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Diaphragm ultrasound for muscle strength assessment: a systematic literature review

2025-11Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorLeote, João
dc.contributor.authorMonteiro, Margarida
dc.contributor.authorRocha, Cláudia
dc.contributor.authorRodrigues, Carolina
dc.contributor.authorPereira, Marco
dc.contributor.authorAntunes, Maria Luz
dc.contributor.authorDias, Maria Hermínia Monteiro Brites
dc.date.accessioned2025-12-15T15:09:34Z
dc.date.available2025-12-15T15:09:34Z
dc.date.issued2025-11
dc.description.abstractObjective: To assess if diaphragmatic ultrasound (DU) reflects diaphragmatic muscle strength when compared to respiratory tests and neurophysiological studies. Methods: A systematic literature review was conducted on adults undergoing DU, compared to any respiratory or neurophysiological technique. The search strategy was applied in PubMed, Scopus, and Web of Science, and the analysis was conducted using the PRISMA methodology. Three eligibility assessment stages were performed: title, abstract, and full-text reading. The risk of bias was evaluated using the RoB 2.0, ROBINS-I, and Newcastle-Ottawa Scale tools. Results: Out of 155 identified articles, 25 were selected for full-text review (14 non-randomised studies, 8 case-control studies, and 3 randomised studies). The overall risk of bias was moderate, with the main biases related to population selection and intervention assessment. Twenty-three articles used maximal inspiratory pressure measurement as a comparator, which showed a weak-to-moderate correlation, significant in 10 studies, with diaphragmatic excursion. Three studies reported a weak association between diaphragmatic thickening and sniff pressure. Five articles reported a concordant correlation between diaphragmatic thickening and compound muscle action potential amplitude, significant only in one study. Conclusion: The variability of results obtained across different pathologies does not support the use of DU alone to predict diaphragmatic muscle strength.eng
dc.identifier.citationLeote J, Monteiro M, Rocha C, Rodrigues C, Palmeira M, Antunes ML, Dias HB. Diaphragm ultrasound for muscle strength assessment: a systematic literature review. Pulmonology. 2025;31(1):2572252.
dc.identifier.doi10.1080/25310429.2025.2572252
dc.identifier.issn2531-0429
dc.identifier.issn2531-0437
dc.identifier.urihttp://hdl.handle.net/10400.21/22315
dc.language.isoeng
dc.peerreviewedyes
dc.publisherInforma UK Limited
dc.relation.hasversionhttps://www.tandfonline.com/doi/full/10.1080/25310429.2025.2572252
dc.relation.ispartofPulmonology
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectDiaphragm
dc.subjectUltrasound
dc.subjectMuscle
dc.subjectDysfunction
dc.titleDiaphragm ultrasound for muscle strength assessment: a systematic literature revieweng
dc.typejournal article
dcterms.referenceshttps://doi.org/10.1080/25310429.2025.2572252
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.startPage2572252
oaire.citation.titlePulmonology
oaire.citation.volume31
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLeote
person.familyNameAntunes
person.familyNameDias
person.givenNameJoão
person.givenNameMaria Luz
person.givenNameMaria Hermínia Monteiro Brites
person.identifier2087122
person.identifier.ciencia-id471A-8CA6-5DCD
person.identifier.ciencia-idB111-6F38-5904
person.identifier.orcid0000-0001-9659-8438
person.identifier.orcid0000-0003-0942-7601
person.identifier.orcid0000-0003-1257-8734
person.identifier.ridB-8661-2015
person.identifier.scopus-author-id57202291460
relation.isAuthorOfPublicationd3b4e894-6bbd-489a-a4f7-af3c61391196
relation.isAuthorOfPublicationdce3e466-ad17-4bea-8b95-4a5b9bb22910
relation.isAuthorOfPublication4ba812bb-8b70-4413-af7a-91e0f04cbad7
relation.isAuthorOfPublication.latestForDiscovery4ba812bb-8b70-4413-af7a-91e0f04cbad7

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