Rib cage muscle interaction in airway pressure generation

We have previously demonstrated in dogs that the change inairway opening pressure (Pao) produced by isolated maximumactivation of the parasternal intercostal or triangularis sterni musclein a single interspace, the sternomastoids, and the scalenes isproportional to the product of muscle mass and the fractional change inmuscle length per unit volume increase of the relaxed chest wall. In the present study, we have assessed the interactions between these muscles by comparing the Pao obtained during simultaneous activation of a pair of muscles (measured Pao) to the sum of the Pao values obtained during their separate activation (predicted Pao). Measured and predicted Pao values were compared for the following pairs ofmuscles: the parasternal intercostals in two interspaces, the parasternal intercostals in one interspace and either thesternomastoids or the scalenes, two segments of the triangularissterni, and the interosseous intercostals in two contiguousinterspaces. For all these pairs, the measured Pao was within~10% of the predicted value. We therefore conclude that1) the pressure changes generated bythe rib cage muscles are essentially additive; and2) measurements of the mass of aparticular muscle and of its fractional change in length during passiveinflation can be used to estimate the potential pressure-generatingability of the muscle during coordinated activity as well as duringisolated activation.