Effects of Vocal Task and Respiratory Phase on Prephonatory Chest Wall Movements

1992 ◽  
Vol 35 (5) ◽  
pp. 971-982 ◽  
Author(s):  
David H. McFarland ◽  
Anne Smith
Keyword(s):  
Reaction Time ◽  
Chest Wall ◽  
Breathing Cycle ◽  
Quiet Breathing ◽  
Respiratory Volume ◽  
Rib Cage ◽  
Reaction Time Paradigm ◽  
Vocal Responses ◽  
Respiratory Phase ◽  
Vocal Reaction Time

A vocal reaction time paradigm was used to explore prephonatory respiratory kinematics. Movements of the rib cage and abdomen were recorded prior to production of utterances differing in length and intensity, and vocal responses were elicited in different phases and volumes of the quiet breathing cycle. A velocity threshold was used to distinguish prephonatory adjustments from the cyclical movements of the chest wall that are characteristic of quiet breathing. The results suggest that a variety of prephonatory kinematic events can occur prior to initiation of vocalization in response to a stimulus. Further, prephonatory movements appear to be adaptive in that they are influenced by the length of the utterance to be spoken and the respiratory volume at the time of voice initiation.

Chest Wall Responses to Rebreathing in Halothane-anesthetized Dogs

1995 ◽  
Vol 83 (4) ◽  
pp. 835-843. ◽  
Author(s):  
David O. Warner ◽  
Michael J. Joyner ◽  
Erik L. Ritman
Keyword(s):  
Chest Wall ◽  
Muscle Activity ◽  
Respiratory Muscle ◽  
Species Differences ◽  
Minimum Alveolar Concentration ◽  
Electromyographic Activity ◽  
Quiet Breathing ◽  
Rib Cage ◽  
Expiratory Muscle ◽  
Anesthetized Dogs

Background The pattern of respiratory muscle use during halothane-induced anesthesia differs markedly among species breathing quietly. In humans, halothane accentuates phasic activity in rib cage and abdominal expiratory muscles, whereas activity in the parasternal intercostal muscles is abolished. In contrast, halothane abolishes phasic expiratory muscle activity during quiet breathing in dogs, but parasternal muscle activity is maintained. Respiratory muscle responses to CO2 rebreathing were measured in halothane-anesthetized dogs to determine if species differences present during quiet breathing persist over a wide range of central respiratory drive. Methods Chronic electromyogram electrodes were implanted in three expiratory agonists (the triangularis sterni, transversus abdominis, and external oblique muscles) and three inspiratory agonists (the parasternal intercostal muscle, costal and crural diaphragm) of six mongrel dogs. After a 1-month recovery period, the dogs were anesthetized in the supine position with halothane. The rebreathing response was determined by Read's method during anesthesia with stable 1 and 2 minimum alveolar end-tidal concentrations of halothane. CO2 concentrations were measured in the rebreathing bag using an infrared analyzer. Chest wall motion was measured by fast three-dimensional computed tomographic scanning. Results Halothane concentration did not significantly affect the slope of the relationship between minute ventilation (VE) and PCO2 (0.34 +/- 0.04 [M +/- SE] and 0.28 +/- 0.05 l.min-1.mmHg-1 during 1 and 2 minimum alveolar concentration anesthesia, respectively). However, 2 minimum alveolar concentration anesthesia did significantly decrease the calculated VE at a PCO2 of 60 mmHg (from 7.4 +/- 1.2 to 4.0 +/- 0.6 l.min-1), indicating a rightward shift in the response relationship. No electromyographic activity was observed in any expiratory muscle before rebreathing. Rebreathing produced electromyographic activity in at least one expiratory muscle in only two dogs. Rebreathing significantly increased electromyographic activity in all inspiratory agonists. Rebreathing significantly increased inspiratory thoracic volume change (delta Vth), with percentage of delta Vth attributed to outward rib cage displacement increasing over the course of rebreathing during 1 minimum alveolar concentration anesthesia (from 33 +/- 6% to 48 +/- 2% of delta Vth). Conclusions Rebreathing did not produce expiratory muscle activation in most dogs, demonstrating that the suppression of expiratory muscle activity observed at rest persists at high levels of ventilatory drive. Other features of the rebreathing response also differed significantly from previous reports in halothane-anesthetized humans, including (1) an increase in the rib cage contribution to tidal volume during the course of rebreathing, (2) recruitment of parasternal intercostal activity by rebreathing, (3) differences in the response of ventilatory timing, and (4) the lack of effect of anesthetic depth on the slope of the ventilatory response. These marked species differences are further evidence that the dog is not a suitable model to study anesthetic effects on the activation of human respiratory muscles.

Chest wall kinematic determinants of diaphragm length by optoelectronic plethysmography and ultrasonography

2003 ◽  
Vol 94 (2) ◽  
pp. 621-630 ◽  
Author(s):  
A. Aliverti ◽  
G. Ghidoli ◽  
R. L. Dellacà ◽  
A. Pedotti ◽  
P. T. Macklem
Keyword(s):  
Regression Analysis ◽  
Chest Wall ◽  
Linear Regression Analysis ◽  
Axial Distance ◽  
Flow Limitation ◽  
Quiet Breathing ◽  
Expiratory Flow Limitation ◽  
Rib Cage ◽  
Optoelectronic Plethysmography ◽  
Expiratory Flow

To estimate diaphragm fiber length from thoracoabdominal configuration, we measured axial motion of the right-sided area of apposition by ultrasonography and volumes displaced by chest wall compartments [pulmonary, abdominal rib cage, and abdomen (Vab)] by optoelectronic plethysmography in four normal men during quiet breathing and incremental exercise without and with expiratory flow limitation. Points at the cephalic area of apposition border were digitized from echo images and mapped into three-dimensional space, and the axial distance from the xyphoidal transverse plane (Dap) was measured simultaneously with the volumes. Linear regression analysis between changes (Δ) in Dap and the measured volume changes under all conditions showed that 1) ΔDap was linearly related more to ΔVab than to changes in pulmonary and abdominal rib cage volumes; and 2) this was highly repeatable between measures. Multiple stepwise regression analysis showed that ΔVab accounted for 89–96% of the variability of ΔDap, whereas the rib cage compartments added <1%. We conclude that, under conditions of quiet breathing and exercise, with and without expiratory flow limitation, instantaneous ΔDap can be estimated from ΔVab.

Mechanical work of breathing derived from rib cage and abdominal V-P partitioning

1976 ◽  
Vol 41 (5) ◽  
pp. 752-763 ◽  
Author(s):  
M. D. Goldman ◽  
G. Grimby ◽  
J. Mead
Keyword(s):  
Chest Wall ◽  
Work Of Breathing ◽  
Mechanical Work ◽  
Quiet Breathing ◽  
Campbell Diagram ◽  
Rib Cage ◽  
Abdominal Musculature ◽  
Work Done ◽  
Inspiratory Work

Estimates of the mechanical work of breathing derived from measurements of separate rib cage and abdominal volume displacements, each plotted against transthoracic pressure, include the elastic cost of chest wall distortion which may occur during breathing. Inspiratory work is partitioned between the diaphragm and the rib cage musculature by adding measurements of transabdominal pressure. The mechanical work of breathing derived from separate rib cage and abdominal volume-pressure (V-P) tracings (the sum of work done by the diaphragm, rib cage, and abdominal musculature) is compared with ventilatory work estimated from the Campbell diagram (which does not include any distortional work). During resting breathing the two estimates are closely comparable, consistent with little or no distortion of the chest wall during quiet breathing. As ventilation increases, the estimate developed from rib cage and abdominal tracings reveals systematically greater mechanical work than is estimated from the Campbell diagram, consistent with distortion of the chest wall from the relaxed thoracoabdominal configuration at higher levels of ventilation. At ventilations achieved during exercise, the Campbell diagram may underestimate the work of breathing by up to 25%.

Association of chest wall motion and tidal volume responses during CO2 rebreathing

1996 ◽  
Vol 81 (4) ◽  
pp. 1528-1534 ◽  
Author(s):  
Sheng Yan ◽  
Pawel Sliwinski ◽  
Peter T. Macklem
Keyword(s):  
Tidal Volume ◽  
Chest Wall ◽  
Wall Motion ◽  
Forced Expiratory Volume ◽  
Quiet Breathing ◽  
Rib Cage ◽  
Chest Wall Motion ◽  
Variable Recruitment ◽  
The Individual ◽  
End Tidal

Yan, Sheng, Pawel Sliwinski, and Peter T. Macklem.Association of chest wall motion and tidal volume responses during CO2 rebreathing. J. Appl. Physiol. 81(4): 1528–1534, 1996.—The purpose of this study is to investigate the effect of chest wall configuration at end expiration on tidal volume (Vt) response during CO2 rebreathing. In a group of 11 healthy male subjects, the changes in end-expiratory and end-inspiratory volume of the rib cage (ΔVrc,e and ΔVrc,i, respectively) and abdomen (ΔVab,eand ΔVab,i, respectively) measured by linearized magnetometers were expressed as a function of end-tidal[Formula: see text]([Formula: see text]). The changes in end-expiratory and end-inspiratory volumes of the chest wall (ΔVcw,e and ΔVcw,i, respectively) were calculated as the sum of the respective rib cage and abdominal volumes. The magnetometer coils were placed at the level of the nipples and 1–2 cm above the umbilicus and calibrated during quiet breathing against the Vt measured from a pneumotachograph. The ΔVrc,e/[Formula: see text]slope was quite variable among subjects. It was significantly positive ( P < 0.05) in five subjects, significantly negative in four subjects ( P < 0.05), and not different from zero in the remaining two subjects. The ΔVab,e/[Formula: see text]slope was significantly negative in all subjects ( P < 0.05) with a much smaller intersubject variation, probably suggesting a relatively more uniform recruitment of abdominal expiratory muscles and a variable recruitment of rib cage muscles during CO2rebreathing in different subjects. As a group, the mean ΔVrc,e/[Formula: see text], ΔVab,e/[Formula: see text], and ΔVcw,e/[Formula: see text]slopes were 0.010 ± 0.034, −0.030 ± 0.007, and −0.020 ± 0.032 l / Torr, respectively; only the ΔVab,e/[Formula: see text]slope was significantly different from zero. More interestingly, the individual ΔVt/[Formula: see text]slope was negatively associated with the ΔVrc,e/[Formula: see text]( r = −0.68, P = 0.021) and ΔVcw,e/[Formula: see text]slopes ( r = −0.63, P = 0.037) but was not associated with the ΔVab,e/[Formula: see text]slope ( r = 0.40, P = 0.223). There was no correlation of the ΔVrc,e/[Formula: see text]and ΔVcw,e/[Formula: see text]slopes with age, body size, forced expiratory volume in 1 s, or expiratory time. The group ΔVab,i/[Formula: see text]slope (0.004 ± 0.014 l / Torr) was not significantly different from zero despite the Vt nearly being tripled at the end of CO2 rebreathing. In conclusion, the individual Vtresponse to CO2, although independent of ΔVab,e, is a function of ΔVrc,e to the extent that as the ΔVrc,e/[Formula: see text]slope increases (more positive) among subjects, the Vt response to CO2 decreases. These results may be explained on the basis of the respiratory muscle actions and interactions on the rib cage.

The effect of posture on asynchronous chest wall movement in COPD

2013 ◽  
Vol 114 (8) ◽  
pp. 1066-1075 ◽  
Author(s):  
Rita Priori ◽  
Andrea Aliverti ◽  
André L. Albuquerque ◽  
Marco Quaranta ◽  
Paul Albert ◽  
...  
Keyword(s):  
Chest Wall ◽  
Body Position ◽  
Respiratory Muscles ◽  
Forced Expiratory Volume ◽  
Chronic Obstructive ◽  
Quiet Breathing ◽  
Obstructive Pulmonary Disease ◽  
Rib Cage ◽  
Copd Patients ◽  
Supine Posture

Chronic obstructive pulmonary disease (COPD) patients often show asynchronous movement of the lower rib cage during spontaneous quiet breathing and exercise. We speculated that varying body position from seated to supine would influence rib cage asynchrony by changing the configuration of the respiratory muscles. Twenty-three severe COPD patients (forced expiratory volume in 1 s = 32.5 ± 7.0% predicted) and 12 healthy age-matched controls were studied. Measurements of the phase shift between upper and lower rib cage and between upper rib cage and abdomen were performed with opto-electronic plethysmography during quiet breathing in the seated and supine position. Changes in diaphragm zone of apposition were measured by ultrasounds. Control subjects showed no compartmental asynchronous movement, whether seated or supine. In 13 COPD patients, rib cage asynchrony was noticed in the seated posture. This asynchrony disappeared in the supine posture. In COPD, upper rib cage and abdomen were synchronous when seated, but a strong asynchrony was found in supine. The relationships between changes in diaphragm zone of apposition and volume variations of chest wall compartments supported these findings. Rib cage paradox was noticed in approximately one-half of the COPD patients while seated, but was not related to impaired diaphragm motion. In the supine posture, the rib cage paradox disappeared, suggesting that, in this posture, diaphragm mechanics improves. In conclusion, changing body position induces important differences in the chest wall behavior in COPD patients.

Rib cage mechanics during quiet breathing and exercise in humans

1997 ◽  
Vol 83 (4) ◽  
pp. 1242-1255 ◽  
Author(s):  
C. M. Kenyon ◽  
S. J. Cala ◽  
S. Yan ◽  
A. Aliverti ◽  
G. Scano ◽  
...  
Keyword(s):  
Chest Wall ◽  
Respiratory Muscles ◽  
Relaxation Curve ◽  
Abdominal Pressure ◽  
Abdominal Muscles ◽  
Quiet Breathing ◽  
Transdiaphragmatic Pressure ◽  
Rib Cage ◽  
Ergometer Exercise ◽  
Exercise In Humans

Kenyon, C. M., S. J. Cala, S. Yan, A. Aliverti, G. Scano, R. Duranti, A. Pedotti, and Peter T. Macklem. Rib cage mechanics during quiet breathing and exercise in humans. J. Appl. Physiol. 83(4): 1242–1255, 1997.—During exercise, large pleural, abdominal, and transdiaphragmatic pressure swings might produce substantial rib cage (RC) distortions. We used a three-compartment chest wall model ( J. Appl. Physiol. 72: 1338–1347, 1992) to measure distortions of lung- and diaphragm-apposed RC compartments (RCp and RCa) along with pleural and abdominal pressures in five normal men. RCp and RCa volumes were calculated from three-dimensional locations of 86 markers on the chest wall, and the undistorted (relaxation) RC configuration was measured. Compliances of RCp and RCa measured during phrenic stimulation against a closed airway were 20 and 0%, respectively, of their values during relaxation. There was marked RC distortion. Thus nonuniform distribution of pressures distorts the RC and markedly stiffens it. However, during steady-state ergometer exercise at 0, 30, 50, and 70% of maximum workload, RC distortions were small because of a coordinated action of respiratory muscles, so that net pressures acting on RCp and RCa were nearly the same throughout the respiratory cycle. This maximizes RC compliance and minimizes the work of RC displacement. During quiet breathing, plots of RCa volume vs. abdominal pressure were to the right of the relaxation curve, indicating an expiratory action on RCa. We attribute this to passive stretching of abdominal muscles, which more than counterbalances the insertional component of transdiaphragmatic pressure.

Chest wall motion of infants during spinal anesthesia

1990 ◽  
Vol 68 (5) ◽  
pp. 2087-2091 ◽  
Author(s):  
R. C. Pascucci ◽  
M. B. Hershenson ◽  
N. F. Sethna ◽  
S. H. Loring ◽  
A. R. Stark
Keyword(s):  
Spinal Anesthesia ◽  
Chest Wall ◽  
Muscle Activity ◽  
Wall Motion ◽  
Sensory Block ◽  
Intercostal Muscle ◽  
Quiet Breathing ◽  
Rib Cage ◽  
Diaphragmatic Function ◽  
Chest Wall Motion

To test the extent to which diaphragmatic contraction moves the rib cage in awake supine infants during quiet breathing, we studied chest wall motion in seven prematurely born infants before and during spinal anesthesia for inguinal hernia repair. Infants were studied at or around term (postconceptional age 43 +/- 8 wk). Spinal anesthesia produced a sensory block at the T2-T4 level, with concomitant motor block at a slightly lower level. This resulted in the loss of most intercostal muscle activity, whereas diaphragmatic function was preserved. Rib cage and abdominal displacements were measured with respiratory inductance plethysmography before and during spinal anesthesia. During the anesthetic, outward inspiratory rib cage motion decreased in six infants (P less than 0.02, paired t test); four of these developed paradoxical inward movement of the rib cage during inspiration. One infant, the most immature in the group, had inward movement of the rib cage both before and during the anesthetic. Abdominal displacements increased during spinal anesthesia in six of seven infants (P less than 0.05), suggesting an increase in diaphragmatic motion. We conclude that, in the group of infants studied, outward rib cage movement during awake tidal breathing requires active, coordinated intercostal muscle activity that is suppressed by spinal anesthesia.

Analysis of human chest wall motion using a two-compartment rib cage model

1992 ◽  
Vol 72 (4) ◽  
pp. 1338-1347 ◽  
Author(s):  
M. E. Ward ◽  
J. W. Ward ◽  
P. T. Macklem
Keyword(s):  
Chest Wall ◽  
Pressure Change ◽  
Pleural Pressure ◽  
Abdominal Pressure ◽  
Quiet Breathing ◽  
Transdiaphragmatic Pressure ◽  
Rib Cage ◽  
Mechanical Coupling ◽  
Chest Wall Motion ◽  
The Relationship

We present a model of chest wall mechanics that extends the model described previously by Macklem et al. (J. Appl. Physiol. 55: 547–557, 1983) and incorporates a two-compartment rib cage. We divide the rib cage into that apposed to the lung (RCpul) and that apposed to the diaphragm (RCab). We apply this model to determine rib cage distortability, the mechanical coupling between RCpul and RCab, the contribution of the rib cage muscles to the pressure change during spontaneous inspiration (Prcm), and the insertional component of transdiaphragmatic pressure in humans. We define distortability as the relationship between distortion and transdiaphragmatic pressure (Pdi) and mechanical coupling as the relationship between rib cage distortion and the pressure acting to restore the rib cage to its relaxed configuration (Plink), as assessed during bilateral transcutaneous phrenic nerve stimulation. Prcm was calculated at end inspiration as the component of the pressure displacing RCpul not accounted for by Plink or pleural pressure. Prcm and Plink were approximately equal during quiet breathing, contributing 3.7 and 3.3 cmH2O on average during breaths associated with a change in Pdi of 3.9 cmH2O. The insertional component of Pdi was measured as the pressure acting on RCab not accounted for by the change in abdominal pressure during an inspiration without rib cage distortion and was 40 +/- 12% (SD) of total Pdi. We conclude that there is substantial resistance of the human rib cage to distortion, that, along with rib cage muscles, contributes importantly to the fall in pleural pressure over the costal surface of the lung.

Chest wall motion during epidural anesthesia in dogs

1991 ◽  
Vol 70 (2) ◽  
pp. 539-547 ◽  
Author(s):  
D. O. Warner ◽  
J. F. Brichant ◽  
E. L. Ritman ◽  
K. Rehder
Keyword(s):  
Chest Wall ◽  
Epidural Anesthesia ◽  
Muscle Activity ◽  
High Speed ◽  
Abdominal Muscles ◽  
Tidal Breathing ◽  
Quiet Breathing ◽  
Rib Cage ◽  
Expiratory Muscle ◽  
Anesthetized Dogs

To determine the relative contribution of rib cage and abdominal muscles to expiratory muscle activity during quiet breathing, we used lumbar epidural anesthesia in six pentobarbital sodium-anesthetized dogs lying supine to paralyze the abdominal muscles while leaving rib cage muscle motor function substantially intact. A high-speed X-ray scanner (Dynamic Spatial Reconstructor) provided three-dimensional images of the thorax. The contribution of expiratory muscle activity to tidal breathing was assessed by a comparison of chest wall configuration during relaxed apnea with that at end expiration. We found that expiratory muscle activity was responsible for approximately half of the changes in thoracic volume during inspiration. Paralysis of the abdominal muscles had little effect on the pattern of breathing, including the contribution of expiratory muscle activity to tidal breathing, in most dogs. We conclude that, although there is consistent phasic expiratory electrical activity in both the rib cage and the abdominal muscles of pentobarbital-anesthetized dogs lying supine, the muscles of the rib cage are mechanically the most important expiratory muscles during quiet breathing.

Effect of mechanical loading on displacements of chest wall during breathing in humans

1985 ◽  
Vol 58 (2) ◽  
pp. 477-484 ◽  
Author(s):  
P. M. Mengeot ◽  
J. H. Bates ◽  
J. G. Martin
Keyword(s):  
Mechanical Properties ◽  
Chest Wall ◽  
Time Course ◽  
Normal Subjects ◽  
Abdominal Muscle ◽  
Phase Lag ◽  
Breathing Frequency ◽  
Quiet Breathing ◽  
Rib Cage ◽  
Mouth Pressure

Using a respiratory inductive plethysmograph (Respitrace) we studied thoracoabdominal movements in eight normal subjects during inspiratory resistive (Res) and elastic (El) loading. The magnitude of loads was chosen so as to produce a fall in inspiratory mouth pressure of 20 cmH2O. The contribution of rib cage (RC) to tidal volume (VT) increased significantly from 68% during quiet breathing (QB) to 74% during El and 78% during Res. VT and breathing frequency did not change significantly. During loading a phase lag was present on inspiration so that the abdomen led the rib cage. However, outward movement of the abdomen ceased in the latter part of inspiration, and the RC became the sole contributor to VT. These observations suggest greater recruitment of the inspiratory musculature of the RC than the diaphragm during loading, although changes in the mechanical properties of the chest wall may also have contributed. Indeed, an increase in abdominal end-expiratory and end-inspiratory pressures was observed in five out of six subjects, indicating abdominal muscle recruitment which may account for part of the reduction in abdominal excursion. Both Res and El increased the rate of emptying of the respiratory system during the ensuing unloaded expiration as a result of a reduction in rib cage expiratory-braking mechanisms. The time course of abdominal displacements during expiration was unaffected by loading.

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