Modulation of chest wall intermuscular coherence: effects of lung volume excursion and transcranial direct current stimulation

2013 ◽  
Vol 110 (3) ◽  
pp. 680-687 ◽  
Author(s):  
Corey R. Tomczak ◽  
Krista R. Greidanus ◽  
Carol A. Boliek
Keyword(s):  
Chest Wall ◽  
Lung Volume ◽  
Vital Capacity ◽  
Healthy Adults ◽  
Cortical Control ◽  
Tidal Breathing ◽  
Wall Area ◽  
Speech Breathing ◽  
Intermuscular Coherence ◽  
Chest Wall Kinematics

Chest wall muscle recruitment varies as a function of the breathing task performed. However, the cortical control of the chest wall muscles during different breathing tasks is not known. We studied chest wall intermuscular coherence during various task-related lung volume excursions in 10 healthy adults (34 ± 15 yr; 2 men, 8 women) and determined if transcranial direct current stimulation (tDCS) could modulate chest wall intermuscular coherence during these tasks. Simultaneous assessment of regional intercostal and oblique electromyographic activity was measured while participants performed standardized tidal breathing, speech, maximum phonation, and vital capacity tasks. Lung volume and chest wall kinematics were determined using variable inductance plethysmography. We found that chest wall area of intermuscular coherence was greater during tidal and speech breathing compared with phonation and vital capacity (all P < 0.05) and between tidal breathing compared with speech breathing ( P < 0.05). Anodal tDCS increased chest wall area of intermuscular coherence from 0.04 ± 0.09 prestimulation to 0.18 ± 0.19 poststimulation for vital capacity ( P < 0.05). Sham tDCS and cathodal tDCS had no effect on coherence during lung volume excursions. Chest wall kinematics were not affected by tDCS. Our findings indicate that lung volume excursions about the midrange of vital capacity elicit a greater area of chest wall intermuscular coherence compared with lung volume excursions spanning the entire range of vital capacity in healthy adults. Our findings also demonstrate that brief tDCS may modulate the cortical control of the chest wall muscles in a stimulation- and lung volume excursion task-dependent manner but does not affect chest wall kinematics in healthy adults.

Body Type and Speech Breathing

1986 ◽  
Vol 29 (3) ◽  
pp. 313-324 ◽  
Author(s):  
Jeannette D. Hoit ◽  
Thomas J. Hixon
Keyword(s):  
Chest Wall ◽  
Volume Change ◽  
Lung Volume ◽  
Underlying Mechanism ◽  
Relative Volume ◽  
Body Type ◽  
Tidal Breathing ◽  
Rib Cage ◽  
Musculoskeletal Development ◽  
Speech Breathing

Diameter changes of the rib cage and abdomen were recorded during tidal breathing and speech production in 12 adult male subjects grouped on the basis of prominence on three body type components: relative fatness, relative musculoskeletal development, and relative linearity. Data were charted to solve for lung volume, volume displacements of the rib cage and abdomen, and muscular mechanism. Tidal breathing differed across subject groups with regard to depth, rate, and chest wall configuration. Subjects rated high in relative fatness breathed deeper, slower, and with a greater chest wall deformation from relaxation than did other subjects: Speech breathing differed across subject groups with regard to relative volume contributions of the rib cage and abdomen, abdomeren excursions, rib cage paradoxing, and chest wall configuration. Subjects rated high in relative fatness demonstrated substantial abdomen contributions to lung volume change, large abdomen excursions, frequent rib cage paradoxing, and marked chest wall deformations from relaxation. By contrast, subjects rated high in relative linearity demonstrated large rib cage contributions to lung volume change; small abdomen excursions, and slight chest wall deformations from relaxation. Subjects rated high in relative musculoskeletal development generally represented a mixture of characteristics of the other two subject groups in their speech breathing performance. Functional differences are discussed in relation to possible underlying mechanism and inferences are drawn concerning evaluation and management of individuals with speech breathing disorders.

scholarly journals Longitudinal Changes in Speech Breathing in Older Adults with and without Parkinson's Disease

2017 ◽  
Vol 38 (03) ◽  
pp. 200-209 ◽  
Author(s):  
Meghan Darling-White ◽  
Jessica Huber
Keyword(s):  
Older Adults ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Speech Production ◽  
Lung Volume ◽  
Vital Capacity ◽  
Speech Rate ◽  
Work Of Breathing ◽  
Speech Breathing ◽  
Subglottal Pressure

AbstractThis longitudinal study examines changes to speech production and speech breathing in older adults with Parkinson's disease (PD) and older adults without PD. Eight participants with PD and eight age- and sex-matched older adults participated in two data collection sessions, separated by 3.7 years on average. Speech severity and speech rate increased for people with PD. Vital capacity decreased for both groups. Older adult control participants displayed significant increases in lung volume initiation and excursion and percent vital capacity expended per syllable. These changes allow older adults to utilize higher recoil pressures to generate subglottal pressure for speech production, potentially reducing work of breathing. Participants with PD displayed significant decreases in lung volume initiation and termination. Thus, unlike older adults, people with PD exert more expiratory muscle pressure during speech production, leading to increased effort. Speech-language pathologists need to consider direct treatment of respiratory patterns for speech to reduce effort and fatigue.

Speech Breathing in Children and Adolescents

1990 ◽  
Vol 33 (1) ◽  
pp. 51-69 ◽  
Author(s):  
Jeannette D. Hoit ◽  
Thomas J. Hixon ◽  
Peter J. Watson ◽  
Wayne J. Morgan
Keyword(s):  
Children And Adolescents ◽  
Lung Volume ◽  
Age Groups ◽  
Important Variable ◽  
Clinical Implications ◽  
Tidal Breathing ◽  
Breathing Apparatus ◽  
Age Related ◽  
Speech Breathing ◽  
Helium Dilution

An investigation was conducted to elucidate the nature of speech breathing in children and adolescents and to determine if sex and age influence performance. Eighty healthy boys and girls representing four age groups (7, 10, 13, and 16 years) were studied using helium dilution to obtain measures of subdivisions of the lung volume and using magnetometers to obtain measures of resting tidal breathing and speech breathing. Results for subdivisions of the lung volume and resting tidal breathing revealed sex- and age-related differences, most of which were attributable to differences in breathing apparatus size. Results for speech breathing indicated that sex was not an important variable, but that age was critical in determining speech breathing performance. The most substantial differences were between the 7-year-old group and older groups. These differences were characterized by larger lung volume, rib cage volume, and abdominal volume initiations and terminations for breath groups, larger lung volume excursions per breath group, fewer numbers of syllables per breath group, and larger lung volume expenditures per syllable for the 7-year-old group compared to older groups. In most respects, speech breathing appeared adultlike by the end of the first decade of life. Clinical implications regarding these findings are offered.

scholarly journals Respiratory Kinematics During Vocalization and Nonspeech Respiration in Children From 9 to 48 Months

2004 ◽  
Vol 47 (1) ◽  
pp. 70-84 ◽  
Author(s):  
Kathryn P. Connaghan ◽  
Christopher A. Moore ◽  
Masahiko Higashakawa
Keyword(s):  
Chest Wall ◽  
Respiratory Drive ◽  
Typically Developing ◽  
Rib Cage ◽  
Relative Contribution ◽  
Speech Breathing ◽  
Movement Type ◽  
The Moment ◽  
Chest Wall Kinematics ◽  
Abdominal Movement

The development of respiratory drive for vocalization was studied by observing chest wall kinematics longitudinally in 4 typically developing children from the age of 9 to 48 months. Measurements of the relative contribution of rib cage and abdominal movement during vocalization (i.e., babbling and true words) and rest breathing were obtained every 3 months using respiratory plethysmography (Respitrace TM ). Extending earlier findings in 15-month-olds, 2 methods of analysis of rib cage and abdominal movement were used: (a) a dynamic index of the strength of coupling between the rib cage and abdomen, and (b) a classification scheme describing the moment-by-moment changes in each of the 2 components (C. A. Moore, T. J. Caulfield, & J. R. Green, 2001). The developmental course of relative chest wall kinematics differed between vocalization and rest breathing. The coupling of rib cage and abdomen during vocalization weakened significantly with development, whereas it remained consistently strong for rest breathing throughout the observed period. The developmental changes in frequency of occurrence of relative moment-by-moment changes varied across movement type. The results support previous findings that speech breathing is distinct from rest breathing based on the relative contributions of the rib cage and abdomen. Longitudinal changes are likely responsive to anatomic development, including changes to rib cage shape and compliance.

Effect of gravity on chest wall mechanics

2002 ◽  
Vol 92 (2) ◽  
pp. 709-716 ◽  
Author(s):  
D. Bettinelli ◽  
C. Kays ◽  
O. Bailliart ◽  
A. Capderou ◽  
P. Techoueyres ◽  
...  
Keyword(s):  
Linear System ◽  
Chest Wall ◽  
Lung Volume ◽  
Vital Capacity ◽  
Pressure Curve ◽  
Parabolic Flights ◽  
Chest Wall Mechanics ◽  
Exponential Decrease ◽  
Volume Range

Chest wall mechanics was studied in four subjects on changing gravity in the craniocaudal direction (Gz) during parabolic flights. The thorax appears very compliant at 0 Gz: its recoil changes only from −2 to 2 cmH2O in the volume range of 30–70% vital capacity (VC). Increasing Gz from 0 to 1 and 1.8 Gzprogressively shifted the volume-pressure curve of the chest wall to the left and also caused a fivefold exponential decrease in compliance. For lung volume <30% VC, gravity has an inspiratory effect, but this effect is much larger going from 0 to 1 Gz than from 1 to 1.8 Gz. For a volume from 30 to 70% VC, the effect is inspiratory going from 0 to 1 Gz but expiratory from 1 to 1.8 Gz. For a volume greater than ∼70% VC, gravity always has an expiratory effect. The data suggest that the chest wall does not behave as a linear system when exposed to changing gravity, as the effect depends on both chest wall volume and magnitude of Gz.

Static features of the passive rib cage and abdomen-diaphragm

1965 ◽  
Vol 20 (6) ◽  
pp. 1187-1193 ◽  
Author(s):  
Emilio Agostoni ◽  
Piero Mognoni ◽  
Giorgio Torri ◽  
Ada Ferrario Agostoni
Keyword(s):  
Chest Wall ◽  
Lung Volume ◽  
Vital Capacity ◽  
Small Volume ◽  
Respiratory Muscles ◽  
Muscular Activity ◽  
Pressure Curve ◽  
Rib Cage ◽  
Expiratory Muscles ◽  
Volume Pressure Curves

The static relation between lung volume and rib cage circumference has been determined over the vital capacity range, during relaxation and activity of the respiratory muscles with open airway. At small volume the circumference is larger during relaxation; the reverse occurs at large volume. During relaxation at full expiration the cross section of the rib cage becomes more elliptical and in some subjects also greater. Hence the shape of the chest wall during muscular activity is different from that during relaxation. Because of this change of chest wall shape the outward recoil of the passive rib cage at full expiration, in the seven subjects examined, is higher than that given by the conventional volume-pressure curve during relaxation. The volume displacements of the rib cage and of the abdomen-diaphragm have been calculated and the volume-pressure curves of the passive rib cage and abdomen-diaphragm have been constructed, taking into account the changes of the chest wall shape occurring during relaxation. change of chest wall shape during relaxation; relation between lung volume and rib cage circumference during relaxation; relation between pleural pressure and rib cage circumference during relaxation; recoil of the passive rib cage; pressure exerted by the expiratory muscles at full expiration; volume-pressure curve of the passive rib cage; volume-pressure curve of the passive abdomen-diaphragm Submitted on September 14, 1964

Gravity effects on regional lung ventilation determined by functional EIT during parabolic flights

2001 ◽  
Vol 91 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Inéz Frerichs ◽  
Taras Dudykevych ◽  
José Hinz ◽  
Marc Bodenstein ◽  
Günter Hahn ◽  
...  
Keyword(s):  
Lung Volume ◽  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Lung Ventilation ◽  
Tidal Breathing ◽  
Parabolic Flights ◽  
Regional Lung ◽  
Residual Capacity ◽  
The Right ◽  
Regional Lung Ventilation

Gravity-dependent changes of regional lung function were studied during normogravity, hypergravity, and microgravity induced by parabolic flights. Seven healthy subjects were followed in the right lateral and supine postures during tidal breathing, forced vital capacity, and slow expiratory vital capacity maneuvers. Regional 1) lung ventilation, 2) lung volumes, and 3) lung emptying behavior were studied in a transverse thoracic plane by functional electrical impedance tomography (EIT). The results showed gravity-dependent changes of regional lung ventilation parameters. A significant effect of gravity on regional functional residual capacity with a rapid lung volume redistribution during the gravity transition phases was established. The most homogeneous functional residual capacity distribution was found at microgravity. During vital capacity and forced vital capacity in the right lateral posture, the decrease in lung volume on expiration was larger in the right lung region at all gravity phases. During tidal breathing, the differences in ventilation magnitudes between the right and left lung regions were not significant in either posture or gravity phase. A significant nonlinearity of lung emptying was determined at normogravity and hypergravity. The pattern of lung emptying was homogeneous during microgravity.

Characteristics of Speech Breathing in Young Women

1989 ◽  
Vol 32 (3) ◽  
pp. 466-480 ◽  
Author(s):  
Megan M. Hodge ◽  
Anne Putnam Rochet
Keyword(s):  
Chest Wall ◽  
Young Women ◽  
Lung Volume ◽  
Relative Volume ◽  
Breathing Frequency ◽  
Rib Cage ◽  
Speech Breathing ◽  
Respiratory Behavior ◽  
Positive Correlations ◽  
The Relationship

Chest wall kinematic records were obtained from 10 healthy young women in the upright, seated position during resting breathing, conversation, and reading aloud. Breathing frequency, lung volume levels relative to resting end-expiratory level, and relative volume displacements of the rib cage and abdomen were measured. Compared to conversation, group results for reading revealed three differences: an increase in syllables spoken per breath, an absence of filled pauses, and a slight upward shift in end-inspiratory and end-expiratory lung volume levels. Compared to resting breathing, group results for speech revealed four differences: a background chest wall configuration characterized by a relatively larger rib cage and smaller abdomen, slight increases in breathing frequency and in lung volume expenditure, and a slight decrease in rib cage contribution to lung volume displacement. The physical characteristic most strongly associated with rib cage contribution to lung volume displacement in resting breathing was height (r = .76). In comparing the relationship between the same respiratory behavior during resting breathing and speech, a correlation of .83 was obtained for rib cage contribution to volume displacement in the two conditions and of .60 for end-inspiratory volume level in the two conditions. Somewhat weaker positive correlations were obtained for lung volume expenditure and for breathing frequency in the two conditions. Comparison of the present findings for women to those recently reported for comparable men (Holt & Hixon, 1987) revealed no remarkable differences in speech breathing characteristics. Results suggest that certain physical characteristics and task variables may have greater functional importance than gender in determining normative speech breathing behaviors.

scholarly journals STUDIES OF LUNG VOLUME

1918 ◽  
Vol 27 (1) ◽  
pp. 87-94 ◽  
Author(s):  
A. Garvin ◽  
Christen Lundsgaard ◽  
Donald D. Van Slyke
Keyword(s):  
Chest Wall ◽  
Lung Volume ◽  
Vital Capacity ◽  
Normal Lung ◽  
Lung Volumes ◽  
Total Lung Volume ◽  
Normal Limits ◽  
Male Patients ◽  
Total Capacity ◽  
Residual Air

1. The total capacity, middle capacity, and residual air have been determined in 31 adult male patients suffering from tuberculosis of the lungs. 2. The chest volumes have been determined in each case and the normal lung volumes calculated by means of the ratios worked out in a previous paper. 3. In nine patients with incipient tuberculosis, the total lung volume was found within normal limits, whereas the vital capacity was diminished as a result of an increased residual air. The increase in the residual air was due to less complete expiration, caused partly by diminished movement of the diaphragm, partly by diminished compression of the chest wall. The diminished movement of the diaphragm was, as a rule, most marked on the most affected side. Whether these decreased movements are due to a reflex or to stiffness of the lung tissue we could not determine. The middle capacity was found practically normal. 4. In twenty-two cases of moderately advanced, and advanced tuberculosis, the total lung volume was in most cases markedly decreased. The vital capacity was substantially decreased, principally as a result of the diminished total capacity. The residual air was, as a rule, normal, although in a few cases an increase in residual air also contributed to the decrease in the vital capacity. The middle capacity, on which we do not want to put too much stress, was normal in some patients and considerably diminished in others.

Effect of inspired volume on closing volume

1976 ◽  
Vol 41 (5) ◽  
pp. 623-630 ◽  
Author(s):  
B. Holtz ◽  
B. Bake ◽  
H. Oxhoj
Keyword(s):  
Lung Volume ◽  
Vital Capacity ◽  
Nitrogen Concentration ◽  
Closing Volume ◽  
Tidal Breathing ◽  
Volume Versus ◽  
Gas Concentration ◽  
Age Dependent ◽  
Lower Lung ◽  
Older Subjects

Closing volume (CV) was ?EASURED WITH THE RESIDENT GAS TECHNIQUE IN 12 HEALTHY SEATED SUBJECTS AGE 22–70 YR, AND IN 8 SUBJECTS WITH THE BOLUS TECHNIQUE. Various volumes were inspired (Vi range: 20–100% vital capacity) fromresidual volume and CV was assessed on the subsequent recording of expired volume versus gas concentration. The results indicate that the resident gastechnique may erroneously underestimate CV at reduced Vi in conformity withcalculations which predict that during expiration, after a certain reduced VI, the nitrogen concentration is identical in the most basallung region and at the mouth. CV obtained with the bolus technique decreased linearly with reduced Vi and the effect appeared to be age dependent according to the equation CV50/CV100=0.0078 X age +1.18, where CV50 and CV100 denote the bolus CV corresponding to Vi=50% and 100% of vital capacity. Therefore, in older subjects, during tidal breathing, airways appear to close at substantially lower lung volume than previously considered.

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