SC, Bauman WA, Spungen AM. Reproducibility and effect of posture on impulse oscillation parameters in persons with spinal cord injury. J Spinal Cord Med. 2012;35(1):28-34. DOI:10.1179/2045772311Y.0000000047.
          33. Fujiwara K. Preoperative lung function tests using impulse oscillometry. Masui. 2010;59(2):169-78.
          34. Schermer T, Malbon W, Newbury W, Holton C, Smith M, Morgan M, Crockett A. Spirometry and impulse oscillometry (IOS) for detection of respiratory abnormalities in metropolitan firefighters. Respirology. 2010;15(6):975-85. DOI:10.1111/j.1440-1843.2010.01809.x.

          Information

          Journal history

          Keywords

          Directories and indexes

          Google Scholar profile

          Most read in the last 30 days

          Current Issue

          QR code

          Sistema OJS 3.4.0.7 - Metabiblioteca |