da Silva Lailane Saturnino, Vieira Rayane Grayce da Silva, Wanderley E Lima Thiago Bezerra, Resqueti Vanessa Regiane, Vilaro Jordi, Fonseca Jessica Danielle Medeiros da, Ribeiro-Samora Giane Amorim, Fregonezi Guilherme Augusto de Freitas
PneumoCardioVascular Laboratory/HUOL, Hospital Universitário Onofre Lopes, Departamento de Fisioterapia Universidade Federal do Rio Grande do Norte, Natal 59078-970, Brazil.
Laboratório de Inovação Tecnológica em Reabilitação, Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal 59078-970, Brazil.
J Funct Morphol Kinesiol. 2024 Nov 17;9(4):241. doi: 10.3390/jfmk9040241.
: This study aimed to analyze the impact of seated, 45° inclined, and supine positions on respiratory muscle strength (Maximal Inspiratory Pressure-MIP, Maximal Expiratory Pressure-MEP, Sniff Nasal Inspiratory Pressure-SNIP and Sniff Nasal Expiratory Pressure-SNEP) and the electrical activity of respiratory muscles in healthy adults. Ten healthy subjects were evaluated. : Personal, anthropometric data (weight, height, BMI) and lung function (spirometry) were collected, followed by random assessments of inspiratory (MIP, SNIP) and expiratory (MEP, SNEP) muscle strength. Respiratory muscle strength maneuvers and surface electromyographic (sEMG) activity were assessed in sitting, 45° inclined, and supine positions. : present that MIP was statistically higher in the sitting position compared to the supine position ( < 0.05) and the 45° supine position ( < 0.05), with SNIP: < 0.05 and SNEP: < 0.05 as well. Intercostal muscle activity was higher during MIP, MEP, and SNEP maneuvers in the sitting position ( < 0.05). Additionally, rectus abdominis muscle activity was higher in this position during MIP and SNEP maneuvers. : The results suggest there are significant differences in inspiratory pressures between positions, with the difference in activity muscle pattern. In conclusion, body position affected maximal respiratory pressures and influences EMG activation of specific respiratory muscles during MIP.
本研究旨在分析坐位、45°斜卧位和仰卧位对健康成年人呼吸肌力量(最大吸气压力-MIP、最大呼气压力-MEP、嗅吸鼻吸气压力-SNIP和嗅吸鼻呼气压力-SNEP)以及呼吸肌电活动的影响。对10名健康受试者进行了评估。收集了个人人体测量数据(体重、身高、BMI)和肺功能(肺量计检查),随后随机评估吸气(MIP、SNIP)和呼气(MEP、SNEP)肌力量。在坐位、45°斜卧位和仰卧位评估呼吸肌力量动作和表面肌电图(sEMG)活动。结果显示,与仰卧位(<0.05)和45°斜卧位(<0.05)相比,坐位时MIP在统计学上更高,SNIP:<0.05,SNEP:<0.05。在坐位进行MIP、MEP和SNEP动作时,肋间肌活动更高(<0.05)。此外,在MIP和SNEP动作期间,该位置的腹直肌活动更高。结果表明,不同体位之间吸气压力存在显著差异,且肌肉活动模式存在差异。总之,体位会影响最大呼吸压力,并在MIP期间影响特定呼吸肌的肌电图激活。