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

European Respiratory Journal

Volumn 22, Issue 6, 2003, Pages 1026-1041

  Oostveen, Ellie ^a   MacLeod, D ^b   Lorino, H ^c   Farre R ^d   Hantos, Z ^e   Desager, K ^a   Marchal, F ^f  

^a ANTWERP UNIVERSITY HOSPITAL   (Belgium)

^b NHS EDUCATION FOR SCOTLAND   (United Kingdom)

^c HENRI MONDOR HOSPITAL   (France)

^d Facultat de Medicina   (Spain)

^e UNIVERSITY OF SZEGED   (Hungary)

^f HÔPITAL D ENFANTS   (France)

Author keywords

Forced oscillations; Guidelines; Respiratory impedance; Respiratory mechanics; Respiratory resistance; Standardisation

Indexed keywords

ADOLESCENT; ADULT; AIRWAY OBSTRUCTION; ARTIFICIAL VENTILATION; BREATHING; BREATHING MECHANICS; BRONCHODILATATION; BRONCHUS HYPERREACTIVITY; CHILD; CLINICAL PRACTICE; ENVIRONMENTAL EXPOSURE; EUROPEAN UNION; FEMALE; HUMAN; LUNG DISEASE; LUNG FUNCTION TEST; LUNG RESISTANCE; MALE; MEDICAL SOCIETY; METHODOLOGY; MONITORING; MUSCLE TONE; NON INVASIVE MEASUREMENT; OCCUPATIONAL HAZARD; OSCILLATION; POPULATION RESEARCH; PRACTICE GUIDELINE; PRIORITY JOURNAL; RELIABILITY; REVIEW; SENSITIVITY ANALYSIS; SLEEP; SMOKING; SMOOTH MUSCLE; SPIROMETRY;

EID: 0346121617     PISSN: 09031936     EISSN: None     Source Type: Journal    
DOI: 10.1183/09031936.03.00089403     Document Type: Review

References (163)

1. van de Woestijne KP, Desager KN, Duiverman EJ, Marchal F. Recommendations for measurement of respiratory input impedance by means of the forced oscillation method. Eur Respir Rev 1994; 4: 235-237.
2. DuBois AB, Brody AW, Lewis DH, Burgess BF. Oscillation mechanics of lungs and chest in man. J Appl Physiol 1956; 8: 587-594.
3. Peslin R, Fredberg JJ. Oscillation mechanics of the respiratory system. In: Macklem PT, Mead J, eds. Handbook of Physiology. The Respiratory System. Mechanics of Breathing. Bethesda, MD, American Physiological Society, 1986; pp. 145-178.
4. Pride NB. Forced oscillation techniques for measuring mechanical properties of the respiratory system. Thorax 1992; 47: 317-320.
5. Marchal F, Loos N. Respiratory oscillation mechanics in infant and preschool children. Eur Respir Mon 1997; 5: 58-87.
6. Navajas D, Farré R. Forced oscillation technique: from theory to clinical applications. Monaldi Arch Chest Dis 2001; 56: 555-562.
7. MacLeod D, Birch M. Respiratory input impedance measurement: forced oscillation methods. Med Biol Eng Comput 2001; 39: 505-516.
8. Peslin R, Duvivier C, Didelon J, Gallina C. Respiratory impedance measured with head generator to minimize upper airway shunt. J Appl Physiol 1985; 59: 1790-1795.
9. van de Woestijne KP, Franken H, Cauberghs M, Làndsær FJ, Clément J. A modification of the forced oscillation technique. In: Hutàs I, Debreczeni LA, eds. Respiration. Budapest, Adv Physiol Sci, 1981; pp. 655-660.
10. Peslin R, Jardin P, Duvivier C, Begin P. In-phase requirements for measuring respiratory input impedance. J Applied Physiol 1984; 56: 804-809.
11. Hellinckx J, Cauberghs M, De Boeck K, Demedts M. Evaluation of impulse oscillation system: comparison with forced oscillation technique and body plethysmography. Eur Respir J 2001; 18: 564-570.
12. Rotger M, Peslin R, Farré R, Duvivier C. Influence of amplitude, phase and frequency content of pseudorandom pressure input on impedance data and their variability. Eur Respir Rev 1991; 1: 178-182.
13. Daróczy B, Hantos Z. Generation of optimum pseudorandom signals for respiratory impedance measurements. Int J Biomed Comput 1990; 25: 21-31.
14. Farré R, Rotger M, Navajas D. Optimized estimation of respiratory impedance by signal averaging in the time domain. J Appl Physiol 1992; 73: 1181-1189.
15. Navajas D, Farré R, Rotger M, Peslin R. A new estimate to minimize the error due to breathing in the measurements of respiratory impedance. IEEE Trans Biomed Eng 1988; 35: 1001-1005.
16. Daróczy B, Hantos Z. An improved forced oscillatory estimation of respiratory impedance. Int J Biomed Comput 1982; 1982: 221-225.
17. Lorino H, Mariette C, Karouia M, Lorino AM. Influence of signal processing on estimation of respiratory impedance. J Appl Physiol 1993; 74: 215-223.
18. Michaelson ED, Grassman ED, Peters WR. Pulmonary mechanics by spectral analysis of forced random noise. J Clin Invest 1975; 56: 1210-1230.
19. Cauberghs M, Van de Woestijne KP. Effect of upper airway shunt and series properties on respiratory impedance measurements. J Appl Physiol 1989; 66: 2274-2279.
20. Peslin R, Duvivier C, Gallina C, Cervantes P. Upper airway artefact in respiratory impedance measurements. Am Rev Respir Dis 1985; 132: 712-714.
21. Marchal F, Haouzi P, Peslin R, Duvivier C, Gallina C. Mechanical properties of the upper airway wall in children and their influence on respiratory impedance measurements. Pediatr Pulmonol 1992; 13: 28-33.
22. Peslin R, Duvivier C, Jardin P. Upper airway walls impedance measured with head plethysmograph. J Appl Physiol 1984; 57: 596-600.
23. Marchal F, Mazurek H, Habib M, Duvivier C, Derelle J, Peslin R. Input respiratory impedance to estimate airway hyperreactivity in children: standard method versus head generator. Eur Respir J 1994; 7: 601-607.
24. Govaerts E, Cauberghs M, Demedts M, Van de Woestijne KP. Head generator versus conventional technique in respiratory input impedance measurements. Eur Respir Rev 1994; 4: 143-149.
25. Farré R, Rotger M, Marchal F, Peslin R, Navajas D. Assessment of bronchial reactivity by forced oscillation admittance avoids the upper airway artefact. Eur Respir J 1999; 13: 761-766.
26. Peslin R, Teculescu D, Locuty J, Gallina C, Duvivier C. Normal values of the total respiratory input impedance with the head generator technique. Eur Resp Rev 1994; 4: 138-142.
27. Mazurek HK, Marchal F, Derelle J, Hatahet R, Moneret-Vautrin D, Monin P. Specificity and sensitivity of respiratory impedance in assessing reversibility of airway obstruction in children. Chest 1995; 107: 996-1002.
28. Làndsér FJ, Clément J, Van de Woestijne KP. Normal values of total respiratory resistance and reactance determined by forced oscillations: influence of smoking. Chest 1982; 81: 586-591.
29. Clément J, Làndsér FJ, van de Woestijne KP. Total resistance and reactance in patients with respiratory complaints with and without airways obstruction. Chest 1983; 83: 215-220.
30. Gimeno F, van der Weele LT, Koëter GH, van Altena R. Forced oscillation technique. Reference values for total respiratory resistance obtained with the Siemens Siregnost FD5. Ann Allergy 1992; 68: 155-158.
31. Pasker HG, Mertens I, Clément J, Van de Woestijne KP. Normal values of total respiratory input resistance and reactance for adult men and women. Eur Respir Rev 1994; 4: 134-137.
32. Pasker HG, Schepers R, Clément J, van de Woestijne KP. Total respiratory impedance measured by means of the forced oscillation technique in subjects with and without respiratory complaints. Eur Respir J 1996; 9: 131-139.
33. Zerah F, Lorino AM, Lorino H, Harf A, Macquin-Mavier I. Forced oscillation technique vs spirometry to assess bronchodilatation in patients with asthma and COPD. Chest 1995; 108: 41-47.
34. Duiverman EJ, Clément J, van de Woestijne KP, Neijens HJ, van den Bergh ACM, Kerrebijn KF. Forced oscillation technique. Reference values for resistance and reactance over a frequency spectrum of 2-26 Hz in healthy children aged 2.3-12.5 years. Bull Eur Physiopathol Respir 1985; 21: 171-178.
35. Cuijpers CE, Wesseling G, Swaen GM, Wouters EF. Frequency dependence of oscillatory resistance in healthy primary school children. Respiration 1993; 60: 149-154.
36. Hantos Z, Daróczy B, Gyurkovits K. Total respiratory impedance in healthy children. Pediatr Pulmonol 1985; 1: 91-98.
37. Cogswell JJ. Forced oscillation technique for determination of resistance to breathing in children. Arch Dis Child 1973; 48: 259-266.
38. Hordvik NL, König P, Morris DA, Kreutz C, Pimmel RL. Normal values for forced oscillatory respiratory resistance in children. Pediatr Pulmonol 1985; 1: 145-148.
39. Lebecque P, Desmond K, Swartebroeckx Y, Dubois P, Lulling J, Coates A. Measurement of respiratory system resistance by forced oscillation in normal children: a comparison with spirometric values. Pediatr Pulmonol 1991; 10: 117-122.
40. Solymar L, Aronsson PH, Bake B, Bjure J. Respiratory resistance and impedance magnitude in healthy children aged 2-18 years. Pediatr Pulmonol 1985; 1: 134-140.
41. Stanescu D, Moavero NE, Veriter C, Brasseur L. Frequency dependence of respiratory resistance in healthy children. J Appl Physiol 1979; 47: 268-272.
42. Williams SP, Fullton JM, Tsai MJ, Pimmel RL, Collier AM. Respiratory impedance and derived parameters in young children by forced random noise. J Appl Physiol 1979; 47: 169-174.
43. Mansell A, Levison H, Kruger K, Tripp TL. Measurement of respiratory resistance in children by forced oscillations. Am Rev Respir Dis 1972; 106: 710-714.
44. Hellinckx J, De Boeck K, Bande-Knops J, van der Poel M, Demedts M. Bronchodilator response in 3-6.5 years old healthy and stable asthmatic children. Eur Respir J 1998; 12: 438-443.
45. Ducharme FM, Davis GM, Ducharme GR. Pediatric reference values for respiratory resistance measured by forced oscillation. Chest 1998; 113: 1322-1328.
46. Mazurek H, Willim G, Marchal F, Haluszka J, Tomalak W. Input respiratory impedance measured by head generator in preschool children. Pediatr Pulmonol 2000; 30: 47-55.
47. Willim G, Mazurek H, Kurzawa R, et al. Reference values of lung function measurements in polish children and adolescents. Part 1: respiratory resistance and reactance measured by forced oscillation technique (FOT). J Int Rev Allergol Clin Immunol 2000; 6: 70-78.
48. Neild JE, Twort CH, Chinn S, et al. The repeatability and validity of respiratory resistance measured by the forced oscillation technique. Respir Med 1989; 83: 111-118.
49. van den Elshout FJ, van de Woestijne KP, Folgering HT. Variations of respiratory impedance with lung volume in bronchial hyperreactivity. Chest 1990; 98: 358-364.
50. Snashall PD, Parker S, Phil M, Ten Haave P, Simmons D, Noble MIM. Use of an impedance meter for measuring airways responsiveness to histamine. Chest 1991; 99: 1183-1185.
51. Gimeno F, van der Weele LT, Koëter GH, de Monchy JGR, van Altena R. Variability of forced oscillation (Siemens Siregnost FD 5) measurements of total respiratory resistance in patients and healthy subjects. Ann Allergy 1993; 71: 56-60.
52. van Noord JA, Smeets J, Clément J, van de Woestijne KP, Demedts M. Assessment of reversibility of airflow obstruction. Am J Respir Crit Care Med 1994; 150: 551-554.
53. Solymar L, Aronsson PH, Engstrom I, Bake B, Bjure J. Forced oscillation technique and maximum expiratory flows in bronchial provocation tests in children. Eur J Respir Dis 1984; 65: 486-495.
54. Timonen KL, Randell JT, Salonen RO, Pekkanen J. Short-term variations in oscillatory and spirometric lung function indices among school children. Eur Respir J 1997; 10: 82-87.
55. Buhr W, Jorres R, Berdel D, Landser FJ. Correspondence between forced oscillation and body plethysmography during bronchoprovocation with carbachol in children. Pediatr Pulmonol 1990; 8: 280-288.
56. Lenney W, Milner AD. At what age do bronchodilator drugs work? Arch Dis Child 1978; 53: 532-735.
57. Delacourt C, Lorino H, Herve-Guillot M, Reinert P, Harf A, Housset B. Use of the forced oscillation technique to assess airway obstruction and reversibility in children. Am J Respir Crit Care Med 2000; 161: 730-736.
58. Tomalak W, Elbousefi A, Kurzawa R, Doniec Z. Diurnal variations of respiratory system resistance and compliance derived from input impedance in asthmatic children. Respir Physiol 2000; 123: 101-108.
59. van Noord JA, Clément J, van de Woestijne KP, Demedts M. Total respiratory resistance and reactance in patients with asthma, chronic bronchitis, and emphysema. Am Rev Respir Dis 1991; 143: 922-927.
60. Govaerts E, Demedts M, Van de Woestijne KP. Total respiratory impedance and early emphysema. Eur Respir J 1993; 6: 1181-1185.
61. Wesseling GJ, Wouters EF. Analysis of respiratory impedance characteristics in chronic bronchitis. Respiration 1992; 59: 81-88.
62. van Noord JA, Cauberghs M, van de Woestijne KP, Demedts M. Total respiratory resistance and reactance in ankylosing spondylitis and kyphoscoliosis. Eur Respir J 1991; 4: 945-951.
63. Horan T, Mateus S, Beraldo P, et al. Forced oscillation technique to evaluate tracheostenosis in patients with neurological injury. Chest 2001; 120: 69-73.
64. van Noord JA, Clément J, Cauberghs M, Mertens I, van de Woestijne KP, Demedts M. Total respiratory resistance and reactance in patients with diffuse interstitial lung disease. Eur Respir J 1989; 2: 846-852.
65. Zerah F, Harf A, Perlemuter L, Lorino H, Lorino AM, Atlan G. Effects of obesity on respiratory resistance. Chest 1993; 103: 1470-1476.
66. Lebecque P, Stanescu D. Respiratory resistance by the forced oscillation technique in asthmatic children and cystic fibrosis patients. Eur Respir J 1997; 10: 891-895.
67. Holmgren D, Engstrom I, Bjure J, Sixt R, Aberg N. Respiratory resistance and transcutaneous PO2 during histamine provocation in children with bronchial asthma. Pediatr Pulmonol 1993; 15: 168-174.
68. Ducharme FM, Davis GM. Measurement of respiratory resistance in the emergency department: feasibility in young children with acute asthma. Chest 1997; 111: 1519-1525.
69. Chalut DS, Ducharme FM, Davis GM. The preschool respiratory assessment measure (PRAM): a responsive index of acute asthma severity. J Pediatr 2000; 137: 762-768.
70. Solymar L, Aronsson PH, Sixt R. The forced oscillation technique in children with respiratory disease. Pediatr Pulmonol 1985; 1: 256-261.
71. Hellinckx J, De Boeck K, Demedts M. No paradoxical bronchodilator response with forced oscillation technique in children with cystic fibrosis. Chest 1998; 113: 55-59.
72. Duiverman EJ, Den Boer JA, Roorda RJ, Rooyackers CMHM, Valstar M, Kerrebijn KF. Lung function and bronchial responsiveness measured by forced oscillometry after bronchopulmonary dysplasia. Arch Dis Child 1988; 63: 727-732.
73. Malmberg LP, Mieskonen S, Pelkonen A, Kari A, Sovijärvi ARA, Turpeinen M. Lung function measured by the oscillometric method in prematurely born children with chronic lung disease. Eur Respir J 2000; 16: 598-603.
74. Carvalhaes-Neto N, Lorino H, Gallinari C, et al. Cognitive function and assessment of lung function in the elderly. Am J Respir Crit Care Med 1995; 152: 1611-1615.
75. Coe CI, Watson A, Joyce H, Pride NB. Effects of smoking on changes in respiratory resistance with increasing age. Clin Sci (Colch) 1989; 76: 487-494.
76. Brochard L, Pelle G, de Palmas J, et al. Density and frequency dependence of resistance in early airway obstruction. Am Rev Respir Dis 1987; 135: 579-584.
77. Peslin R, Pham QT, Teculescu D, Gallina C, Duvivier C. Comparative value of respiratory input and transfer impedances in field studies. Bull Eur Physiopathol Respir 1987; 23: 37-42.
78. Pham QT, Bourgkard E, Chau N, et al. Forced oscillation technique (FOT): a new tool for epidemiology of occupational lung diseases? Eur Respir J 1995; 8: 1307-1313.
79. Iwatsubo Y, Lorino H, Hubert C, et al. Measurement of respiratory impedance by forced oscillation: comparison of the standard and head generator methods. Eur Respir J 1994; 7: 901-906.
80. Pasker HG, Peeters M, Genet P, Clément J, Nemery B, van de Woestijne KP. Short-term ventilatory effects in workers exposed to fumes containing zincoxide: comparison of forced oscillation technique with spirometry. Eur Respir J 1997; 10: 1523-1529.
81. Pairon JC, Iwatsubo Y, Hubert C, et al. Measurement of bronchial responsiveness by forced oscillation technique in occupational epidemiology. Eur Respir J 1994; 7: 484-489.
82. Bohadana AB, Peslin R, Megherbi SE, et al. Dose-response slope of forced oscillation and forced expiratory parameters in bronchial challenge testing. Eur Respir J 1999; 13: 295-300.
83. Santoli F, Zerah F, Vasile N, Bachir D, Galacteros F, Atlan G. Pulmonary function in sickle cell disease with or without acute chest syndrome. Eur Respir J 1998; 12: 1124-1129.
84. Làndsér FJ, Nagels J, van de Woestijne KP. Implementation by means of microprocessor techniques for the measurement of total respiratory impedance during spontaneous breathing. Prog Resp Res 1979; 11: 135-143.
85. Wouters EF, Verschoof AC, Polko AH, Visser BF. Impedance measurements of the respiratory system before and after salbutamol in COPD patients. Respir Med 1989; 83: 309-313.
86. Ducharme FM, Davis GM. Respiratory resistance in the emergency department: a reproducible and responsive measure of asthma severity. Chest 1998; 113: 1566-1572.
87. Wanner A, Zarzecki S, Marks MB. Continuous measurement of respiratory resistance in asthmatic children. Respiration 1977; 34: 61-68.
88. Menon P, Hilman BC, Menon V, Bairnsfather L. Assessment of response to oral metaproterenol sulfate by forced oscillation in young children. Ann Allergy 1988; 60: 547-551.
89. Konig P, Gayer D, Kantak A, Kreutz C, Douglass B, Hordvik NL. A trial of metaproterenol by metered-dose inhaler and two spacers in preschool asthmatics. Pediatr Pulmonol 1988; 5: 247-251.
90. Groggins RC, Milner AD, Stokes GM. Bronchodilator effects of clemastine, ipratropium, bromide, and salbutamol in preschool children with asthma. Arch Dis Child 1981; 56: 342-344.
91. Nussbaum E, Eyzaguirre M, Galant SP. Dose-response relationship of inhaled metaproterenol sulfate in preschool children with mild asthma. Pediatrics 1990; 85: 1072-1075.
92. Pauwels JH, Desager KN, Creten WL, Van der Veken J, Van Bever HP. Study of the bronchodilating effect of three doses of nebulized oxitropium bromide in asthmatic preschool children using the forced oscillation technique. Eur J Pediatr 1997; 156: 329-332.
93. Crapo RO, Casaburi R, Coates AL, et al. Guidelines for methacholine and exercise challenge testing-1999. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors, July 1999. Am J Respir Crit Care Med 2000; 161: 309-329.
94. Sterk PJ, Fabbri LM, Quanjer PH, et al. Airway responsiveness. Standardized challenge testing with pharmacological, physical and sensitizing stimuli in adults. Eur Respir J 1993; 6: Suppl. 16, 53-83.
95. Wesseling GJ, Vanderhoven-Augustin IM, Wouters EF. Forced oscillation technique and spirometry in cold air provocation tests. Thorax 1993; 48: 254-259.
96. Tamura G, Mue S, Ishihara T, Takishima T. The single exposure method for inhalation challenge with allergen. J Allergy Clin Immunol 1985; 75(1 Pt 1): 47-54.
97. Weersink EJ, vd Elshout FJ, van Herwaarden CV, Folgering H. Bronchial responsiveness to histamine and methacholine measured with forced expirations and with the forced oscillation technique. Respir Med 1995; 89: 351-356.
98. van Noord JA, Clément J, van de Woestijne KP, Demedts M. Total respiratory resistance and reactance as a measurement of response to bronchial challenge with histamine. Am Rev Respir Dis 1989; 139: 921-926.
99. Schmekel B, Smith HJ. The diagnostic capacity of forced oscillation and forced expiration techniques in identifying asthma by isocapnic hyperpnoea of cold air. Eur Respir J 1997; 10: 2243-2249.
100. Chinet T, Pelle G, Macquin-Mavier I, Lorino H, Harf A. Comparison of the dose-response curves obtained by forced oscillation and plethysmography during carbachol inhalation. Eur Respir J 1988; 1: 600-605.
101. Pennings HJ, Wouters EF. Effect of inhaled beclomethasone dipropionate on isocapnic hyperventilation with cold air in asthmatics, measured with forced oscillation technique. Eur Respir J 1997; 10: 665-671.
102. Manço JC, Hyatt RE, Rodarte JR. Respiratory impedance in normal humans: effects of bronchodilatation and bronchoconstriction. Mayo Clin Proc 1987; 62: 487-497.
103. Sekizawa K, Yanai M, Shimizu Y, Sasaki H, Takishima T. Serial distribution of bronchoconstriction in normal subjects. Methacholine versus histamine. Am Rev Respir Dis 1988; 137: 1312-1316.
104. Sekizawa K, Sasaki H, Shimizu Y, Takishima T. Dose-response effects of methacholine in normal and in asthmatic subjects. Relationship between the site of airway response and overall airway hyperresponsiveness. Am Rev Respir Dis 1986; 133: 593-599.
105. Wang YT, Coe CI, Pride NB. Effect on histamine responsiveness of reducing airway dimensions by altering posture. Thorax 1990; 45: 530-535.
106. Saito H, Nishimura M, Shinano H, Sato F, Miyamoto K, Kawakami Y. Effect of mild hypoxia on airway responsiveness to methacholine in subjects with airway hyperresponsiveness. Chest 1999; 116: 1653-1658.
107. Fujimori K, Satoh M, Arakawa M. Ventilatory response to continuous incremental changes in respiratory resistance in patients with mild asthma. Chest 1996; 109: 1525-1531.
108. Duiverman EJ, Neijens HJ, Van der Snee-van Smaalen M, Kerrebijn KF. Comparison of forced oscillometry and forced expirations for measuring dose-related responses to inhaled methacholine in asthmatic children. Bull Eur Physiopathol Respir 1986; 22: 433-436.
109. Lebecque P, Spier S, Lapierre JG, Lamarre A, Zinman R, Coates AL. Histamine challenge test in children using forced oscillation to measure total respiratory resistance. Chest 1987; 92: 313-318.
110. Duiverman EJ, Neijens HJ, van Strik R, van der Snee-van Smaalen M, Kerrebijn KF. Bronchial responsiveness in asthmatic children aged 3 to 8 years measured by forced pseudo-random noise oscillometry. Bull Eur Physiopathol Respir 1986; 22: 27-33.
111. Wilson NM, Bridge P, Phagoo SB, Silverman M. The measurement of methacholine responsiveness in 5 year old children: three methods compared. Eur Respir J 1995; 8: 364-370.
112. Klug B, Bisgaard H. Measurement of lung function in awake 2-4-year-old asthmatic children during methacholine challenge and acute asthma: a comparison of the impulse oscillation technique, the interrupter technique, and transcutaneous measurement of oxygen versus whole-body plethysmography. Pediatr Pulmonol 1996; 21: 290-300.
113. Bisgaard H, Klug B. Lung function measurement in awake young children. Eur Respir J 1995; 8: 2067-2075.
114. Bouaziz N, Beyaert C, Gauthier R, Monin P, Peslin R, Marchal F. Respiratory system reactance as an indicator of the intrathoracic airway response to methacholine in children. Pediatr Pulmonol 1996; 22: 7-13.
115. Gaultier C, Fletcher ME, Beardsmore C, England S, Motoyama E. Respiratory function measurements in infants: measurement conditions. Eur Respir J 1995; 8: 1057-1066.
116. Desager KN, Marchal F, Van de Woestijne KP. Forced oscillation technique. In: Stocks J, Sly PD, Tepper RS, Morgan WJ, eds. Infant respiratory function testing. New York, Wiley-Liss, 1996; pp. 355-378.
117. Farré R, Navajas D, Peslin R, Rotger M, Duvivier C. A correction procedure for the asymmetry of differential pressure transducers in respiratory impedance measurements. IEEE Trans Biomed Eng 1989; 36: 1137-1140.
118. Desager KN, Buhr W, Willemen M, et al. Measurement of total respiratory impedance in infants by the forced oscillation technique. J Appl Physiol 1991; 71: 770-776.
119. Desager KN, Cauberghs M, Van de Woestijne KP. Two-point calibration procedure of the forced oscillation technique. Med Biol Eng Comput 1997; 35: 752-756.
120. Marchal F, Peslin R, Duvivier C, Gallina C, Crance JP. Mechanics of the ventilatory system in sedated infants: Forced oscillations versus singlebreath method. Pediatr Pulmonol 1988; 5: 19-26.
121. Marchal F, Peslin R, Duvivier C, Gallina C, Crance JP. Measurement of ventilatory mechanical impedance in infants using a head pressure generator. Pediatr Pulmonol 1989; 7: 209-216.
122. Desager KN, Cauberghs M, Naudts J, van de Woestijne KP. Influence of upper airway shunt on total respiratory impedance in infants. J Appl Physiol 1999; 87: 902-909.
123. Desager KN, Willemen M, Van Bever HP, De Backer W, Vermeire PA. Evaluation of nasal impedance using the forced oscillation technique in infants. Pediatr Pulmonol 1991; 11: 1-7.
124. Dorkin HL, Stark AR, Werthammer JW, Strieder DJ, Fredberg JJ, Frantz IDR. Respiratory system impedance from 4 to 40 Hz in paralyzed intubated infants with respiratory disease. J Clin Invest 1983; 72: 903-910.
125. Gauthier R, Beyaert C, Feillet F, Monin P, Marchal F. Respiratory oscillation mechanics in infants with bronchiolitis during mechanical ventilation. Pediatr Pulmonol 1998; 25: 18-31.
126. Martinez FD, Morgan WJ, Wright AL, Holberg CJ, Taussig LM. Diminished lung function as a predisposing factor for wheezing respiratory illness in infants. New Engl J Med 1988; 319: 1112-1117.
127. Desager KN, Van Bever HP, Willemen M, De Backer W, Vermeire PA. Functional residual capacity and total respiratory system impedance in wheezing infants. Pediatr Pulmonol 1994; 17: 354-358.
128. Soto ME, Sly PD, Uren E, Taussig LM, Landau LI. Bronchodilator response during acute viral bronchiolitis in infancy. Pediatr Pulmonol 1985; 2: 85-90.
129. van Bever HP, Desager KN, Pauwels JH, Wojciechowski M, Vermeire PA. Aerosolised furosemide in wheezy infants: a negative report. Pediatr Pulmonol 1995; 20: 16-20.
130. Peslin R, Felicio da Silva J, Duvivier C, Chabot F. Respiratory mechanics studied by forced oscillations during artificial ventilation. Eur Respir J 1993; 6: 772-784.
131. Lanteri CJ, Kano S, Duncan AW, Sly PD. Changes in respiratory mechanics in children undergoing cardiopulmonary bypass. Am J Respir Crit Care Med 1995; 152: 1893-1900.
132. Farré R, Ferrer M, Rotger M, Torres A, Navajas D. Respiratory mechanics in ventilated COPD patients: forced oscillation versus occlusion techniques. Eur Respir J 1998; 12: 170-176.
133. Farré R, Mancini M, Rotger M, Ferrer M, Roca J, Navajas D. Oscillatory resistance measured during noninvasive proportional assist ventilation. Am J Respir Crit Care Med 2001; 164: 790-794.
134. Beydon L, Malassine P, Lorino AM, et al. Respiratory resistance by end-inspiratory occlusion and forced oscillations in intubated patients. J Appl Physiol 1996; 80: 1105-1111.
135. Babik B, Peták F, Asztalos T, Deák ZI, Bogáts G, Hantos Z. Components of respiratory resistance monitored in mechanically ventilated patients. Eur Respir J 2002; 20: 1538-1544.
136. Badia JR, Farre R, Montserrat JM, et al. Forced oscillation technique for the evaluation of severe sleep apnoea/hypopnoea syndrome: a pilot study. Eur Respir J 1998; 11: 1128-1134.
137. Lorino AM, Lofaso F, Duizabo D, et al. Respiratory resistive impedance as an index of airway obstruction during nasal continuous positive airway pressure titration. Am J Respir Crit Care Med 1998; 158: 1465-1470.
138. Navajas D, Farré R, Rotger M, Badia R, Puig-de-Morales M, Montserrat JM. Assessment of airflow obstruction during CPAP by means of forced oscillation in patients with sleep apnea. Am J Respir Crit Care Med 1998; 157: 1526-1530.
139. Randerath WJ, Parys K, Feldmeyer F, Sanner B, Ruhle KH. Self-adjusting nasal continuous positive airway pressure therapy based on measurement of impedance: A comparison of two different maximum pressure levels. Chest 1999; 116: 991-999.
140. Montserrat JM, Badia JR, Farré R, Ballester E, Hernandez L, Navajas D. Routine application of the forced oscillation technique (FOT) for CPAP titration in the sleep apnea/ hypopnea syndrome. Am J Respir Crit Care Med 1999; 160: 1550-1554.
141. Jensen A, Atileh H, Suki B, Ingenito EP, Lutchen KR. Airway caliber in healthy and asthmatic subjects: effects of bronchial challenge and deep inspirations. J Appl Physiol 2001; 91: 506-515.
142. Schweitzer C, Moreau-Colson C, Marchal F. Respiratory impedance response to a deep inhalation in asthmatic children with spontaneous airway obstruction. Eur Respir J 2002; 19: 1020-1025.
143. Farré R, Ferrer M, Rotger M, Navajas D. Servocontrolled generator to measure respiratory impedance from 0.25 to 26 Hz in ventilated patients at different PEEP levels. Eur Respir J 1995; 8: 1222-1227.
144. Lutchen KR, Yang K, Kaczka DW, Suki B. Optimal ventilation waveforms for estimating low-frequency respiratory impedance. J Appl Physiol 1993; 75: 478-488.
145. Farré R, Rotger M, Montserrat JM, Navajas D. A system to generate simultaneous forced oscillation and continuous positive airway pressure. Eur Respir J 1997; 10: 1349-1353.
146. Navajas D, Farré R, Canet J, Rotger M, Sanchis J. Respiratory input impedance in anesthetized paralyzed patients. J Appl Physiol 1990; 69: 1372-1379.
147. Hantos Z, Daróczy B, Suki B, Galgóczy G, Csendes T. Forced oscillatory impedance of the respiratory system at low frequencies. J Appl Physiol 1986; 60: 123-132.
148. Hantos Z, Daróczy B, Suki B, Nagy S, Fredberg JJ. Input impedance and peripheral inhomogeneity of dog lungs. J Appl Physiol 1992; 72: 168-178.
149. Sly PD, Hayden MJ, Peták F, Hantos Z. Measurement of low-frequency respiratory impedance in healthy infants. Am J Respir Crit Care Med 1996; 154: 161-166.
150. Peták F, Hayden MJ, Hantos Z, Sly PD. Volume dependence of respiratory impedance in infants. Am J Respir Crit Care Med 1997; 156: 1172-1177.
151. Hall GL, Hantos Z, Peták F, et al. Airway and respiratory tissue mechanics in normal infants. Am J Respir Crit Care Med 2000; 162: 1397-1402.
152. Hayden MJ, Petak F, Hantos Z, Hall G, Sly PD. Using low-frequency oscillation to detect bronchodilator responsiveness in infants. Am J Respir Crit Care Med 1998; 157: 574-579.
153. Hall GL, Hantos Z, Sly PD. Altered respiratory tissue mechanics in asymptomatic wheezy infants. Am J Respir Crit Care Med 2001; 164: 1387-1391.
154. Hall GL, Hantos Z, Wildhaber JH, Peták F, Sly PD. Methacholine responsiveness in infants assessed with low-frequency forced oscillation and forced expiration techniques. Thorax 2001; 56: 42-47.
155. Hall GL, Hantos Z, Wildhaber JH, Sly PD. Contribution of nasal pathways to low-frequency respiratory impedance in infants. Thorax 2002; 57: 396-399.
156. Kaczka DW, Ingenito EP, Suki B, Lutchen KR. Partitioning airway and lung tissue resistances in humans: effects of bronchoconstriction. J Appl Physiol 1997; 82: 1531-1541.
157. Kaczka DW, Ingenito EP, Israel E, Lutchen KR. Airway and lung tissue mechanics in asthma. Effects of albuterol. Am J Respir Crit Care Med 1999; 159: 169-178.
158. Kaczka DW, Ingenito EP, Lutchen KR. Technique to determine inspiratory impedance during mechanical ventilation: implications for flow limited patients. Ann Biomed Eng 1999; 27: 340-355.
159. Frey U, Suki B, Kraemer R, Jackson AC. Human respiratory input impedance between 32 and 800 Hz, measured by interrupter technique and forced oscillations. J Appl Physiol 1997; 82: 1018-1023.
160. Frey U, Silverman M, Kraemer R, Jackson AC. High-frequency respiratory impedance measured by forced-oscillation technique in infants. Am J Respir Crit Care Med 1998; 158: 363-370.
161. Frey U, Jackson AC, Silverman M. Differences in airway wall compliance as a possible mechanism for wheezing disorders in infants. Eur Respir J 1998; 12: 136-142.
162. Frey U, Silverman M, Kraemer R, Jackson AC. High frequency input impedance in infants assessed with the high speed interrupter technique. Eur Respir J 1998; 12: 148-158.
163. Chalker RB, Celli BR, Habib RH, Jackson AC. Respiratory input impedance from 4 to 256 Hz in normals and chronic airflow obstruction: comparisons and correlation with spirometry. Am Rev Respir Dis 1992; 146: 570-576.