Legrand A, Cappello M, De Troyer A
Laboratory of Cardiorespiratory Physiology, Brussels School of Medicine, Erasme University Hospital, Belgium.
Respir Physiol. 1995 Oct;102(1):17-27. doi: 10.1016/0034-5687(95)00051-e.
To test the hypothesis that the external intercostals and levator costae constitute an inspiratory reserve system, we have examined the response of these muscles to increased inertial loads. Weights were t hus attached sequentially to the ribs in ten lightly anesthetized, spontaneously breathing dogs. As weights were attached, the ribs were progressively displaced caudally at end-expiration, so that the external intercostal muscles were lengthened. In addition, the cranial motion of the ribs during inspiration was gradually reduced, the inspiratory shortening of external intercostal disappeared, and the external intercostal and levator costae inspiratory EMG activities increased. The parasternal intercostal inspiratory activity, however, remained unchanged. Studies also showed that: (1) the increases in external intercostal activity appeared with the first loaded breath and disappeared as soon as the load was removed; (2) these increases were related to the suppression of the inspiratory muscle shortening, rather than to the increase in precontraction muscle length or to vagal inputs; and (3) denervation of the external intercostal caused inspiratory muscle lengthening but had little effect on the inspiratory motion of the ribs. These observations thus indicate that increased inertial loads on the ribs trigger reflexes, possibly spindle reflexes, which cause selective increases in external intercostal and levator costae inspiratory EMG activities. In that sense, the present findings are consistent with the idea that these two muscles constitute an inspiratory reserve system. However, it appears that the major effect of these increased activities is simply to prevent the muscles from lengthening during inspiration.
为了验证外肋间肌和肋提肌构成吸气储备系统这一假说,我们研究了这些肌肉对增加的惯性负荷的反应。我们依次在十只轻度麻醉、自主呼吸的狗的肋骨上附加重量。随着重量的附加,肋骨在呼气末逐渐向尾侧移位,从而使外肋间肌被拉长。此外,吸气时肋骨的头侧运动逐渐减少,外肋间肌的吸气缩短消失,外肋间肌和肋提肌的吸气肌电图活动增加。然而,胸骨旁肋间肌的吸气活动保持不变。研究还表明:(1)外肋间肌活动的增加在第一次加载呼吸时出现,并在负荷移除后立即消失;(2)这些增加与吸气肌缩短的抑制有关,而不是与收缩前肌肉长度的增加或迷走神经输入有关;(3)外肋间肌去神经支配导致吸气肌拉长,但对肋骨的吸气运动影响很小。因此,这些观察结果表明,肋骨上增加的惯性负荷触发反射,可能是肌梭反射,这导致外肋间肌和肋提肌吸气肌电图活动选择性增加。从这个意义上说,目前的研究结果与这两块肌肉构成吸气储备系统的观点一致。然而,这些增加活动的主要作用似乎仅仅是防止肌肉在吸气时拉长。