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Cavallo D, Kelly E, Henderson G, Abdala Sheikh AP. Comparison of the effects of fentanyls and other μ opioid receptor agonists on the electrical activity of respiratory muscles in the rat. Front Pharmacol 2023; 14:1277248. [PMID: 38074147 PMCID: PMC10710149 DOI: 10.3389/fphar.2023.1277248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 10/27/2023] [Indexed: 03/21/2024] Open
Abstract
Introduction: Deaths due to overdose of fentanyls result primarily from depression of respiration. These potent opioids can also produce muscle rigidity in the diaphragm and the chest muscles, a phenomenon known as Wooden Chest Syndrome, which further limits ventilation. Methods: We have compared the depression of ventilation by fentanyl and morphine by directly measuring their ability to induce muscle rigidity using EMG recording from diaphragm and external and internal intercostal muscles, in the rat working heart-brainstem preparation. Results: At equipotent bradypnea-inducing concentrations fentanyl produced a greater increase in expiratory EMG amplitude than morphine in all three muscles examined. In order to understand whether this effect of fentanyl was a unique property of the phenylpiperidine chemical structure, or due to fentanyl's high agonist intrinsic efficacy or its lipophilicity, we compared a variety of agonists with different properties at concentrations that were equipotent at producing bradypnea. We compared carfentanil and alfentanil (phenylpiperidines with relatively high efficacy and high to medium lipophilicity, respectively), norbuprenorphine (orvinolmorphinan with high efficacy and lipophilicity) and levorphanol (morphinan with relatively low efficacy and high lipophilicity). Discussion: We observed that, agonists with higher intrinsic efficacy were more likely to increase expiratory EMG amplitude (i.e., produce chest rigidity) than agonists with lower efficacy. Whereas lipophilicity and chemical structure did not appear to correlate with the ability to induce chest rigidity.
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Affiliation(s)
| | | | | | - Ana Paula Abdala Sheikh
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom
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2
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Kawabata M, Shima N. Interaction of breathing pattern and posture on abdominal muscle activation and intra-abdominal pressure in healthy individuals: a comparative cross-sectional study. Sci Rep 2023; 13:11338. [PMID: 37443166 PMCID: PMC10344968 DOI: 10.1038/s41598-023-37629-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 06/24/2023] [Indexed: 07/15/2023] Open
Abstract
We aimed to assess the effects of interaction between several breathing patterns and postures on abdominal muscle activation and intra-abdominal pressure (IAP). This comparative cross-sectional study enrolled fourteen healthy university students majoring in sports science and/or physical education. They performed four active breathing tasks: quiet nasal breathing (Q-Bre), nasal deep breathing (Deep-Bre), completely forced expiration (Forced-Expi), and exertional nasal inhalation with abdominal muscles with isometric contraction (Exertion-Inspi) in the elbow-toe plank and supine postures. Breathing volume; IAP; and transverse abdominis-internal oblique muscle (TrA-IO) and external oblique muscle (EO) activities were recorded. Abdominal muscle activity and IAP significantly interacted with breathing pattern and postures during the expiratory phase (p < 0.05). In the inspiratory phase, TrA-IO activity was significantly affected by breathing pattern and EO activity with posture (p < 0.05). TrA-IO activity significantly increased during Forced-Expi in the supine posture (47.6% of the maximum voluntary contraction) and Exertion-Inspi in the elbow-toe posture (35.7%), whereas no differences were found during Deep-Bre or Q-Bre (< 20%). EO activity increased in the elbow-toe posture (22.5-30.6%) compared with that in the supine posture (< 5%) during all breathing tasks. IAP values were low during all tasks (< 15%) except for Forced-Expi (24.9%). Abdominal muscle activation and IAP interacted with the breathing pattern and posture.
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Affiliation(s)
- Masashi Kawabata
- Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Sagamihara, Kanagawa, Japan
| | - Norihiro Shima
- School of Sport and Health Science, Tokai Gakuen University, 21-233, Nishinohora, Ukigai, Miyoshi, Aichi, 470-0207, Japan.
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3
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Krohn F, Novello M, van der Giessen RS, De Zeeuw CI, Pel JJM, Bosman LWJ. The integrated brain network that controls respiration. eLife 2023; 12:83654. [PMID: 36884287 PMCID: PMC9995121 DOI: 10.7554/elife.83654] [Citation(s) in RCA: 29] [Impact Index Per Article: 29.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 01/29/2023] [Indexed: 03/09/2023] Open
Abstract
Respiration is a brain function on which our lives essentially depend. Control of respiration ensures that the frequency and depth of breathing adapt continuously to metabolic needs. In addition, the respiratory control network of the brain has to organize muscular synergies that integrate ventilation with posture and body movement. Finally, respiration is coupled to cardiovascular function and emotion. Here, we argue that the brain can handle this all by integrating a brainstem central pattern generator circuit in a larger network that also comprises the cerebellum. Although currently not generally recognized as a respiratory control center, the cerebellum is well known for its coordinating and modulating role in motor behavior, as well as for its role in the autonomic nervous system. In this review, we discuss the role of brain regions involved in the control of respiration, and their anatomical and functional interactions. We discuss how sensory feedback can result in adaptation of respiration, and how these mechanisms can be compromised by various neurological and psychological disorders. Finally, we demonstrate how the respiratory pattern generators are part of a larger and integrated network of respiratory brain regions.
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Affiliation(s)
- Friedrich Krohn
- Department of Neuroscience, Erasmus MC, Rotterdam, Netherlands
| | - Manuele Novello
- Department of Neuroscience, Erasmus MC, Rotterdam, Netherlands
| | | | - Chris I De Zeeuw
- Department of Neuroscience, Erasmus MC, Rotterdam, Netherlands.,Netherlands Institute for Neuroscience, Royal Academy of Arts and Sciences, Amsterdam, Netherlands
| | - Johan J M Pel
- Department of Neuroscience, Erasmus MC, Rotterdam, Netherlands
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4
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Ultrasound imaging assessment of the diaphragm and abdominal muscles in people with a recent history of moderate Covid-19 infection and healthy participants: A cross-sectional pilot study. PLoS One 2023; 18:e0281098. [PMID: 36763588 PMCID: PMC9916597 DOI: 10.1371/journal.pone.0281098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 12/26/2022] [Indexed: 02/11/2023] Open
Abstract
Coronavirus disease (Covid-19) is a highly infectious disease caused by the SARS-CoV-2 virus and is associated with a decrease of respiratory, physical, and psychological function, subsequently affecting quality of life. The aim of the present pilot study was to use ultrasound imaging (USI) to evaluate and compare the thickness of the diaphragm and abdominal muscles between individuals recently diagnosed with moderate Covid-19 infection and healthy individuals. METHODS A cross-sectional observational pilot study was performed. A total sample of 24 participants were recruited from a private medical center (Madrid, Spain): Covid-19 (n = 12) and healthy controls (n = 12). The external oblique (EO), internal oblique (IO), transversus abdominis (TrA), rectus abdominis (RA), interrecti distance (IRD) and diaphragm thickness were assessed using USI during inspiration, expiration and during contraction. RESULTS USI measurements of the thickness of EO, IO, TrA, RA, IRD and the diaphragm did not differ significantly between groups during inspiration, expiration or during contraction (all P > 0.05). CONCLUSIONS These preliminary results suggest that the morphology of the abdominal muscles and diaphragm is not altered in people with a recent history of moderate Covid-19 infection.
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5
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Schwab SM, Dugan S, Riley MA. Reciprocal Influence of Mobility and Speech-Language: Advancing Physical Therapy and Speech Therapy Cotreatment and Collaboration for Adults With Neurological Conditions. Phys Ther 2021; 101:pzab196. [PMID: 34403483 PMCID: PMC8801003 DOI: 10.1093/ptj/pzab196] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 05/28/2021] [Indexed: 11/13/2022]
Abstract
Mobility and speech-language impairments and limitations in adults with neurological conditions manifest not in isolated anatomical components but instead in the individual-environment system and are task-dependent. Optimization of function thus requires interprofessional care to promote participation in meaningful life areas within appropriate task and environmental contexts. Cotreatment guidelines (ie, the concurrent intervention of disciplines) were established by the physical therapy, occupational therapy, and speech-language and hearing professional organizations nearly 2 decades ago to facilitate seamless interprofessional care. Despite this, cotreatment between physical therapy and speech therapy remains limited. The purpose of this Perspective article is to encourage physical therapists and speech-language pathologists to increase interprofessional collaboration through cotreatment in the management of adults with neurological conditions. Evidence from pediatrics and basic motor control literature points toward reciprocal interactions between speech-language and mobility. We provide recommendations for clinical practice with an emphasis on the gains each discipline can provide the other. This Perspective is rooted in the International Classification of Functioning, Disability and Health model and ecological theory. IMPACT The goals of speech therapy and physical therapy are complementary and mutually supportive. Enhanced cotreatment, and collaboration more generally, between physical therapists and speech-language pathologists in the management of adults with neurological conditions can augment task-relevant conditions to improve function.
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Affiliation(s)
- Sarah M Schwab
- Center for Cognition, Action, and Perception, Department of Psychology, Edwards Center 1, University of Cincinnati, Cincinnati, Ohio, USA
| | - Sarah Dugan
- Center for Cognition, Action, and Perception, Department of Psychology, Edwards Center 1, University of Cincinnati, Cincinnati, Ohio, USA
- Department of Rehabilitation, Exercise, & Nutrition Sciences, Health Sciences Building, University of Cincinnati, Cincinnati, Ohio, USA
| | - Michael A Riley
- Center for Cognition, Action, and Perception, Department of Psychology, Edwards Center 1, University of Cincinnati, Cincinnati, Ohio, USA
- Department of Rehabilitation, Exercise, & Nutrition Sciences, Health Sciences Building, University of Cincinnati, Cincinnati, Ohio, USA
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6
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Tounsi B, Acheche A, Lelard T, Tabka Z, Trabelsi Y, Ahmaidi S. Effects of specific inspiratory muscle training combined with whole-body endurance training program on balance in COPD patients: Randomized controlled trial. PLoS One 2021; 16:e0257595. [PMID: 34555068 PMCID: PMC8460029 DOI: 10.1371/journal.pone.0257595] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 09/02/2021] [Indexed: 11/18/2022] Open
Abstract
PURPOSE This study aims to assess the effect of inspiratory muscle training (IMT) combined with endurance training (ET) on balance in patients with chronic obstructive pulmonary disease (COPD). METHODS We studied 32 male patients (62 ± 6 years) with moderate to very severe COPD. They were randomly assigned to an experimental group (IMT+ET) n = 16 or a control group (ET) n = 16 with similar characteristics. The evaluations were carried out at inclusion and after eight weeks of the training period. Functional balance was assessed by the Berg Balance Scale (BBS), the Timed-up and Go (TUG), the Single Leg Stance test (SLS), and the Activities-specific Balance Confidence (ABC) scale. The strength of the inspiratory muscles (PImax) was assessed by maximal inspiratory mouth pressure. Functional exercise performance was assessed by the 6 minutes walking test (6MWT). IMT program consists in performing two daily sets of 30 inspirations with 50% of PImax increased by 10% every two weeks. ET program consists in performing 30 min treadmill exercise at 60% to 80% of the average speed achieved during the 6MWT three days per week. RESULTS After the training period, the experimental group demonstrated greater improvements in BBS (IMT+ET vs. ET; p = 0.019), and in ABC (IMT+ET vs. ET; p = 0.014). However, no significant differences between groups were observed for TUG, SLS, and 6MWT. There was a significant difference between groups in PImax (IMT+ET vs. ET; p = 0.030). Significant moderate correlations were obtained between ΔPImax and ΔBBS for both groups (IMT+ET: r = 0.624, p = 0.010; ET r = 0.550, p = 0.027) as well as for ΔABC but only in the experimental group (IMT+ET: r = 0.550, p = 0.027). CONCLUSION Compared to ET alone, the results suggest that IMT combined with ET enhances inspiratory muscle function and functional balance according to BBS and ABC in patients with COPD. We suggest that inspiratory muscle training might be introduced as additional training to pulmonary rehabilitation programs aimed at improving balance in COPD patients. TRIAL REGISTRATION The trial registry name: Clinical Trials; Registration number: NCT04084405; URL: https://clinicaltrials.gov/ct2/show/NCT04084405.
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Affiliation(s)
- Bilel Tounsi
- Laboratory of Exercise Physiology and Rehabilitation (APERE, UR-EA 3300), Sport Sciences Department, Picardie Jules Verne University, Amiens, France
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Amal Acheche
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Thierry Lelard
- Laboratory of Exercise Physiology and Rehabilitation (APERE, UR-EA 3300), Sport Sciences Department, Picardie Jules Verne University, Amiens, France
| | - Zouhair Tabka
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Yassine Trabelsi
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Said Ahmaidi
- Laboratory of Exercise Physiology and Rehabilitation (APERE, UR-EA 3300), Sport Sciences Department, Picardie Jules Verne University, Amiens, France
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Romano V, Reddington AL, Cazzanelli S, Mazza R, Ma Y, Strydis C, Negrello M, Bosman LWJ, De Zeeuw CI. Functional Convergence of Autonomic and Sensorimotor Processing in the Lateral Cerebellum. Cell Rep 2021; 32:107867. [PMID: 32640232 PMCID: PMC7351113 DOI: 10.1016/j.celrep.2020.107867] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 05/12/2020] [Accepted: 06/16/2020] [Indexed: 01/24/2023] Open
Abstract
The cerebellum is involved in the control of voluntary and autonomic rhythmic behaviors, yet it is unclear to what extent it coordinates these in concert. We studied Purkinje cell activity during unperturbed and perturbed respiration in lobules simplex, crus 1, and crus 2. During unperturbed (eupneic) respiration, complex spike and simple spike activity encode the phase of ongoing sensorimotor processing. In contrast, when the respiratory cycle is perturbed by whisker stimulation, mice concomitantly protract their whiskers and advance their inspiration in a phase-dependent manner, preceded by increased simple spike activity. This phase advancement of respiration in response to whisker stimulation can be mimicked by optogenetic stimulation of Purkinje cells and prevented by cell-specific genetic modification of their AMPA receptors, hampering increased simple spike firing. Thus, the impact of Purkinje cell activity on respiratory control is context and phase dependent, highlighting a coordinating role for the cerebellar hemispheres in aligning autonomic and sensorimotor behaviors. During unperturbed respiration, Purkinje cells signal ongoing sensorimotor processing After perturbation, mice advance their simple spike activity, whisking, and inspiration Altering simple spike activity affects the impact of whisker stimulation on respiration Cerebellar coordination of autonomic and sensorimotor behaviors is context dependent
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Affiliation(s)
- Vincenzo Romano
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands
| | | | - Silvia Cazzanelli
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands
| | - Roberta Mazza
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands
| | - Yang Ma
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands
| | - Christos Strydis
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands
| | - Mario Negrello
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands.
| | - Laurens W J Bosman
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands.
| | - Chris I De Zeeuw
- Department of Neuroscience, Erasmus MC, 3015 GE Rotterdam, the Netherlands; Netherlands Institute for Neuroscience, Royal Academy of Arts and Sciences, 1105 BA Amsterdam, the Netherlands
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8
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Julien M, MacMahon M, Lamarre DC, Beaudoin DN, Fortin JM, Barthelemy D. Immediate effects of postural repositioning on maximum phonation duration tasks in seated individuals with acquired dysarthria: a pilot study. Disabil Rehabil 2021; 44:3518-3530. [PMID: 33496214 DOI: 10.1080/09638288.2020.1867905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE To determine the effectiveness of a single 10-min postural repositioning session on the maximum phonation duration (MPD) of the vowel/a/in individuals with acquired dysarthria. MATERIALS AND METHODS A pre-post interventional design was implemented; five patients with dysarthria (PWDs) underwent a single 2-hour experimental session. MPD capacities were assessed before and immediately after a 10-min postural repositioning intervention by a physical and occupational therapist. Five age- and sex-matched individuals without dysarthria were recruited as controls. The main outcome measure was the MPD of the vowel/a/at conversational and louder voice levels, with a speech-and-language therapist standing 1 and 6 m away, respectively. Secondary outcome measures were thoracic expansion, manometry, electromyographic recordings of axial muscles and perceived effort. RESULTS In PWDs, postural repositioning improved the MPD during the/a/-1-m (80.3% increase) and/a/-6-m tasks (18% increase), increased thoracic expansion and manometric measurements, and reduced the perceived effort necessary to perform the tasks. A triphasic electromyographic pattern was observed during both/a/-1-m and/a/-6-m tasks in controls, but was absent in participants with severe dysarthria, even after postural repositioning. Nonetheless, postural repositioning enabled an earlier onset of EMG activity prior to voice production. CONCLUSIONS These data suggest the efficacy of postural repositioning in improving phonatory capacities essential for voice production in PWDs.
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Affiliation(s)
- Marie Julien
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, CRIR, Montreal, Canada.,École d'orthophonie-audiologie, Université de Montréal, Montreal, Canada.,CIUSSS du Centre-Sud-de-l'Île-de-Montréal, IURDPM, Montreal, Canada
| | - Maureen MacMahon
- CIUSSS du Centre-Sud-de-l'Île-de-Montréal, IURDPM, Montreal, Canada
| | - Dre Céline Lamarre
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, CRIR, Montreal, Canada.,CIUSSS du Centre-Sud-de-l'Île-de-Montréal, IURDPM, Montreal, Canada
| | - Dre Nicole Beaudoin
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, CRIR, Montreal, Canada.,CIUSSS du Centre-Sud-de-l'Île-de-Montréal, IURDPM, Montreal, Canada
| | | | - Dorothy Barthelemy
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, CRIR, Montreal, Canada.,CIUSSS du Centre-Sud-de-l'Île-de-Montréal, IURDPM, Montreal, Canada.,School of Rehabilitation, Université de Montréal, Montreal, Canada
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9
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Osakabe J, Ohya T, Koizumi J, Inada R, Matsumoto T, Umemura Y. Tennis singles match play induces inspiratory muscle fatigue in female tennis players. THE JOURNAL OF PHYSICAL FITNESS AND SPORTS MEDICINE 2021. [DOI: 10.7600/jpfsm.10.33] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
| | | | - Jun Koizumi
- School of Health and Sport Sciences, Chukyo University
| | - Ryosuke Inada
- School of Health and Sport Sciences, Chukyo University
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10
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Pilarski JQ, Leiter JC, Fregosi RF. Muscles of Breathing: Development, Function, and Patterns of Activation. Compr Physiol 2019; 9:1025-1080. [PMID: 31187893 DOI: 10.1002/cphy.c180008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This review is a comprehensive description of all muscles that assist lung inflation or deflation in any way. The developmental origin, anatomical orientation, mechanical action, innervation, and pattern of activation are described for each respiratory muscle fulfilling this broad definition. In addition, the circumstances in which each muscle is called upon to assist ventilation are discussed. The number of "respiratory" muscles is large, and the coordination of respiratory muscles with "nonrespiratory" muscles and in nonrespiratory activities is complex-commensurate with the diversity of activities that humans pursue, including sleep (8.27). The capacity for speech and adoption of the bipedal posture in human evolution has resulted in patterns of respiratory muscle activation that differ significantly from most other animals. A disproportionate number of respiratory muscles affect the nose, mouth, pharynx, and larynx, reflecting the vital importance of coordinated muscle activity to control upper airway patency during both wakefulness and sleep. The upright posture has freed the hands from locomotor functions, but the evolutionary history and ontogeny of forelimb muscles pervades the patterns of activation and the forces generated by these muscles during breathing. The distinction between respiratory and nonrespiratory muscles is artificial, as many "nonrespiratory" muscles can augment breathing under conditions of high ventilator demand. Understanding the ontogeny, innervation, activation patterns, and functions of respiratory muscles is clinically useful, particularly in sleep medicine. Detailed explorations of how the nervous system controls the multiple muscles required for successful completion of respiratory behaviors will continue to be a fruitful area of investigation. © 2019 American Physiological Society. Compr Physiol 9:1025-1080, 2019.
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Affiliation(s)
- Jason Q Pilarski
- Department of Biological and Dental Sciences, Idaho State University Pocatello, Idaho, USA
| | - James C Leiter
- Department of Molecular and Systems Biology, The Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA
| | - Ralph F Fregosi
- Departments of Physiology and Neuroscience, The University of Arizona, Tucson, Arizona, USA
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11
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Tamburella F, Piras F, Piras F, Spanò B, Tramontano M, Gili T. Cerebral Perfusion Changes After Osteopathic Manipulative Treatment: A Randomized Manual Placebo-Controlled Trial. Front Physiol 2019; 10:403. [PMID: 31024346 PMCID: PMC6460882 DOI: 10.3389/fphys.2019.00403] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 03/22/2019] [Indexed: 01/03/2023] Open
Abstract
Osteopathic Manipulative Treatment (OMT) is a therapeutic approach aimed at enhancing the body's self-regulation focusing on somatic dysfunctions correction. Despite evidence of OMT effectiveness, the underlying neurophysiological mechanisms, as well as blood perfusion effects, are still poorly understood. The study aim was to address OMT effects on cerebral blood flow (CBF) in asymptomatic young volunteers as measured by Magnetic Resonance Arterial Spin Labeling (ASL) method. Thirty blinded participants were randomized to OMT or placebo, and evaluated with an MRI protocol before manual intervention (T0), immediately after (T1), and 3 days later (T2). After T0 MRI, participants received 45 min of OMT, focused on correcting whole body somatic dysfunctions, or placebo manual treatment, consisting of passive touches in a protocolled order. After treatment, participants completed a de-blinding questionnaire about treatment perception. Results show significant differences due to treatment only for the OMT group (OMTg): perfusion decreased (compared to T0) in a cluster comprising the left posterior cingulate cortex (PCC) and the superior parietal lobule, while increased at T2 in the contralateral PCC. Furthermore, more than 60% of participants believed they had undergone OMT. The CBF modifications at T2 suggest that OMT produced immediate but reversible effects on CBF.
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Affiliation(s)
| | | | | | | | | | - Tommaso Gili
- IMT School for Advanced Studies Lucca, Lucca, Italy
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12
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Jung JH, Kim NS. Changes in training posture induce changes in the chest wall movement and respiratory muscle activation during respiratory muscle training. J Exerc Rehabil 2018; 14:771-777. [PMID: 30443522 PMCID: PMC6222142 DOI: 10.12965/jer.1836366.183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 09/06/2018] [Indexed: 11/30/2022] Open
Abstract
Postural changes induce changes in chest wall kinematics and eventually pulmonary function, and affect chest wall shape and chest motion. This study aimed to examine the effects of postural change on changes in the chest wall during respiratory muscle training. Using a repeated measures design, this study followed 13 healthy adults (13 men; mean age, 23.73 years). All participants performed four postures (neutral, full trunk rotation, half-range trunk rotation, and lateral ribcage shift postures) during respiratory muscle training. The chest wall movement during the four postures was measured using a three-dimensional motion-analysis system during respiratory muscle training. Surface electromyography data were collected from the diaphragm and sternocleidomastoid muscles, and the asymmetric ratio of muscle activation was calculated based on the collected data. The chest wall movements of the upper costal and middle costal region were greater in the neutral posture than in the full rotation, half rotation, and lateral ribcage shift postures (P<0.05). The respiratory muscle activation on diaphragm of left was greater in the full rotation posture than in the neutral posture, half rotation, and lateral ribcage shift postures (P<0.05). The asymmetric ratio of muscle activation was greater in the full rotation posture than in the neutral posture, half rotation, and lateral ribcage shift postures (P<0.05). This study verified that postural change during respiratory muscle training may affect chest wall movement and muscle activation. Thus, this study recommends respiratory muscle training to be performed in neutral posture.
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Affiliation(s)
- Ju-Hyeon Jung
- Department of Physical Therapy, Gimhae College, Gimhae, Korea
| | - Nan-Soo Kim
- Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan, Busan, Korea
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13
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Ohya T, Yamanaka R, Hagiwara M, Oriishi M, Suzuki Y. The 400- and 800-m Track Running Induces Inspiratory Muscle Fatigue in Trained Female Middle-Distance Runners. J Strength Cond Res 2016; 30:1433-7. [DOI: 10.1519/jsc.0000000000001220] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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14
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Noh DK, Koh JH, You J(SH. Inter- and intratester reliability values of ultrasound imaging measurements of diaphragm movement in the thoracic and thoracolumbar curves in adolescent idiopathic scoliosis. Physiother Theory Pract 2016; 32:139-43. [DOI: 10.3109/09593985.2015.1091871] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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15
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de Bisschop C, Montaudon M, Glénet S, Guénard H. Feasibility of intercostal blood flow measurement by echo-Doppler technique in healthy subjects. Clin Physiol Funct Imaging 2015; 37:282-287. [DOI: 10.1111/cpf.12298] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Accepted: 08/03/2015] [Indexed: 11/26/2022]
Affiliation(s)
| | - Michel Montaudon
- Unité d'imagerie thoracique et cardiovasculaire (Pr Laurent); Hôpital du Haut-Lévêque; CHU de Bordeaux; France
| | - Stéphane Glénet
- Laboratoire de physiologie; Université de Bordeaux; Bordeaux Cedex France
| | - Hervé Guénard
- Laboratoire de physiologie; Université de Bordeaux; Bordeaux Cedex France
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Szczygieł E, Zielonka K, Mazur T, Mętel S, Golec J. Respiratory chest movement measurement as a chair quality indicator – preliminary observations. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2015; 21:207-12. [PMID: 26323780 PMCID: PMC4566904 DOI: 10.1080/10803548.2015.1028224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Regardless of the constantly increasing time man is spending in a sitting position, there is still a lack of objective chair quality assessment criteria. The aim of this paper is to find the answer to whether respiratory chest movement measurements can be a chair quality indicator. The study included 34 participants (mean 34.7 years ± 5.2). Their chest movements were assessed using respiratory inductive plethysmography while sitting on two subsequent chairs. Significant differences in chest movements depending on chair type were observed concerning the breathing duct (upper and lower) and breathing movement amplitude. The amplitude of the upper respiratory track in the first chair was higher (239.4 mV) compared with the second seat (207.3 mV) (p = .018). The analyzed parameters of respiratory chest movement may become a helpful indicator for design and selection of chairs which enable people to both work and relax in the most ergonomic conditions.
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Abstract
Existing methods to assess inter-joint coordination in human walking have several important weaknesses. These methods are unable to define 1) the instantaneous changes in coordination within the stride cycle, 2) coordination between multiple joints, or 3) the coupling strength of joint rotations rather than their phase relationships. The present paper introduces a new method called generalized wavelet coherence analysis (GWCA) that solves these three fundamental limitations of previous methods. GWCA combines wavelet coherence analysis with a matrix correlation method to define instantaneous correlation coefficients as the coupling strength for an arbitrary number of joint rotations. The main purpose of the present study is to develop GWCA to quantify inter-joint coordination and thereby assess age-related differences in the coordination of human gaits. Nine young and 19 healthy older persons walked 5 min on a treadmill at three different gait speeds. Joint rotations of the lower extremities were assessed by a Vicon three-dimensional motion capture system. The main results indicated that the older group had significant weaker correlations (t-tests: P < 0.0001) in the preswing phase compared with the younger group for all gait speeds. The age-related differences in inter-joint coordination were more pronounced than the age-related differences in rotations of the individual joints. The intra-stride changes in inter-joint coordination were in agreement with recent findings of intra-stride modulations in neural activity in the sensorimotor cortex. Thus change in the inter-joint coordination assessed by GWCA might be an early indicator of functional decline.
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Affiliation(s)
- Espen A F Ihlen
- Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway
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Navarrete-Opazo A, Mitchell GS. Recruitment and plasticity in diaphragm, intercostal, and abdominal muscles in unanesthetized rats. J Appl Physiol (1985) 2014; 117:180-8. [PMID: 24833779 DOI: 10.1152/japplphysiol.00130.2014] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
UNLABELLED Although rats are a frequent model for studies of plasticity in respiratory motor control, the relative capacity of rat accessory respiratory muscles to express plasticity is not well known, particularly in unanesthetized animals. Here, we characterized external intercostal (T2, T4, T5, T6, T7, T8, T9 EIC) and abdominal muscle (external oblique and rectus abdominis) electromyogram (EMG) activity in unanesthetized rats via radiotelemetry during normoxia (Nx: 21% O2) and following acute intermittent hypoxia (AIH: 10 × 5-min, 10.5% O2; 5-min intervals). Diaphragm and T2-T5 EIC EMG activity, and ventilation were also assessed during maximal chemoreceptor stimulation ( MCS 7% CO2, 10.5% O2) and sustained hypoxia (SH: 10.5% O2). In Nx, T2 EIC exhibits prominent inspiratory activity, whereas T4, T5, T6, and T7 EIC inspiratory activity decreases in a caudal direction. T8 and T9 EIC and abdominal muscles show only tonic or sporadic activity, without consistent respiratory activity. MCS increases diaphragm and T2 EIC EMG amplitude and tidal volume more than SH (0.94 ± 0.10 vs. 0.68 ± 0.05 ml/100 g; P < 0.001). Following AIH, T2 EIC EMG amplitude remained above baseline for more than 60 min post-AIH (i.e., EIC long-term facilitation, LTF), and was greater than diaphragm LTF (41.5 ± 1.3% vs. 19.1 ± 2.0% baseline; P < 0.001). We conclude that 1) diaphragm and rostral T2-T5 EIC muscles exhibit inspiratory activity during Nx; 2) MCS elicits greater ventilatory, diaphragm, and rostral T2-T5 EIC muscle activity vs. SH; and 3) AIH induces greater rostral EIC LTF than diaphragm LTF.
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Affiliation(s)
- A Navarrete-Opazo
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, Wisconsin
| | - G S Mitchell
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, Wisconsin
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Butler JE, Hudson AL, Gandevia SC. The Neural Control of Human Inspiratory Muscles. PROGRESS IN BRAIN RESEARCH 2014; 209:295-308. [DOI: 10.1016/b978-0-444-63274-6.00015-1] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Abstract
Many articles in this section of Comprehensive Physiology are concerned with the development and function of a central pattern generator (CPG) for the control of breathing in vertebrate animals. The action of the respiratory CPG is extensively modified by cortical and other descending influences as well as by feedback from peripheral sensory systems. The central nervous system also incorporates other CPGs, which orchestrate a wide variety of discrete and repetitive, voluntary and involuntary movements. The coordination of breathing with these other activities requires interaction and coordination between the respiratory CPG and those governing the nonrespiratory activities. Most of these interactions are complex and poorly understood. They seem to involve both conventional synaptic crosstalk between groups of neurons and fluid identity of neurons as belonging to one CPG or another: neurons that normally participate in breathing may be temporarily borrowed or hijacked by a competing or interrupting activity. This review explores the control of breathing as it is influenced by many activities that are generally considered to be nonrespiratory. The mechanistic detail varies greatly among topics, reflecting the wide variety of pertinent experiments.
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Affiliation(s)
- Donald Bartlett
- Department of Physiology & Neurobiology, Dartmouth Medical School, Lebanon, New Hampshire, USA.
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Stensdotter AK, Wanvik AK, Lorås HW. Postural control in quiet standing with a concurrent cognitive task in psychotic conditions. J Mot Behav 2013; 45:279-87. [PMID: 23742044 DOI: 10.1080/00222895.2013.791241] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Differences in postural control and performance between psychotic patients and healthy subjects were investigated using a dual task paradigm. Center of pressure (CoP) data and whole-body kinematics of the center of mass (CoM) were recorded during quiet standing with and without a backward counting task. Dual task response was similar in both groups: the magnitude of CoM-migration did not change, while CoP-CoM magnitude, a measure related to ankle joint torque, and CoP-frequency both increased. The magnitudes of migration for CoM and CoP-CoM were greater in patients during both conditions, while CoP-frequency was similar to control subjects. Our results suggest that exaggerated ankle joint torque relative to CoP-frequency caused greater postural sway in patients during both conditions.
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Affiliation(s)
- Ann-Katrin Stensdotter
- Faculty of Health Education and Social Work, Physiotherap, Sør-Trøndelag University College, Trondheim, Norway.
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Barbosa AV, Déchaine RM, Vatikiotis-Bateson E, Yehia HC. Quantifying time-varying coordination of multimodal speech signals using correlation map analysis. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2012; 131:2162-2172. [PMID: 22423712 DOI: 10.1121/1.3682040] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This paper demonstrates an algorithm for computing the instantaneous correlation coefficient between two signals. The algorithm is the computational engine for analyzing the time-varying coordination between signals, which is called correlation map analysis (CMA). Correlation is computed around any pair of points in the two input signals. Thus, coordination can be assessed across a continuous range of temporal offsets and be detected even when changing over time due to temporal fluctuations. The correlation algorithm has two major features: (i) it is structurally similar to a tunable filter, requiring only one parameter to set its cutoff frequency (and sensitivity), (ii) it can be applied either uni-directionally (computing correlation based only on previous samples) or bi-directionally (computing correlation based on both previous and future samples). Computing instantaneous correlation for a range of time offsets between two signals produces a 2D correlation map, in which correlation is characterized as a function of time and temporal offset. Graphic visualization of the correlation map provides rapid assessment of how correspondence patterns progress through time. The utility of the algorithm and of CMA are exemplified using the spatial and temporal coordination of various audible and visible components associated with linguistic performance.
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Affiliation(s)
- Adriano Vilela Barbosa
- Department of Linguistics, University of British Columbia, 2613 West Mall, Vancouver, British Columbia V6T 1Z4, Canada
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23
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Conte SA, Thompson MM, Marks MA, Dines JS. Abdominal muscle strains in professional baseball: 1991-2010. Am J Sports Med 2012; 40:650-6. [PMID: 22268233 DOI: 10.1177/0363546511433030] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND The abdominal core muscles (internal and external oblique, rectus and transversus abdominis) play an important role in the baseball activities of pitching and hitting. Proper abdominal muscle activation during throwing and swinging is crucial for generating optimal ball velocity and bat speed. Abdominal muscle strains can result in substantial loss of playing time, and their incidence has never been reported in baseball. HYPOTHESIS The incidence of abdominal muscle strains in Major League Baseball has been rising over the past 20 years. Injuries contralateral to the dominant arm or batting side are more common and require more time to recover. STUDY DESIGN Descriptive epidemiology study. METHODS Abdominal muscle strains in baseball players were determined by retrospective review of the Major League Baseball disabled list from 1991 to 2010. Player age, position, dominant hand, batting side, and recovery time were recorded. RESULTS There were 393 abdominal muscle strains in Major League Baseball from 1991 to 2010, constituting 5% of all baseball injuries. At least 92% of these injuries were internal/external oblique or intercostal muscle strains, and 44% of injuries were sustained by pitchers. The reinjury rate was 12.1%. An upward trend was seen from 1991 to 2010, especially in early-season injuries, and the overall injury rate was 22% higher in the 2000s than in the 1990s. Pitchers averaged 35.4 days on the disabled list compared with 26.7 days for position players (P < .01); 78.1% of pitcher injuries were contralateral to their dominant arm, and 70.3% of position player injuries were contralateral to their dominant batting side (excluding switch hitters). Position players missed more time for contralateral than for ipsilateral injuries (28.9 vs 21.2 days, P = .03), whereas pitchers missed more time for ipsilateral injuries (44.5 vs 32.8 days, P = .04). CONCLUSION The incidence of abdominal muscle strains in baseball has been increasing over the past 20 years, especially early in the season, and there is a relatively high reinjury rate. This upward trend is in spite of new and more advanced diagnostic procedures, preventive core strengthening exercise programs, and rehabilitation techniques. Injuries contralateral to the dominant arm or batting side are more common.
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Affiliation(s)
- Stan A Conte
- Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA
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24
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Hudson AL, Gandevia SC, Butler JE. Control of human inspiratory motoneurones during voluntary and involuntary contractions. Respir Physiol Neurobiol 2011; 179:23-33. [DOI: 10.1016/j.resp.2011.06.010] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2011] [Revised: 06/14/2011] [Accepted: 06/14/2011] [Indexed: 11/17/2022]
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25
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Uga M, Niwa M, Ochiai N, Sasaki SI. Activity patterns of the diaphragm during voluntary movements in awake cats. J Physiol Sci 2010; 60:173-80. [PMID: 20087707 PMCID: PMC10717415 DOI: 10.1007/s12576-009-0081-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2009] [Accepted: 12/09/2009] [Indexed: 10/19/2022]
Abstract
The diaphragm is an important inspiratory muscle, and is also known to participate in the postural function. However, the activity of the diaphragm during voluntary movements has not been fully investigated in awake animals. In order to investigate the diaphragmatic activity during voluntary movements such as extending or rotating their body, we analyzed the electromyogram (EMG) of the diaphragm and trunk muscles in the cat using a technique for simultaneous recordings of EMG signals and video images. Periodic respiratory discharges occurred in the left and right costal diaphragm when the cat kept still. However, once the cat moved, their periodicity and/or synchrony were sometimes buried by non-respiratory activity. Such non-periodic diaphragmatic activities during voluntary movements are considered as the combination of respiratory activity and non-respiratory activity. Most of the diaphragmatic activities started shortly after the initiation of standing-up movements and occurred after the onset of trunk muscle activities. Those activities were more active compared to the normal respiratory activity. During rotation movements, left and right diaphragmatic activities showed asymmetrical discharge patterns and higher discharges than those during the resting situation. This asymmetrical activity may be caused by taking different lengths of each side of the diaphragm and trunk muscles. During reaching movements, the diaphragmatic activity occurred prior to or with the onset of trunk muscle activities. It is likely that diaphragmatic activities during reaching movements and standing-up movements may have been controlled by some different control mechanisms of the central nervous system. This study will suggest that the diaphragmatic activity is regulated not only by the respiratory center but also by inputs from the center for voluntary movements and/or sensory reflex pathways under the awake condition.
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Affiliation(s)
- Minako Uga
- Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, Japan.
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26
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Beales DJ, O'Sullivan PB, Briffa NK. The effect of resisted inspiration during an active straight leg raise in pain-free subjects. J Electromyogr Kinesiol 2010; 20:313-21. [PMID: 19541502 DOI: 10.1016/j.jelekin.2009.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2009] [Revised: 05/05/2009] [Accepted: 05/26/2009] [Indexed: 11/18/2022] Open
Abstract
Alterations of respiratory patterns have been observed in pelvic girdle pain subjects during the active straight leg raise (ASLR). This study investigated how pain-free subjects coordinate motor control during an ASLR when this task is complicated by the addition of a respiratory challenge. Trunk muscle activation, intra-abdominal pressure, intra-thoracic pressure, pelvic floor motion, downward pressure of the non-lifted leg and respiratory rate were compared between resting supine, ASLR, breathing with inspiratory resistance (IR) and ASLR+IR. Subjects responded to ASLR+IR with an increase in the motor activation in the abdominal wall and chest wall compared to when ASLR and IR were performed in isolation. Activation of obliquus internus abdominis was greater on the side of the leg lift during the ASLR+IR, in comparison to symmetrical activation observed in the other abdominal wall muscles. The incremental increase of motor activity was associated with greater intra-abdominal pressure baseline shift when lifting the leg during ASLR+IR compared to ASLR. Individual variation was apparent in the form of the motor control patterns, mostly reflected in variable respiratory activation of the abdominal wall. The findings highlight the flexibility of the neuromuscular system in adapting to simultaneous respiratory and stability demands.
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Affiliation(s)
- Darren John Beales
- School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University of Technology, Perth, Western Australia, Australia.
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27
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Hudson AL, Butler JE, Gandevia SC, De Troyer A. Interplay Between the Inspiratory and Postural Functions of the Human Parasternal Intercostal Muscles. J Neurophysiol 2010; 103:1622-9. [DOI: 10.1152/jn.00887.2009] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The parasternal intercostal muscles are obligatory inspiratory muscles. To test the hypothesis that they are also involved in trunk rotation and to assess the effect of any postural role on inspiratory drive to the muscles, intramuscular electromyographic (EMG) recordings were made from the parasternal intercostals on the right side in six healthy subjects during resting breathing in a neutral posture (“neutral breaths”), during an isometric axial rotation effort of the trunk to the right (“ipsilateral rotation”) or left (“contralateral rotation”), and during resting breathing with the trunk rotated. The parasternal intercostals were commonly active during ipsilateral rotation but were consistently silent during contralateral rotation. In addition, with ipsilateral rotation, peak parasternal inspiratory activity was 201 ± 19% (mean ± SE) of the peak inspiratory activity in neutral breaths ( P < 0.001), and activity commenced earlier relative to the onset of inspiratory flow. These changes resulted from an increase in the discharge frequency of motor units (14.3 ± 0.3 vs. 11.0 ± 0.3 Hz; P < 0.001) and the recruitment of new motor units. The majority of units that discharged during ipsilateral rotation were also active in inspiration. However, with contralateral rotation, parasternal inspiratory activity was delayed relative to the onset of inspiratory flow, and peak activity was reduced to 72 ± 4% of that in neutral breaths ( P < 0.001). This decrease resulted from a decrease in the inspiratory discharge frequency of units (10.5 ± 0.2 vs. 12.0 ± 0.2 Hz; P < 0.001) and the derecruitment of units. These observations confirm that in addition to an inspiratory function, the parasternal intercostal muscles have a postural function. Furthermore the postural and inspiratory drives depolarize the same motoneurons, and the postural contraction of the muscles alters their output during inspiration in a direction-dependent manner.
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Affiliation(s)
- Anna L. Hudson
- Prince of Wales Medical Research Institute and University of New South Wales, Sydney, New South Wales, Australia; and
| | - Jane E. Butler
- Prince of Wales Medical Research Institute and University of New South Wales, Sydney, New South Wales, Australia; and
| | - Simon C. Gandevia
- Prince of Wales Medical Research Institute and University of New South Wales, Sydney, New South Wales, Australia; and
| | - Andre De Troyer
- Laboratory of Cardiorespiratory Physiology, Brussels School of Medicine and Chest Service, Erasme University Hospital, Brussels, Belgium
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Lee LJ, Chang AT, Coppieters MW, Hodges PW. Changes in sitting posture induce multiplanar changes in chest wall shape and motion with breathing. Respir Physiol Neurobiol 2010; 170:236-45. [DOI: 10.1016/j.resp.2010.01.001] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 01/06/2010] [Accepted: 01/06/2010] [Indexed: 11/24/2022]
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Uga M, Niwa M, Ochiai N, Sasaki SI. The Diaphragmatic Activities During Trunk Movements. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2010; 669:253-6. [DOI: 10.1007/978-1-4419-5692-7_51] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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30
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Guigon E, Baraduc P, Desmurget M. Computational motor control: redundancy and invariance. J Neurophysiol 2006; 97:331-47. [PMID: 17005621 DOI: 10.1152/jn.00290.2006] [Citation(s) in RCA: 121] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The nervous system controls the behavior of complex kinematically redundant biomechanical systems. How it computes appropriate commands to generate movements is unknown. Here we propose a model based on the assumption that the nervous system: 1) processes static (e.g., gravitational) and dynamic (e.g., inertial) forces separately; 2) calculates appropriate dynamic controls to master the dynamic forces and progress toward the goal according to principles of optimal feedback control; 3) uses the size of the dynamic commands (effort) as an optimality criterion; and 4) can specify movement duration from a given level of effort. The model was used to control kinematic chains with 2, 4, and 7 degrees of freedom [planar shoulder/elbow, three-dimensional (3D) shoulder/elbow, 3D shoulder/elbow/wrist] actuated by pairs of antagonist muscles. The muscles were modeled as second-order nonlinear filters and received the dynamics commands as inputs. Simulations showed that the model can quantitatively reproduce characteristic features of pointing and grasping movements in 3D space, i.e., trajectory, velocity profile, and final posture. Furthermore, it accounted for amplitude/duration scaling and kinematic invariance for distance and load. These results suggest that motor control could be explained in terms of a limited set of computational principles.
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Affiliation(s)
- Emmanuel Guigon
- INSERM U742, Action Neuroimagerie Modelisation, Université Pierre et Marie Curie, Boîte 23, 9 quai Saint-Bernard, 75005 Paris, France.
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31
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Gandevia SC, Hudson AL, Gorman RB, Butler JE, De Troyer A. Spatial distribution of inspiratory drive to the parasternal intercostal muscles in humans. J Physiol 2006; 573:263-75. [PMID: 16556657 PMCID: PMC1779709 DOI: 10.1113/jphysiol.2005.101915] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The human parasternal intercostal muscles are obligatory inspiratory muscles with a diminishing mechanical advantage from cranial to caudal interspaces. This study determined whether inspiratory neural drive to these muscles is graded, and whether this distribution matches regional differences in inspiratory mechanical advantage. To determine the neural drive, intramuscular EMG was recorded from the first to the fifth parasternal intercostals during resting breathing in six subjects. All interspaces showed phasic inspiratory activity but the onset of activity relative to inspiratory flow in the fourth and fifth spaces was delayed compared with that in cranial interspaces. Activity in the first, second and third interspaces commenced, on average, within the first 10% of inspiratory time, and sometimes preceded inspiratory airflow. In contrast, activity in the fourth and fifth interspaces began after an average 33% of inspiratory time. The peak inspiratory discharge frequency of motor units in the first interspace averaged 13.4 +/- 1.0 Hz (mean +/- s.e.m.) and was significantly greater than in all other interspaces, in particular in the fifth space (8.0 +/- 1.0 Hz). Phasic inspiratory activity was sometimes superimposed on tonic activity. In the first interspace, only 3% of units had tonic firing, but this proportion increased to 34% in the fifth space. In five subjects, recordings were also made from the medial and lateral extent of the second parasternal intercostal. Both portions showed phasic inspiratory activity which began within the first 6% of inspiratory time. Motor units from the lateral and medial portions fired at the same peak discharge rate (10.4 +/- 0.7 versus 10.7 +/- 0.6 Hz). These observations indicate that the distribution of neural drive to the parasternal intercostals in humans has a rostrocaudal gradient, but that the drive is uniform along the mediolateral extent of the second interspace. The distribution of inspiratory neural drive to the parasternal intercostals parallels the spatial distribution of inspiratory mechanical advantage, while tonic activity was higher where mechanical advantage was lower.
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Affiliation(s)
- Simon C Gandevia
- Prince of Wales Medical Research Institute, Barker St Randwick, NSW 2031 Australia.
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Abstract
The mechanical advantages of the external and internal intercostals depend partly on the orientation of the muscle but mostly on interspace number and the position of the muscle within each interspace. Thus the external intercostals in the dorsal portion of the rostral interspaces have a large inspiratory mechanical advantage, but this advantage decreases ventrally and caudally such that in the ventral portion of the caudal interspaces, it is reversed into an expiratory mechanical advantage. The internal interosseous intercostals in the caudal interspaces also have a large expiratory mechanical advantage, but this advantage decreases cranially and, for the upper interspaces, ventrally as well. The intercartilaginous portion of the internal intercostals (the so-called parasternal intercostals), therefore, has an inspiratory mechanical advantage, whereas the triangularis sterni has a large expiratory mechanical advantage. These rostrocaudal gradients result from the nonuniform coupling between rib displacement and lung expansion, and the dorsoventral gradients result from the three-dimensional configuration of the rib cage. Such topographic differences in mechanical advantage imply that the functions of the muscles during breathing are largely determined by the topographic distributions of neural drive. The distributions of inspiratory and expiratory activity among the muscles are strikingly similar to the distributions of inspiratory and expiratory mechanical advantages, respectively. As a result, the external intercostals and the parasternal intercostals have an inspiratory function during breathing, whereas the internal interosseous intercostals and the triangularis sterni have an expiratory function.
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Affiliation(s)
- André De Troyer
- Laboratory of Cardiorespiratory Physiology, Brussels School of Medicine and Chest Service, Erasme University Hospital, Belgium.
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33
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Kita I, Imanaka K, Arita H. Effects of practice on cardiorespiratory responses during postural control. Exp Brain Res 2004; 161:512-8. [PMID: 15517214 DOI: 10.1007/s00221-004-2095-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2004] [Accepted: 08/10/2004] [Indexed: 02/04/2023]
Abstract
The present study examined the effects of practice of a balance test on cardiorespiratory changes in response to a 1-min balance test performed by standing on one leg with eyes closed (SOLEC) in 30 females (n=15, 21+/-4 years, mean+/-SD, for the experimental group; n=15, 22+/-4 years for the control group). Blood pressure (BP), heart rate (HR), minute ventilation (VE), respiratory rate (RR), tidal volume (VT), expiratory duration (Te), inspiratory duration (Ti), and oxygen uptake (VO(2)) were measured during the balance test before and after 2 wk of daily practice. The experimental group was given a daily 15-min practice session for the balance test. In contrast, the control group was instructed not to do any special practice for the balance test. In both the experimental and control groups, SOLEC induced significant increases in BP, HR, VE, RR, and VO(2), and decreases in Te and Ti. Following the practice sessions, the balance time increased significantly in the experimental group (P<0.01). In addition, 2 wk of practice reduced the increases in BP (P<0.01), VE (P<0.05), and RR (P<0.01), and prolonged Te (P<0.01) during the SOLEC test. These results suggest that practice of a postural task affects cardiorespiratory responses to the balance test in addition to postural control.
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Affiliation(s)
- Ichiro Kita
- Department of Kinesiology, Tokyo Metropolitan University, 1-1 Minamiohsawa, Hachioji, 192-0397 Tokyo, Japan.
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Ratnovsky A, Zaretsky U, Shiner RJ, Elad D. Integrated approach for in vivo evaluation of respiratory muscles mechanics. J Biomech 2003; 36:1771-84. [PMID: 14614931 DOI: 10.1016/s0021-9290(03)00232-x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The respiratory muscles constitute the respiratory pump, which determines the efficacy of ventilation. Any functional disorder in their performance may cause insufficient ventilation. This study was designed to quantitatively explore the relative contribution of major groups of respiratory muscles to global lung ventilation throughout a range of maneuvers in healthy subjects. A computerized experimental system was developed for simultaneous noninvasive measurement of inspired/expired airflow, mouth pressure and up to 8 channels of EMG surface signals from major respiratory muscles which are located near the skin (e.g., sternomastoid, external intercostal, rectus abdominis and external oblique) during various respiratory maneuvers. Lung volumes values were calculated by integration of airflow data. Hill's muscle model was utilized to calculate the forces generated by the muscles from the acquired EMG data. Analysis of EMG measurements and respiratory muscles forces revealed the following characteristics: (a) muscle activity increased with increased breathing effort, (b) inspiratory muscles contributed to inspiration even at relatively low flow rates, while expiratory muscles are recruited at higher flow rates, (c) the forces generated by the muscle depended on the muscle properties as well as on their EMG performance and (d) the pattern of the muscle's force curves varied between subjects, but were generally consistent for the same subject regardless of breathing effort.
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Affiliation(s)
- Anat Ratnovsky
- Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv 69978, Israel
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Dault MC, Yardley L, Frank JS. Does articulation contribute to modifications of postural control during dual-task paradigms? BRAIN RESEARCH. COGNITIVE BRAIN RESEARCH 2003; 16:434-40. [PMID: 12706223 DOI: 10.1016/s0926-6410(03)00058-2] [Citation(s) in RCA: 140] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Many studies have been carried out to investigate the attentional resources required for postural control, using a 'dual-task' methodology in which performance on mental and postural control tasks is compared when these are carried out separately and concurrently. Most mental tasks used in these dual-task studies have employed verbal responses. However, changes in respiration during speech production are known to produce changes in postural control. Hence, the goal of this study was to determine whether articulation might contribute to the changes found in postural sway when a spoken mental task is being performed and to determine if the type of postural control measurement might also have an impact on the outcome of the study. Twenty young healthy participants were asked to stand on a force platform while executing secondary tasks that were performed silently or required a verbal response, and that required high or low levels of attention. Vision and postural task difficulty were manipulated. Performance of all tasks produced an increased sway frequency and decreased sway amplitude relative to the no task baseline. However, tasks that required articulation resulted in a more pronounced increase in postural sway frequency and sway path than did the tasks that did not require any articulation. These findings could imply that the addition of a secondary task results in increased stiffness, whereas articulation results in a further increased frequency of sway, which leads to an increase in sway path. We conclude that changes in the various parameters of sway that accompany performance of secondary tasks are complex, and are not always wholly attributable to attentional load, but may also be partly due to the motor requirements of the task, such as those involved in articulation.
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Affiliation(s)
- Mylène C Dault
- Canadian Institutes of Health Research, 410 Laurier Avenue West, 9th Floor, Address Locator 4209A, Ottawa, Ontario, Canada.
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Hodges PW, Heijnen I, Gandevia SC. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiol 2001; 537:999-1008. [PMID: 11744772 PMCID: PMC2278995 DOI: 10.1111/j.1469-7793.2001.00999.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
1. Respiratory activity of the diaphragm and other respiratory muscles is normally co-ordinated with their other functions, such as for postural control of the trunk when the limbs move. The integration may occur by summation of two inputs at the respiratory motoneurons. The present study investigated whether postural activity of the diaphragm changed when respiratory drive increased with hypercapnoea. 2. Electromyographic (EMG) recordings of the diaphragm and other trunk muscles were made with intramuscular electrodes in 13 healthy volunteers. Under control conditions and while breathing through increased dead-space, subjects made rapid repetitive arm movements to disturb the stability of the spine for four periods each lasting 10 s, separated by 50 s. 3. End-tidal CO(2) and ventilation increased for the first 60-120 s of the trial then reached a plateau. During rapid arm movement at the start of dead-space breathing, diaphragm EMG became tonic with superimposed modulation at the frequencies of respiration and arm movement. However, when the arm was moved after 60 s of hypercapnoea, the tonic diaphragm EMG during expiration and the phasic activity with arm movement were reduced or absent. Similar changes occurred for the expiratory muscle transversus abdominis, but not for the erector spinae. The mean amplitude of intra-abdominal pressure and the phasic changes with arm movement were reduced after 60 s of hypercapnoea. 4. The present data suggest that increased central respiratory drive may attenuate the postural commands reaching motoneurons. This attenuation can affect the key inspiratory and expiratory muscles and is likely to be co-ordinated at a pre-motoneuronal site.
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Affiliation(s)
- P W Hodges
- Department of Physiology, Prince of Wales Medical Research Institute and University of New South Wales, Sydney, Australia.
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Hodges PW, Gandevia SC. Changes in intra-abdominal pressure during postural and respiratory activation of the human diaphragm. J Appl Physiol (1985) 2000; 89:967-76. [PMID: 10956340 DOI: 10.1152/jappl.2000.89.3.967] [Citation(s) in RCA: 228] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
In humans, when the stability of the trunk is challenged in a controlled manner by repetitive movement of a limb, activity of the diaphragm becomes tonic but is also modulated at the frequency of limb movement. In addition, the tonic activity is modulated by respiration. This study investigated the mechanical output of these components of diaphragm activity. Recordings were made of costal diaphragm, abdominal, and erector spinae muscle electromyographic activity; intra-abdominal, intrathoracic, and transdiaphragmatic pressures; and motion of the rib cage, abdomen, and arm. During limb movement the diaphragm and transversus abdominis were tonically active with added phasic modulation at the frequencies of both respiration and limb movement. Activity of the other trunk muscles was not modulated by respiration. Intra-abdominal pressure was increased during the period of limb movement in proportion to the reactive forces from the movement. These results show that coactivation of the diaphragm and abdominal muscles causes a sustained increase in intra-abdominal pressure, whereas inspiration and expiration are controlled by opposing activity of the diaphragm and abdominal muscles to vary the shape of the pressurized abdominal cavity.
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Affiliation(s)
- P W Hodges
- Prince of Wales Medical Research Institute, University of New South Wales, Sydney, New South Wales 2031, Australia.
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Hodges PW. The role of the motor system in spinal pain: implications for rehabilitation of the athlete following lower back pain. J Sci Med Sport 2000; 3:243-53. [PMID: 11101263 DOI: 10.1016/s1440-2440(00)80033-x] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The purpose of this review is to consider the role of the motor system in spinal pain. It is well accepted that spinal stability is dependent on the contribution of the muscular system. However, the ability of this system to satisfy the requirements of stability is dependent on its controller--the central nervous system (CNS). The CNS must predict the outcome of movements to plan appropriate strategies of muscle activity to meet the demands of internal and external forces, and initiate appropriate responses to unexpected disturbances. In addition, this complex control of stability must occur in conjunction with control of the trunk muscles for other functions, such as respiration. For the CNS to cope with athletic performance the coordination of these parameters must be streamlined. Yet evidence suggests that when spinal pain is present the strategies used by the CNS to control trunk muscles may be altered. The mechanism for these changes is poorly understood but may be due to changes at many levels of the CNS. For rehabilitation of the athlete with spinal pain it is critical that the motor control of stability is optimised. Furthermore, this must be coordinated with the multiple other functions of trunk muscles, including respiration.
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Affiliation(s)
- P W Hodges
- Prince of Wales Medical Research Institute & University of New South Wales, Sydney, Australia
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Abstract
As a first step towards elucidating the synaptic organization underlying segmental responses of abdominal muscles I recorded the responses of branches of the left cranial (L(1)L) and caudal (L(2)L) and right caudal (L(2)R) lumbar (iliohypogastric) nerves to electrical shocks of different intensities to the caudal branch of L(2)L in nine decerebrate paralyzed and ventilated cats. If such reflex responses subserve a respiratory function, then they should be bilaterally similar; if they do not, lateral asymmetry should be evident. At intensities activating only large diameter axons (i.e. spindle and tendon organ afferents), stimulation typically elicited in the rostral branch of L(2)L a brief (approximately 1.6 ms) short-latency (approximately 1.8 ms) excitation followed by a suppression of activity (approximately 8-26 ms). Responses increased in amplitude as stimulus intensity increased, the suppression of activity being interrupted by an excitation (latency approximately 5. 4 ms, duration approximately 3.6 ms) in four cats. L(1)L responses were similar. Contralateral responses in the same segment (L(2)R) in five cats consisted of a suppression of activity in four, a short-latency (approximately 3.3 ms) excitation being present in three; increases in stimulus intensity in two additional cats elicited these excitatory and inhibitory responses. I conclude: (1) the variable responses between cats reflect differences in nerve bundles and, therefore, target muscles, from which the recordings were made; and (2) because of the lateral asymmetry of responses, abdominal afferent activation elicited postural (rotational) rather than respiratory reflexes.
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Affiliation(s)
- S Iscoe
- Department of Physiology, Queen's University, Ont., K7L 3N6, Kingston, Canada.
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Vercueil L, Linard JP, Wuyam B, Pollak P, Benchetrit G. Breathing pattern in patients with Parkinson's disease. RESPIRATION PHYSIOLOGY 1999; 118:163-72. [PMID: 10647860 DOI: 10.1016/s0034-5687(99)00075-4] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The improvement in motor performance resulting from levodopa administration in patients with Parkinson's disease (PD) provides the opportunity to investigate ventilatory changes brought about by the disease. The aim of this study has been to investigate these changes in order to specify the mechanisms of the impairment in breathing in PD. Breathing patterns at rest were investigated in 11 patients with idiopathic PD both before (OFF) and after (ON) administration of levodopa at a dose improving their motor performance by at least 30%. Airflow (Fleisch head mounted on a mask), rib cage and abdomen movements (inductance plethysmography) were recorded in the OFF condition 1 h after subjects woke up. Subjects then received levodopa and a new set of recordings was obtained 1 h later, in the ON condition. Breath-by-breath processing of recordings was carried out, and tidal volume (VT), inspiratory (TI) and expiratory (TE) durations were measured. The main finding was a lengthening of TI resulting in a decrease in ventilation and in VT/TI, and an increase in TI/TTOT in the ON compared to the OFF condition. In the ON condition abnormal rib cage-abdomen plots patterns were found in four out of six subjects. A hypothesis on the effect of PD on breathing is proposed on grounds of normal diaphragmatic activity but impaired activity of the other respiratory muscles and more specifically the intercostal muscles.
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Affiliation(s)
- L Vercueil
- Clinique Neurologique, INSERM U-318, Centre Hospitalier Universitaire, La Tronche, France
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Abstract
The present study sought to determine whether the increased postural instability produced by a spoken mental task was due to competing demands for attentional resources or perturbation of posture by articulation. Postural sway was measured in 36 normal subjects under the following conditions: repeating a number aloud (articulation), counting backwards aloud in multiples of seven (articulation and attention), counting backwards silently (attention), and no mental task (neither articulation nor attention). Articulation resulted in a significant increase in sway, whereas no effect of attention was observed. We conclude that in order to accurately assess the effect of attentional demands on postural control, it is important to eliminate or control the effects of articulation.
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Affiliation(s)
- L Yardley
- Department of Psychology, University of Southampton, Highfield, UK
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Hodges PW, Butler JE, McKenzie DK, Gandevia SC. Contraction of the human diaphragm during rapid postural adjustments. J Physiol 1997; 505 ( Pt 2):539-48. [PMID: 9423192 PMCID: PMC1160083 DOI: 10.1111/j.1469-7793.1997.539bb.x] [Citation(s) in RCA: 174] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
1. The response of the diaphragm to the postural perturbation produced by rapid flexion of the shoulder to a visual stimulus was evaluated in standing subjects. Gastric, oesophageal and transdiaphragmatic pressures were measured together with intramuscular and oesophageal recordings of electromyographic activity (EMG) in the diaphragm. To assess the mechanics of contraction of the diaphragm, dynamic changes in the length of the diaphragm were measured with ultrasonography. 2. With rapid flexion of the shoulder in response to a visual stimulus, EMG activity in the costal and crural diaphragm occurred about 20 ms prior to the onset of deltoid EMG. This anticipatory contraction occurred irrespective of the phase of respiration in which arm movement began. The onset of diaphragm EMG coincided with that of transversus abdominis. 3. Gastric and transdiaphragmatic pressures increased in association with the rapid arm flexion by 13.8 +/- 1.9 (mean +/- S.E.M.) and 13.5 +/- 1.8 cmH2O, respectively. The increases occurred 49 +/- 4 ms after the onset of diaphragm EMG, but preceded the onset of movement of the limb by 63 +/- 7 ms. 4. Ultrasonographic measurements revealed that the costal diaphragm shortened and then lengthened progressively during the increase in transdiaphragmatic pressure. 5. This study provides definitive evidence that the human diaphragm is involved in the control of postural stability during sudden voluntary movement of the limbs.
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Affiliation(s)
- P W Hodges
- Prince of Wales Medical Research Institute, Sydney, Australia
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Hodges PW, Gandevia SC, Richardson CA. Contractions of specific abdominal muscles in postural tasks are affected by respiratory maneuvers. J Appl Physiol (1985) 1997; 83:753-60. [PMID: 9292460 DOI: 10.1152/jappl.1997.83.3.753] [Citation(s) in RCA: 100] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
The influence of respiratory activity of the abdominal muscles on their reaction time in a postural task was evaluated. The electromyographic (EMG) onsets of the abdominal muscles and deltoid were evaluated in response to shoulder flexion initiated by a visual stimulus occurring at random throughout the respiratory cycle. Increased activity of the abdominal muscles was produced by inspiratory loading, forced expiration below functional residual capacity, and a static glottis-closed expulsive maneuver. During quiet breathing, the latency between activation of the abdominal muscles and deltoid was not influenced by the respiratory cycle. When respiratory activity of the abdominal muscles increased, the EMG onset of transversus abdominis and internal oblique, relative to deltoid, was significantly earlier for movements beginning in expiration, compared with inspiration [by 97-107 ms (P < 0.01) and 64-90 ms (P < 0.01), respectively]. However, the onset of transversus abdominis EMG was delayed by 31-54 ms (P < 0.01) when movement was performed during a static expulsive effort, compared with quiet respiration. Thus changes occur in early anticipatory contraction of transversus abdominis during respiratory tasks but they cannot be explained simply by existing activation of the motoneuron pool.
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Affiliation(s)
- P W Hodges
- Department of Physiotherapy, The University of Queensland, Brisbane, Queensland 4072, Australia
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