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KMID : 1141720210090020073
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폐쇄성폐질환
2021 Volume.9 No. 2 p.73 ~ p.79
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The Role of Lung and Diaphragm Ultrasound in Pulmonary Rehabilitation
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An Tai-Joon
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Abstract
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Patient-tailored treatment is required in pulmonary rehabilitation (PR). For this reason, a comprehensive evaluation of lung and adjacent organ, such as diaphragm, is necessary. The lung ultrasound (LUS) and diaphragm ultrasound (DUS) are emerging diagnostic techniques that the usefulness of those is proved in the various chronic pulmonary diseases. The LUS is a revalued tool which evaluate the status of lung and pleura efficiently without any harm. The DUS is a well-known tool for measuring the factors of diaphragm muscle, such as muscle mass, mobility, contractility, and strength of the diaphragm. Therefore, LUS and DUS are used in PR in various ways. We used LUS to detect comorbid status such as pleural effusion or pneumothorax which are hindrance of exercise. We distinguish the status of exacerbation of underlying diseases by LUS or DUS. These are helpful for determining the proper start timing of PR. Factors which are measured by DUS, such as thickness, thickening fraction, and excursion of diaphragm, are used for assessment and follow-up of outcomes of PR. These are markers of diaphragm dysfunction and atrophy also. We can make plan for exercise such as inspiratory muscle training and we recommend the proper nutritional support to enhance the recovery of muscles. Briefly, LUS and DUS are outstanding tools for performing the PR as patient-tailored way.
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KEYWORD
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Pulmonary rehabilitation, Lung ultrasound, Diaphragm ultrasound
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