Yoshida Ryo, Tomita Kazuhide, Kawamura Kenta, Nozaki Takahiro, Setaka Yukako, Monma Masahiko, Ohse Hirotaka
Graduate School of Health Science, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Ibaraki 300-0394, Japan.
Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Japan.
J Phys Ther Sci. 2019 Apr;31(4):340-343. doi: 10.1589/jpts.31.340. Epub 2019 Apr 1.
[Purpose] Determining the thickness of the intercostal muscle with ultrasound imaging would be a useful parameter in evaluating respiratory muscle activity in patients with tetraplegia and neuromuscular weakness. However, it has not been clarified whether ultrasound imaging can measure changes in intercostal muscle thickness during breathing. This study aimed to measure contractions of the human intercostal muscle in the anterior, lateral, and posterior parts with ultrasound imaging during maximal breathing. [Participants and Methods] The participants were 12 healthy males. Intercostal muscle thickness was measured using ultrasound at rest and at maximal breathing. The measurement sites were the anterior, lateral, and posterior portions of the right intercostal spaces. Statistical analysis was performed using a paired t-test comparing intercostal muscle thickness at rest and maximal breathing. [Results] The thickness of the intercostal muscle showed significant increases in the first, second, third, fourth, and sixth intercostal spaces of the anterior portions. There were no significant differences in the lateral or posterior portions between rest and maximal breathing. [Conclusion] Human intercostal muscle thickness can be measured with ultrasound and increases only in the anterior portions during maximal breathing.
[目的] 利用超声成像测定肋间肌厚度,对于评估四肢瘫痪和神经肌肉无力患者的呼吸肌活动而言,将是一个有用的参数。然而,超声成像能否测量呼吸过程中肋间肌厚度的变化尚未明确。本研究旨在通过超声成像测量最大呼吸时人体肋间肌前、外侧和后部的收缩情况。[参与者与方法] 参与者为12名健康男性。在静息状态和最大呼吸时,使用超声测量肋间肌厚度。测量部位为右侧肋间间隙的前、外侧和后部。采用配对t检验对静息和最大呼吸时的肋间肌厚度进行统计分析。[结果] 前部第一、二、三、四和六肋间间隙的肋间肌厚度显著增加。静息和最大呼吸时,外侧和后部无显著差异。[结论] 人体肋间肌厚度可用超声测量,且仅在最大呼吸时前部厚度增加。