Tsukamoto Toshiya, Maruyama Hitoshi, Kato Michitaka, Uchida Masaki, Kubo Akira
Department of Shizuoka Physical Therapy, Faculty of Health Sciences, Tokoha University:1-30 Mizuochi-cho, Aoi-ku, Shizuoka-shi, Shizuoka 420-0831, Japan.
Graduate School, International University of Health and Welfare, Japan.
J Phys Ther Sci. 2019 Apr;31(4):318-325. doi: 10.1589/jpts.31.318. Epub 2019 Apr 1.
[Purpose] Considering that respiratory muscle fatigue is a cause of respiratory failure, we aimed to clarify the characteristics of respiratory muscle fatigue under inhalation load and investigate its impact on individual respiratory muscles. [Participants and Methods] The study included 14 healthy adult male volunteers. Maximal inspiratory and expiratory mouth pressures were measured under inhalation load and while at rest. The statuses of the trapezius, sternocleidomastoid, pectoralis major, diaphragm, rectus abdominis, and external and internal abdominal oblique muscles were also assessed using electromyographic frequency analysis. [Results] The maximal inspiratory and expiratory mouth pressures decreased over time and recovered after rest. The median power frequency decreased significantly in the sternocleidomastoid and rectus abdominis muscles at maximal inspiratory and expiratory mouth pressures, respectively, under inhalation load. [Conclusion] As a characteristic of respiratory muscle fatigue, there is a possibility that decreases in maximal inspiratory and expiratory mouth pressures as a result of the inhalation load affect muscle fatigue in the sternocleidomastoid and rectus abdominis muscles.
[目的]鉴于呼吸肌疲劳是呼吸衰竭的一个原因,我们旨在阐明吸气负荷下呼吸肌疲劳的特征,并研究其对个体呼吸肌的影响。[参与者与方法]该研究纳入了14名健康成年男性志愿者。在吸气负荷下和静息状态下测量最大吸气和呼气口腔压力。还使用肌电图频率分析评估了斜方肌、胸锁乳突肌、胸大肌、膈肌、腹直肌以及腹外斜肌和腹内斜肌的状态。[结果]最大吸气和呼气口腔压力随时间下降,并在休息后恢复。在吸气负荷下,胸锁乳突肌和腹直肌在最大吸气和呼气口腔压力时的中位功率频率分别显著下降。[结论]作为呼吸肌疲劳的一个特征,吸气负荷导致的最大吸气和呼气口腔压力下降有可能影响胸锁乳突肌和腹直肌的肌肉疲劳。