{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T19:20:05Z","timestamp":1781551205464,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T00:00:00Z","timestamp":1418083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>There has not been a detailed description of expiratory reserve volume (ERV) during slow expiration with glottis open in infralateral decubitus position (ELTGOL, for Expiration Lente Totale Glotte Ouverte en infraLat\u00e9ral) and its reproducibility. The aim of this study was to determine ERV during ELTGOL and to evaluate ERV intra-observer and inter-observer reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>In this prospective study, subjects were 30\u201370 y of age with chronic lung disease. ELTGOL (an active-passive or active physiotherapy technique) was applied in random order by 3 observers: 2 trained physiotherapists (PT 1 and PT 2) and the subject him\/herself. Two ELTGOL compressions (A and B) were applied by PT 1, PT 2, and the subject.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Thirty-two subjects were evaluated with moderate lung obstruction, FEV\n                      <jats:sub>1<\/jats:sub>\n                      : 47.7 \u00b1 15.4, and ERV: 61.7 \u00b1 29.4. The mean value of ERV for PT 1 was 51.4 \u00b1 24.8%; for PT 2, it was 54.3 \u00b1 31.8%; and for the subject, it was 53.5 \u00b1 26.2% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .49). Considering the mean value of ERV, the ELTGOL mobilized more than 80% of ERV. There was good reliability intra-PT: PT 1, intraclass correlation coefficient (ICC) 0.85 (0.70\u20130.93),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001; PT 2, ICC 0.90 (0.80\u20130.95),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001, and inter-PT (ICC 0.86 [95% CI 0.71\u20130.93],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). The Bland-Altman plot with mean bias and limits of agreement for ERV of PT 1 and PT 2 was \u22123.3 (\u221242.7 to 35.9).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>ELTGOL mobilized more than 80% of ERV in subjects with moderate airway obstruction; there is no difference in ERV exhaled during the technique applied by a physiotherapist or by the subject. ELTGOL is a reproducible technique, determined by inter- and intra-observer testing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.03384","type":"journal-article","created":{"date-parts":[[2014,12,10]],"date-time":"2014-12-10T00:24:01Z","timestamp":1418171041000},"page":"406-411","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Expiratory Reserve Volume During Slow Expiration With Glottis Opened in Infralateral Decubitus Position (ELTGOL) in Chronic Pulmonary Disease: Technique Description and Reproducibility"],"prefix":"10.1177","volume":"60","author":[{"given":"Fernanda C","family":"Lanza","sequence":"first","affiliation":[{"name":"Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cintia Santos","family":"Alves","sequence":"additional","affiliation":[{"name":"School of Physiotherapy, Health Department, UNINOVE, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta Loures","family":"dos Santos","sequence":"additional","affiliation":[{"name":"School of Physiotherapy, Health Department, UNINOVE, S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anderson Alves","family":"de Camargo","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Dal Corso","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), S\u00e3o Paulo, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,12,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1191\/1479972306cd097rs"},{"issue":"3","key":"e_1_3_2_3_2","first-page":"87","article-title":"Efficacit\u00e9 de l'expiration lente totale glotte ouverte en d\u00e9cubitus infrateral (ELTGOL): sur la toilette en p\u00e9riph\u00e9rie de l'arbre trach\u00e9obronchique","volume":"17","author":"Postiaux G","year":"1990","unstructured":"Postiaux G, , Lens E, , Alsteens G, , Portelange A. Efficacit\u00e9 de l'expiration lente totale glotte ouverte en d\u00e9cubitus infrateral (ELTGOL): sur la toilette en p\u00e9riph\u00e9rie de l'arbre trach\u00e9obronchique. Ann Kin\u00e9sith\u00e9r, 1990; 17(3):87\u201399.","journal-title":"Ann Kin\u00e9sith\u00e9r"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.01082"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(00)90034-0"},{"issue":"12","key":"e_1_3_2_6_2","first-page":"1302","article-title":"Chest physiotherapy for collecting sputum samples from HIV-positive patients suspected of having tuberculosis","volume":"11","author":"Souza Pinto V","year":"2007","unstructured":"Souza Pinto V, , Bammann RH. Chest physiotherapy for collecting sputum samples from HIV-positive patients suspected of having tuberculosis. Int J Tuberc Lung Dis, 2007; 11(12):1302\u20131307.","journal-title":"Int J Tuberc Lung Dis"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552012005000016"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2008.01466.x"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.01067"},{"key":"e_1_3_2_10_2","first-page":"CD001401","article-title":"Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis","volume":"9","author":"Warnock L","year":"2013","unstructured":"Warnock L, , Gates A, , van der Schans CP. Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis. Cochrane Database Syst Rev. 2013 Sep 4; 9:CD001401. doi: 10.1002\/14651858.CD001401.pub2.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.09541703"},{"issue":"5","key":"e_1_3_2_12_2","first-page":"191","article-title":"Measuring thoracic excursion: reliability of the cloth tape measure technique","volume":"107","author":"Bockenhauer SE","year":"2007","unstructured":"Bockenhauer SE, , Chen H, , Julliard KN, , Weedon J. Measuring thoracic excursion: reliability of the cloth tape measure technique. Am Osteopath Assoc, 2007; 107(5):191\u2013196.","journal-title":"Am Osteopath Assoc"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132007000500006"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.152.3.7663792"},{"key":"e_1_3_2_15_2","first-page":"S1","article-title":"Diretrizes para testes de fun\u00e7\u00e3o pulmonar","volume":"28","author":"Sociedade Brasileira de Pneumologia e Tisiologia","year":"2002","unstructured":"Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes para testes de fun\u00e7\u00e3o pulmonar. J Pneumol. 2002; 28(Suppl 3):S1\u2013S238.","journal-title":"J Pneumol"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199826040-00002"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.125.2.459"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.2.640"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S22896"},{"key":"e_1_3_2_21_2","first-page":"CD008328","article-title":"Airway clearance techniques for chronic obstructive pulmonary disease. Cochrane Database Syst Rev","volume":"3","author":"Osadnik CR","unstructured":"Osadnik CR, , McDonald CF, , Jones AP, , Holland AE. Airway clearance techniques for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2012 Mar, 14; 3:CD008328. DOI: 10.1002\/14651858.CD008328.pub3.","journal-title":"2012 Mar"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00218-5"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-003-0984-2"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(06)70044-7"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.03384","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03384","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03384","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:12:12Z","timestamp":1777615932000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.03384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,9]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.4187\/respcare.03384"],"URL":"https:\/\/doi.org\/10.4187\/respcare.03384","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2014,12,9]]}}}