Effect of transdiaphragmatic pressure partitioning on activation and fatigue of the diaphragm
Details
Serval ID
serval:BIB_03A2BD9E36F3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effect of transdiaphragmatic pressure partitioning on activation and fatigue of the diaphragm
Journal
American Review of Respiratory Disease
ISSN
1073-449X
0003-0805 (Print)
0003-0805 (Print)
Publication state
Published
Issued date
06/1988
Volume
137
Number
6
Pages
1395-400
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Jun
Research Support, Non-U.S. Gov't --- Old month value: Jun
Abstract
Fatiguing contractions of the diaphragm during inspiratory resistive loading are accompanied by a predictable rate of decay in the high/low (H/L) frequency ratio of the diaphragmatic EMG (EMG-DI) when the esophageal and gastric pressure (Pes and Pga) components of transdiaphragmatic pressure (Pdi) are equal. However, Pes and Pga do not contribute equally to Pdi under a number of clinical and physiologic conditions. We therefore tested the effect of varying the Pes and Pga contribution to Pdi on the EMG-DI using an esophageal electrode in 5 normal men during fatiguing contractions. Falls in the H/L occurred in all subjects regardless of the relative contribution of Pes and Pga to Pdi at a tension-time index of 0.29 +/- 0.1 (mean +/- SE). However, the time constant of decay of the H/L varied widely among subjects when Pes predominated (173.9 +/- 45.7 s; coefficient of variation, 58.7%) or Pga predominated (78.4 +/- 19.4 s; coefficient of variation, 55.2%), whereas it was consistent among subjects when Pes and Pga were equal (72.3 +/- 3.8 s; coefficient of variation, 11.6%). In addition, a significant relationship was found between the mean integrated activity of the EMG-DI compared with maximum and the time constant of decay of the H/L (r = 0.57, p less than 0.03). We conclude that the differences in the rate of decay of the H/L was at least partly a result of differences in the relative activation of the crural diaphragm at the same Pdi.
Keywords
Adult
Diaphragm/*physiology
Electromyography
Esophagus/physiology
Humans
Male
Muscle Contraction
Pressure
Regression Analysis
Stomach/physiology
Pubmed
Web of science
Create date
25/01/2008 9:43
Last modification date
20/08/2019 12:25