Izumizaki Masahiko, Ohshima Yasuyoshi, Iwase Michiko, Homma Ikuo
Department of Physiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8555 Japan.
J Physiol Sci. 2006 Dec;56(6):433-40. doi: 10.2170/physiolsci.RP012406. Epub 2006 Nov 29.
Inspiratory muscle conditioning at a lower or higher lung volume based on the principles of muscle thixotropy causes acute changes in end-expiratory chest wall and lung volumes. The present study aimed to demonstrate the time course of effects of this conditioning on both end-expiratory chest wall volume and thoracoabdominal synchrony. We measured chest wall motion with respiratory induction plethysmography at 0.5, 1, 2, 3, and 6 min after conditioning at three different lung volumes in 15 healthy men. After conditioning at total lung capacity - 20% inspiratory capacity, increases in end-expiratory chest wall volume were significant at 0.5, 1, and 2 min (P < 0.05), being most obvious at 0.5 min (Delta 0.24 +/- 0.20 liter). After conditioning at residual volume, reductions in end-expiratory chest wall volume were significant at any time point (P < 0.05), being most obvious at 0.5 min (Delta 0.16 +/- 0.08 liter). Conditioning at functional residual capacity had little effect on the volume. Spirometric inspiratory capacity at 6 min after conditioning at residual volume (2.68 +/- 0.35 liter) was higher than the baseline value (2.53 +/- 0.31 liter, P < 0.05). Reductions in the phase angle, quantified by the Konno-Mead diagram, occurred after conditioning at residual volume at any time point (P < 0.05), being most obvious at 2 min (Delta 3.47 +/- 3.02 degrees). In conclusion, there is a 6-min time course of changes in end-expiratory chest wall volume after conditioning. More synchronous motion between the rib cage and abdomen occurs after conditioning at residual volume.
基于肌肉触变性原理,在较低或较高肺容积下进行吸气肌训练会导致呼气末胸壁和肺容积发生急性变化。本研究旨在证明这种训练对呼气末胸壁容积和胸腹同步性影响的时间进程。我们在15名健康男性的三个不同肺容积下进行训练后,于0.5、1、2、3和6分钟时用呼吸感应体积描记法测量胸壁运动。在肺总量 - 20%吸气容量下进行训练后,呼气末胸壁容积在0.5、1和2分钟时显著增加(P < 0.05),在0.5分钟时最为明显(变化量为0.24 ± 0.20升)。在残气量下进行训练后,呼气末胸壁容积在任何时间点均显著减少(P < 0.05),在0.5分钟时最为明显(变化量为0.16 ± 0.08升)。在功能残气量下进行训练对该容积影响不大。在残气量下进行训练6分钟后的肺活量计吸气容量(2.68 ± 0.35升)高于基线值(2.53 ± 0.31升,P < 0.05)。通过Konno - Mead图量化的相位角在残气量下进行训练后的任何时间点均降低(P < 0.05),在2分钟时最为明显(变化量为3.47 ± 3.02度)。总之,训练后呼气末胸壁容积的变化有一个6分钟的时间进程。在残气量下进行训练后,胸廓和腹部之间的运动更加同步。