Hoit J D, Hixon T J
J Speech Hear Res. 1986 Sep;29(3):313-24. doi: 10.1044/jshr.2903.313.
Diameter changes of the rib cage and abdomen were recorded during tidal breathing and speech production in 12 adult male subjects grouped on the basis of prominence on three body type components: relative fatness, relative musculoskeletal development, and relative linearity. Data were charted to solve for lung volume, volume displacements of the rib cage and abdomen, and muscular mechanism. Tidal breathing differed across subject groups with regard to depth, rate, and chest wall configuration. Subjects rated high in relative fatness breathed deeper, slower, and with a greater chest wall deformation from relaxation than did other subjects. Speech breathing differed across subject groups with regard to relative volume contributions of the rib cage and abdomen, abdomen excursions, rib cage paradoxing, and chest wall configuration. Subjects rated high in relative fatness demonstrated substantial abdomen contributions to lung volume change, large abdomen excursions, frequent rib cage paradoxing, and marked chest wall deformations from relaxation. By contrast, subjects rated high in relative linearity demonstrated large rib cage contributions to lung volume change, small abdomen excursions, and slight chest wall deformations from relaxation. Subjects rated high in relative musculoskeletal development generally represented a mixture of characteristics of the other two subject groups in their speech breathing performance. Functional differences are discussed in relation to possible underlying mechanism and inferences are drawn concerning evaluation and management of individuals with speech breathing disorders.
在12名成年男性受试者进行潮气呼吸和言语发声过程中,记录了胸廓和腹部的直径变化。这些受试者根据三种体型成分的突出程度进行分组:相对肥胖程度、相对肌肉骨骼发育程度和相对线性程度。绘制数据图表以求解肺容积、胸廓和腹部的容积位移以及肌肉机制。不同受试者组之间的潮气呼吸在深度、速率和胸壁形态方面存在差异。相对肥胖程度较高的受试者比其他受试者呼吸更深、更慢,且从放松状态开始胸壁变形更大。不同受试者组之间的言语呼吸在胸廓和腹部的相对容积贡献、腹部 excursions、胸廓矛盾运动以及胸壁形态方面存在差异。相对肥胖程度较高的受试者在肺容积变化中表现出腹部贡献较大、腹部 excursions 较大、胸廓矛盾运动频繁以及从放松状态开始胸壁变形明显。相比之下,相对线性程度较高的受试者在肺容积变化中表现出胸廓贡献较大、腹部 excursions 较小以及从放松状态开始胸壁变形轻微。相对肌肉骨骼发育程度较高的受试者在言语呼吸表现上通常呈现出其他两组受试者特征的混合。讨论了功能差异与可能的潜在机制的关系,并对言语呼吸障碍个体的评估和管理进行了推断。