ERJ
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Permissions
Right arrowRequest Permissions
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (84)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Oostveen, E.
Right arrow Articles by Marchal, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Oostveen, E.
Right arrow Articles by Marchal, F.
Eur Respir J 2003; 22:1026-1041
Copyright ©ERS Journals Ltd 2003


The forced oscillation technique in clinical practice: methodology, recommendations and future developments

E. Oostveen1, D. MacLeod2, H. Lorino3, R. Farré4, Z. Hantos5, K. Desager6 and F. Marchal7 on behalf of the ERS Task Force on Respiratory Impedance Measurements

1 Dept of Pulmonary Medicine, University Hospital Antwerp, Belgium. 2 Scottish Intercollegiate Research Training Network, NHS Education for Scotland, UK. 3 Service de Physiologie, Hôpital Henri Mondor, Créteil-Paris, France. 4 Unitat de Biofi 'sica i Bioenginyeria, Facultat de Medicina, Barcelona, Spain. 5 Dept of Medical Informatics, University of Szeged, Hungary. 6 Dept of paediatrics, University Hospital Antwerp, Belgium. 7 Laboratoire d'Explorations Fonctionnelles Pediatriques, Hopital d'Enfants, CHU de Nancy, Vandoeuvre, France.

CORRESPONDENCE: E. Oostveen, Dept of Pulmonary Medicine, University Hospital Antwerp, Wilrijkstraat 10, B-2650, Edegem-Antwerp, Belgium. Fax: 32 38214447. E-mail: Ellie.Oostveen@uza.be

Keywords: forced oscillations, guidelines, respiratory impedance, respiratory mechanics, respiratory resistance, standardisation

Received: August 4, 2003
Accepted August 6, 2003

Abstract

The forced oscillation technique (FOT) is a noninvasive method with which to measure respiratory mechanics. FOT employs small-amplitude pressure oscillations superimposed on the normal breathing and therefore has the advantage over conventional lung function techniques that it does not require the performance of respiratory manoeuvres.

The present European Respiratory Society Task Force Report describes the basic principle of the technique and gives guidelines for the application and interpretation of FOT as a routine lung function test in the clinical setting, for both adult and paediatric populations.

FOT data, especially those measured at the lower frequencies, are sensitive to airway obstruction, but do not discriminate between obstructive and restrictive lung disorders. There is no consensus regarding the sensitivity of FOT for bronchodilation testing in adults. Values of respiratory resistance have proved sensitive to bronchodilation in children, although the reported cutoff levels remain to be confirmed in future studies.

Forced oscillation technique is a reliable method in the assessment of bronchial hyperresponsiveness in adults and children. Moreover, in contrast with spirometry where a deep inspiration is needed, forced oscillation technique does not modify the airway smooth muscle tone. Forced oscillation technique has been shown to be as sensitive as spirometry in detecting impairments of lung function due to smoking or exposure to occupational hazards. Together with the minimal requirement for the subject's cooperation, this makes forced oscillation technique an ideal lung function test for epidemiological and field studies. Novel applications of forced oscillation technique in the clinical setting include the monitoring of respiratory mechanics during mechanical ventilation and sleep.



View larger version (28K):
[in this window]
[in a new window]
 
Fig. 4.—
 



This article has been cited by other articles:


Home page
Am. J. Respir. Crit. Care Med.Home page
H. K. Reddel, D. R. Taylor, E. D. Bateman, L.-P. Boulet, H. A. Boushey, W. W. Busse, T. B. Casale, P. Chanez, P. L. Enright, P. G. Gibson, et al.
An Official American Thoracic Society/European Respiratory Society Statement: Asthma Control and Exacerbations: Standardizing Endpoints for Clinical Asthma Trials and Clinical Practice
Am. J. Respir. Crit. Care Med., July 1, 2009; 180(1): 59 - 99.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
B. S. von Ungern-Sternberg, T. O. Erb, W. Habre, P. D. Sly, and Z. Hantos
The Impact of Oral Premedication with Midazolam on Respiratory Function in Children
Anesth. Analg., June 1, 2009; 108(6): 1771 - 1776.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
K. Bidad, H. Heidarnazhad, A. Kazemnejad, and Z. Pourpak
Impulse oscillometry in comparison to spirometry in pregnant asthmatic females
Eur. Respir. J., December 1, 2008; 32(6): 1673 - 1675.
[Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
A. M. Slats, K. Janssen, R. C. de Jeu, D. T. van der Plas, R. Schot, J. G. van den Aardweg, and P. J. Sterk
Enhanced airway dilation by positive-pressure inflation of the lungs compared with active deep inspiration in patients with asthma
J Appl Physiol, December 1, 2008; 105(6): 1725 - 1732.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
K. Udomittipong, P. D. Sly, H. J. Patterson, C. L. Gangell, S. M. Stick, and G. L. Hall
Forced oscillations in the clinical setting in young children with neonatal lung disease
Eur. Respir. J., June 1, 2008; 31(6): 1292 - 1299.
[Abstract] [Full Text] [PDF]


Home page
Chronic Respiratory DiseaseHome page
P Enright and M McCormack
Assessing the airways
Chronic Respiratory Disease, May 1, 2008; 5(2): 115 - 119.
[Abstract] [PDF]


Home page
Eur Respir JHome page
C. L. Gangell, F. Horak Jr, H. J. Patterson, P. D. Sly, S. M. Stick, and G. L. Hall
Respiratory impedance in children with cystic fibrosis using forced oscillations in clinic
Eur. Respir. J., November 1, 2007; 30(5): 892 - 897.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
B. W. Oppenheimer, R. M. Goldring, M. E. Herberg, I. S. Hofer, P. A. Reyfman, S. Liautaud, W. N. Rom, J. Reibman, and K. I. Berger
Distal Airway Function in Symptomatic Subjects With Normal Spirometry Following World Trade Center Dust Exposure
Chest, October 1, 2007; 132(4): 1275 - 1282.
[Abstract] [Full Text] [PDF]


Home page
ThoraxHome page
C. Thamrin, C. L Gangell, K. Udomittipong, M. M H Kusel, H. Patterson, T. Fukushima, A. Schultz, G. L Hall, S. M Stick, and P. D Sly
Assessment of bronchodilator responsiveness in preschool children using forced oscillations
Thorax, September 1, 2007; 62(9): 814 - 819.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
C. A. Lall, N. Cheng, P. Hernandez, P. T. Pianosi, Z. Dali, A. Abouzied, and G. N. Maksym
Airway resistance variability and response to bronchodilator in children with asthma
Eur. Respir. J., August 1, 2007; 30(2): 260 - 268.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
C. Diba, C. M. Salome, H. K. Reddel, C. W. Thorpe, B. Toelle, and G. G. King
Short-term variability of airway caliber--a marker of asthma?
J Appl Physiol, July 1, 2007; 103(1): 296 - 304.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
N. Beydon, S. D. Davis, E. Lombardi, J. L. Allen, H. G. M. Arets, P. Aurora, H. Bisgaard, G. M. Davis, F. M. Ducharme, H. Eigen, et al.
An Official American Thoracic Society/European Respiratory Society Statement: Pulmonary Function Testing in Preschool Children
Am. J. Respir. Crit. Care Med., June 15, 2007; 175(12): 1304 - 1345.
[Full Text] [PDF]


Home page
ThoraxHome page
G. L Hall, P. D Sly, T. Fukushima, M. M Kusel, P. J Franklin, F. Horak Jr, H. Patterson, C. Gangell, and S. M Stick
Respiratory function in healthy young children using forced oscillations
Thorax, June 1, 2007; 62(6): 521 - 526.
[Abstract] [Full Text] [PDF]


Home page
ThoraxHome page
M. K Johnson, M. Birch, R. Carter, J. Kinsella, and R. D Stevenson
Measurement of physiological recovery from exacerbation of chronic obstructive pulmonary disease using within-breath forced oscillometry
Thorax, April 1, 2007; 62(4): 299 - 306.
[Abstract] [Full Text] [PDF]


Home page
NeurologyHome page
H. K. Young, A. Lowe, D. A. Fitzgerald, C. Seton, K. A. Waters, E. Kenny, L. S. Hynan, S. T. Iannaccone, K. N. North, and M. M. Ryan
Outcome of noninvasive ventilation in children with neuromuscular disease
Neurology, January 16, 2007; 68(3): 198 - 201.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
C. Schweitzer, L. T. T. Vu, Y. T. Nguyen, C. Chone, B. Demoulin, and F. Marchal
Estimation of the bronchodilatory effect of deep inhalation after a free run in children
Eur. Respir. J., July 1, 2006; 28(1): 89 - 95.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
N. B. Pride
Ageing and changes in lung mechanics
Eur. Respir. J., October 1, 2005; 26(4): 563 - 565.
[Full Text] [PDF]


Home page
Eur Respir JHome page
Y. F. Guo, F. Herrmann, J-P. Michel, and J-P. Janssens
Normal values for respiratory resistance using forced oscillation in subjects >65 years old
Eur. Respir. J., October 1, 2005; 26(4): 602 - 608.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
C. Thamrin, P. D. Sly, and Z. Hantos
Broadband frequency dependence of respiratory impedance in rats
J Appl Physiol, October 1, 2005; 99(4): 1364 - 1371.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
A. Casas, F. P. Gomez, B. Dahlen, J. Roca, J. A. Barbera, S-E. Dahlen, and R. Rodriguez-Roisin
Leukotriene D4-induced hypoxaemia in asthma is mediated by the cys-leukotriene1 receptor
Eur. Respir. J., September 1, 2005; 26(3): 442 - 448.
[Abstract] [Full Text] [PDF]


Home page
JEMHome page
R. L. Coffman and E. M. Hessel
Nonhuman primate models of asthma
J. Exp. Med., June 20, 2005; 201(12): 1875 - 1879.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
M. K. Johnson, M. Birch, R. Carter, J. Kinsella, and R. D. Stevenson
Use of reactance to estimate transpulmonary resistance
Eur. Respir. J., June 1, 2005; 25(6): 1061 - 1069.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
C. Delclaux, F. Zerah-Lancner, B. Mahut, S. Ribeil, A. Dubois, C. Larger, and A. Harf
Alveolar Nitric Oxide and Effect of Deep Inspiration During Methacholine Challenge
Chest, May 1, 2005; 127(5): 1696 - 1702.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
R. A. Watson and N. B. Pride
Postural changes in lung volumes and respiratory resistance in subjects with obesity
J Appl Physiol, February 1, 2005; 98(2): 512 - 517.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
R. Farre and D. Navajas
Assessment of expiratory flow limitation in chronic obstructive pulmonary disease: a new approach
Eur. Respir. J., February 1, 2004; 23(2): 187 - 188.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2003 by the European Respiratory Society.