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递增吸气负荷对胸腔壁容积分区和吸气肌主要活动频率的急性影响。

Acute effects of incremental inspiratory loads on compartmental chest wall volume and predominant activity frequency of inspiratory muscle.

机构信息

Department of Physiotherapy of Universidade Federal de Pernambuco, Recife, Brazil.

出版信息

J Electromyogr Kinesiol. 2013 Dec;23(6):1269-77. doi: 10.1016/j.jelekin.2013.07.014. Epub 2013 Aug 11.

Abstract

AIM

This research aims to analyze the acute effect of incremental inspiratory loads on respiratory pattern and on the predominant activity frequency of inspiratory muscle, taking into account differences in gender responses. Optoelectronic Plethysmography was performed during loads in 39 healthy subjects (20 women), placing 89 markers on the thoracic-abdominal wall to obtain total and regional volumes. Surface electromyography (SEMG) was taken simultaneously on the Sternocleidomastoid and Diaphragm muscles, to calculate the predominant muscle activity frequency through wavelet analysis. Inspiratory loads were performed using Threshold(®)with 2 min of breathing at different levels, ranging from a load of 10 cmH(2)O plus 5 cmH(2)O to 40 cmH(2)O or fatigue.

RESULTS

Inspiratory Time increased during loads. Total and compartmental volumes increased with different regions, changing at different loads. These changes in volume occur earlier in women (20 cmH(2)O) than in men (30 cmH(2)O). The predominant activity frequency of Sternocleidmastoid muscle decreased at 30 cmH(2)O, while Diaphragm activity decreased at 40 cmH(2)O.

CONCLUSION

The acute effects of incremental inspiratory loads are increases of total and regional volumes and inspiratory time. As for muscle activity, the predominant activity frequency declined in Sternocleidomastoid and Diaphragm muscles, but at different loads. Such respiratory and SEMG patterns and gender differences should be considered when clinical interventions are performed.

摘要

目的

本研究旨在分析递增吸气负荷对呼吸模式和吸气肌主导活动频率的急性影响,并考虑到性别反应的差异。在 39 名健康受试者(20 名女性)中进行了光体积描记术,在胸腹壁上放置 89 个标记以获得总容积和区域容积。同时在胸锁乳突肌和膈肌上进行表面肌电图(SEMG),通过小波分析计算主导肌肉活动频率。使用 Threshold(®)以 2 分钟的不同水平进行吸气负荷,范围从 10 cmH(2)O 加 5 cmH(2)O 到 40 cmH(2)O 或疲劳。

结果

吸气时间在负荷期间增加。总容积和腔室容积随不同区域而增加,在不同负荷下发生变化。这些体积变化在女性(20 cmH(2)O)比男性(30 cmH(2)O)更早发生。胸锁乳突肌的主导活动频率在 30 cmH(2)O 时降低,而膈肌活动在 40 cmH(2)O 时降低。

结论

递增吸气负荷的急性影响是总容积和区域容积以及吸气时间的增加。至于肌肉活动,胸锁乳突肌和膈肌的主导活动频率下降,但在不同的负荷下。在进行临床干预时,应考虑到这种呼吸和 SEMG 模式以及性别差异。

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