Leduc Dimitri, De Troyer André
Laboratory of Cardiorespiratory Physiology, Brussels School of Medicine, and Intensive Care Unit, Saint-Pierre University Hospital, Belgium.
J Physiol. 2003 Apr 1;548(Pt 1):297-305. doi: 10.1113/jphysiol.2002.032912. Epub 2003 Mar 7.
High-frequency mechanical vibration of the ribcage increases afferent activity from external intercostal muscle spindles, but the effect of this procedure on the mechanical behaviour of the respiratory system is unknown. In the present study, we have measured the changes in external intercostal muscle length and the craniocaudal displacement of the ribs during ribcage vibration (40 Hz) in anaesthetized dogs. With vibration, external intercostal inspiratory activity increased by approximately 50 %, but the respiratory changes in muscle length and rib displacement were unaltered. A similar response was obtained after the muscles in the caudal segments of the ribcage were sectioned and the caudally oriented force exerted by these muscles on the rib was removed, thus suggesting that activation of external intercostal muscle spindles by vibration generates little tension. Prompted by this observation, we also examined the role played by the external intercostal muscle spindles in determining the respiratory displacement of the ribs during breathing against high inspiratory airflow resistances. Although resistances consistently elicited prominent reflex increases in external intercostal inspiratory activity, the normal inspiratory cranial displacement of the ribs was reversed into an inspiratory caudal displacement. Also, this caudal rib displacement was essentially unchanged after section of the external intercostal muscles, whereas it was clearly enhanced after denervation of the parasternal intercostals. These findings indicate that stretch reflexes in external intercostal muscles confer insufficient tension on the muscles to significantly modify the mechanical behaviour of the respiratory system.
胸廓的高频机械振动会增加来自肋间外肌肌梭的传入活动,但该操作对呼吸系统力学行为的影响尚不清楚。在本研究中,我们测量了麻醉犬在胸廓振动(40赫兹)期间肋间外肌长度的变化以及肋骨的头尾向位移。随着振动,肋间外肌吸气活动增加了约50%,但肌肉长度和肋骨位移的呼吸变化未改变。在胸廓尾段的肌肉被切断且这些肌肉对肋骨施加的尾向力被消除后,获得了类似的反应,这表明振动激活肋间外肌肌梭产生的张力很小。基于这一观察结果,我们还研究了肋间外肌肌梭在对抗高吸气气流阻力呼吸时确定肋骨呼吸位移中所起的作用。尽管阻力始终引起肋间外肌吸气活动明显的反射性增加,但肋骨正常的吸气头向位移却逆转为吸气尾向位移。此外,在切断肋间外肌后,这种肋骨尾向位移基本未改变,而在胸骨旁肋间肌去神经支配后则明显增强。这些发现表明,肋间外肌的牵张反射在肌肉上产生的张力不足以显著改变呼吸系统的力学行为。