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Acute effects of incremental inspiratory loads on compartmental chest wall volume and predominant activity frequency of inspiratory muscle
Authors:Alana Elza Fontes Da Gama  Larissa de Andrade Carvalho  Larissa Andrade Feitosa  Jasiel Frutuoso do Nascimento Junior  Marilú Gomes Netto Monte da Silva  César F. Amorim  Andréa Aliverti  Daniel Lambertz  Marco Aurélio Benedetti Rodrigues  Armèle Dornelas de Andrade
Affiliation:1. Department of Physiotherapy of Universidade Federal de Pernambuco, Recife, Brazil;2. Department of Electronics and Systems of Universidade Federal de Pernambuco, Recife, Brazil;3. Universidade Cidade de São Paulo, UNICID, Brazil;4. Dipartimento di Elettronica, Informazione e Bioingegneria – Politecnico di Milano, Milan, Italy
Abstract:AimThis research aims to analyze the acute effect of incremental inspiratory loads on respiratory pattern and on the predominant activity frequency of inspiratory muscle, taking into account differences in gender responses. Optoelectronic Plethysmography was performed during loads in 39 healthy subjects (20 women), placing 89 markers on the thoracic-abdominal wall to obtain total and regional volumes. Surface electromyography (SEMG) was taken simultaneously on the Sternocleidomastoid and Diaphragm muscles, to calculate the predominant muscle activity frequency through wavelet analysis. Inspiratory loads were performed using Threshold® with 2 min of breathing at different levels, ranging from a load of 10 cmH2O plus 5 cmH2O to 40 cmH2O or fatigue.ResultsInspiratory Time increased during loads. Total and compartmental volumes increased with different regions, changing at different loads. These changes in volume occur earlier in women (20 cmH2O) than in men (30 cmH2O). The predominant activity frequency of Sternocleidmastoid muscle decreased at 30 cmH2O, while Diaphragm activity decreased at 40 cmH2O.ConclusionThe acute effects of incremental inspiratory loads are increases of total and regional volumes and inspiratory time. As for muscle activity, the predominant activity frequency declined in Sternocleidomastoid and Diaphragm muscles, but at different loads. Such respiratory and SEMG patterns and gender differences should be considered when clinical interventions are performed.
Keywords:Electromyography  Plethysmography  Breathing exercises  Respiratory muscles
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