Ultrasonographic evaluation of the diaphragm thickness in patients with multiple sclerosis

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dc.authoridşahin, hamza/0000-0002-5486-5785
dc.authoridEkiz, Timur/0000-0002-9249-8162
dc.authorwosidşahin, hamza/ADT-9413-2022
dc.contributor.authorSahin, Hamza
dc.contributor.authorDogan, Adil
dc.contributor.authorEkiz, Timur
dc.date.accessioned2024-06-13T20:18:03Z
dc.date.available2024-06-13T20:18:03Z
dc.date.issued2019
dc.departmentİstanbul Gedik Üniversitesi
dc.description.abstractBackground: Diaphragm weakness or dysfunction have been previously reported in multiple sclerosis (MS) patients. The aim of this study was to evaluate diaphragm thickness and thickenning ratio (TR) using ultrasound in MS patients. Methods: This prospective study comprised MS patients and a control group. Ultrasound examination was performed using a linear transducer (6-15 MHz). The diaphragm was seen as a hypoechoic structre between the peritoneum and pleura. End-expirium and end-inspirium measurements were obtained. Change levels and TR (%) were calculated. All participants were assessed using the Expanded Distability Status Scale (EDSS) and Fatigue Severity Scale (FSS). Results: Evaluation was made of 45 MS patients (11 males, 34 females) with a mean age of 37.36 +/- 9.0 years and 36 healthy subjects (3 males, 33 females) with a mean age of 35.19 +/- 9.3 years. The diaphragm thicknesses were similar at end-expirium (1.86 +/- 0.3 vs. 1.83 +/- 0.3 mm) and end-inspirium (3.14 +/- 0.6 vs. 3.46 +/- 0.6 mm). The change level with inspirium (0.90 +/- 0.6 vs. 1.31 +/- 0.7 mm) and TR (49.77 +/- 37.7 vs. 72.30 +/- 40.1%) were significantly higher in the control group compared to the values of MS patients. A weak and negative correlation was determined between EDSS and TR values (r = -0.293, p = 0.008), and no significant correlation was observed between the FSS values and diaphragm thickness (p > 0.05 for all). Conclusion: Although the diaphragm thickness of MS patients seems to be similar to those of healthy subjects, the change level and TR of MS patients seem to be lower. Furthermore, the change level and TR were found to be associated with EDSS.
dc.identifier.doi10.1016/j.msard.2019.08.011
dc.identifier.issn2211-0348
dc.identifier.issn2211-0356
dc.identifier.pmid31446243
dc.identifier.scopus2-s2.0-85070907691
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.msard.2019.08.011
dc.identifier.urihttps://hdl.handle.net/11501/1192
dc.identifier.volume36
dc.identifier.wosWOS:000502098900044
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofMultiple Sclerosis and Related Disorders
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMultiple Sclerosis
dc.subjectUltrasound
dc.subjectUltrasonography
dc.subjectDiaphragm
dc.subjectUltrasound
dc.subjectScale
dc.titleUltrasonographic evaluation of the diaphragm thickness in patients with multiple sclerosis
dc.typeArticle

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