Comparison of Wire and Disc Electrodes to Electrically Activate the Inspiratory Muscles in Dogs

Author(s):  
Krzysztof E. Kowalski ◽  
Anthony F. DiMarco
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Antonio Sarmento ◽  
Guilherme Fregonezi ◽  
Maria Lira ◽  
Layana Marques ◽  
Francesca Pennati ◽  
...  

AbstractMuscle fatigue is a complex phenomenon enclosing various mechanisms. Despite technological advances, these mechanisms are still not fully understood in vivo. Here, simultaneous measurements of pressure, volume, and ribcage inspiratory muscle activity were performed non-invasively during fatigue (inspiratory threshold valve set at 70% of maximal inspiratory pressure) and recovery to verify if inspiratory ribcage muscle fatigue (1) leads to slowing of contraction and relaxation properties of ribcage muscles and (2) alters median frequency and high-to-low frequency ratio (H/L). During the fatigue protocol, sternocleidomastoid showed the fastest decrease in median frequency and slowest decrease in H/L. Fatigue was also characterized by a reduction in the relative power of the high-frequency and increase of the low-frequency. During recovery, changes in mechanical power were due to changes in shortening velocity with long-lasting reduction in pressure generation, and slowing of relaxation [i.e., tau (τ), half-relaxation time (½RT), and maximum relaxation rate (MRR)] was observed with no significant changes in contractile properties. Recovery of median frequency was faster than H/L, and relaxation rates correlated with shortening velocity and mechanical power of inspiratory ribcage muscles; however, with different time courses. Time constant of the inspiratory ribcage muscles during fatigue and recovery is not uniform (i.e., different inspiratory muscles may have different underlying mechanisms of fatigue), and MRR, ½RT, and τ are not only useful predictors of inspiratory ribcage muscle recovery but may also share common underlying mechanisms with shortening velocity.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mark Campbell ◽  
Roslyn Dakin ◽  
Symon Stowe ◽  
Kira Burton ◽  
Brianna Raven ◽  
...  

AbstractRestraint asphyxia has been proposed as a mechanism for some arrest-related deaths that occur during or shortly after a suspect is taken into custody. Our analysis of the literature found that prone positioning, weight applied to the back, recovery after simulated pursuit, and restraint position have led to restrictive, but non life-threatening respiratory changes when tested in subsets. However, the combined effects of all four parameters have not been tested together in a single study. We hypothesized that a complete protocol with high-sensitivity instrumentation could improve our understanding of breathing physiology during weighted restraint. We designed an electrical impedance tomography (EIT)-based protocol for this purpose and measured the 3D distribution of ventilation within the thorax. Here, we present the results from a study on 17 human subjects that revealed FRC declines during weighted restrained recovery from exercise for subjects in the restraint postures, but not the control posture. These prolonged FRC declines were consistent with abdominal muscle recruitment to assist the inspiratory muscles, suggesting that subjects in restraint postures have increased work of breathing compared to controls. Upon removal of the weighted load, lung reserve volumes gradually increased for the hands-behind-the-head restraint posture but continued to decrease for subjects in the hands-behind-the-back restraint posture. We discuss the possible role this increased work of breathing may play in restraint asphyxia.


2017 ◽  
Vol 18 (3) ◽  
Author(s):  
Viktor Mishchenko ◽  
Stanislaw Sawczyn ◽  
Agnieszka Cybulska ◽  
Marcin Pasek

AbstractPurpose. The aim of the study was to determine if an 8-week-long endurance fitness training with elastic belts would increase the strength-endurance of the inspiratory muscles and lung function characteristics, and to assess whether these changes were consistent with an increase in aerobic power and exercise capacity in healthy young women. Methods. Twenty-two females aged 20-25 years were randomly allocated into 2 groups. The experimental group preformed 8-week-long exercises on stationary bikes with an elastic belt on the lower part of the chest. The control group underwent the same workout, without elastic belts. Vital capacity, forced vital capacity, maximal voluntary ventilation, maximal inspiratory and expiratory pressure, sustained maximal inspiratory pressure, physical activity status, and perceived exertion scores were measured. In the incremental exercise test, work capacity and maximal oxygen uptake were assessed. Tidal volume, minute ventilation (VE), oxygen uptake (VO


1987 ◽  
Vol 62 (5) ◽  
pp. 1962-1969 ◽  
Author(s):  
W. A. Whitelaw ◽  
B. McBride ◽  
G. T. Ford

The mechanism by which large lung volume lessens the discomfort of breath holding and prolongs breath-hold time was studied by analyzing the pressure waves made by diaphragm contractions during breath holds at various lung volumes. Subjects rebreathed a mixture of 8% CO2–92% O2 and commenced breath holding after reaching an alveolar plateau. At all volumes, regular rhythmic contractions of inspiratory muscles, followed by means of gastric and pleural pressures, increased in amplitude and frequency until the breakpoint. Expiratory muscle activity was more prominent in some subjects than others, and increased through each breath hold. Increasing lung volume caused a delay in onset and a decrease in frequency of contractions with no consistent change in duty cycle and a decline in magnitude of esophageal pressure swings that could be accounted for by force-length and geometric properties. The effect of lung volume on the timing of contractions most resembled that of a chest wall reflex and is consistent with the hypothesis that the contractions are a major source of dyspnea in breath holding.


1978 ◽  
Vol 45 (4) ◽  
pp. 581-589 ◽  
Author(s):  
V. P. Vellody ◽  
M. Nassery ◽  
W. S. Druz ◽  
J. T. Sharp

With a linearized respiratory magnetometer, measurements of anteroposterior and lateral diameters of both the rib cage and the abdomen were made at functional residual capacity and continuously during tidal breathing. Twenty-five subjects with normal respiratory systems were studied in the sitting, supine, lateral decubitus, and prone body positions. When subjects changed from sitting to supine position anteroposterior diameters of both rib cage and abdomen decreased while their lateral diameters increased. Both anteroposterior and lateral tidal excursions of the rib cage decreased; those of the abdomen increased. When subjects turned from supine to lateral decubitus position both anteroposterior diameters increased and the lateral diameters decreased. This was associated with an increase in both lateral excursions and a decrease in the abdominal anteroposterior excursions. Diameters and tidal excursions in the prone position resembled those in the supine position. Diameter changes could be explained by gravitational effects. Differences in tidal excursions accompanying body position change were probably related to 1) differences in the distribution of respiratory muscle force, 2) differences in the activity or mechanical advantage of various inspiratory muscles, and 3) local compliance changes in parts of the rib cage and abdomen.


1988 ◽  
Vol 64 (6) ◽  
pp. 2482-2489 ◽  
Author(s):  
P. Leblanc ◽  
E. Summers ◽  
M. D. Inman ◽  
N. L. Jones ◽  
E. J. Campbell ◽  
...  

The capacity of inspiratory muscles to generate esophageal pressure at several lung volumes from functional residual capacity (FRC) to total lung capacity (TLC) and several flow rates from zero to maximal flow was measured in five normal subjects. Static capacity was 126 +/- 14.6 cmH2O at FRC, remained unchanged between 30 and 55% TLC, and decreased to 40 +/- 6.8 cmH2O at TLC. Dynamic capacity declined by a further 5.0 +/- 0.35% from the static pressure at any given lung volume for every liter per second increase in inspiratory flow. The subjects underwent progressive incremental exercise to maximum power and achieved 1,800 +/- 45 kpm/min and maximum O2 uptake of 3,518 +/- 222 ml/min. During exercise peak esophageal pressure increased from 9.4 +/- 1.81 to 38.2 +/- 5.70 cmH2O and end-inspiratory esophageal pressure increased from 7.8 +/- 0.52 to 22.5 +/- 2.03 cmH2O from rest to maximum exercise. Because the estimated capacity available to meet these demands is critically dependent on end-inspiratory lung volume, the changes in lung volume during exercise were measured in three of the subjects using He dilution. End-expiratory volume was 52.3 +/- 2.42% TLC at rest and 38.5 +/- 0.79% TLC at maximum exercise.


1981 ◽  
Vol 51 (4) ◽  
pp. 979-989 ◽  
Author(s):  
W. Riddle ◽  
M. Younes

In the preceding communication we developed a model for the conversion of neural output to mechanical output. We were left with two qualitative uncertainties, namely, the relation between neural output and isometric pressure, and the behavior of inspiratory muscles during expiratory flow; and two quantitative uncertainties concerning the effect of configurational pathway on pressure output, and the slope of the pressure-flow relation. For each of the above uncertainties we made certain assumptions based on indirect evidence but defined reasonable error limits. In the present communication we describe the method of implementing the model and evaluate the significance, in terms of spirometric output, of possible errors in the assumptions. Volume and flow profiles were generated from different neural output profiles. Analysis was repeated when the different assumptions were systematically altered within the limits set by the previous theoretical analysis. We conclude that the pattern of inspiratory muscle activation during spontaneous breathing and the existence of several mechanical interactions within the respiratory system combine to render spirometric output fairly insensitive to most potential errors in our assumptions.


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