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1 Meakins-Christie
Laboratories,
Received 24 July 1996; accepted in final form 17 April 1997.
Kenyon, C. M., S. J. Cala, S. Yan, A. Aliverti, G. Scano, R. Duranti, A. Pedotti, and Peter T. Macklem. Rib cage mechanics during quiet breathing and exercise in humans. J. Appl. Physiol. 83(4): 1242-1255, 1997.
respiratory kinematics; respiratory muscles; rib cage distortions; rib cage bending stiffness; diaphragm
During
exercise, large pleural, abdominal, and transdiaphragmatic pressure
swings might produce substantial rib cage (RC) distortions. We used a
three-compartment chest wall model (J. Appl.
Physiol. 72: 1338-1347, 1992) to measure
distortions of lung- and diaphragm-apposed RC compartments (RCp and
RCa) along with pleural and abdominal pressures in five normal men. RCp
and RCa volumes were calculated from three-dimensional locations of 86 markers on the chest wall, and the undistorted (relaxation) RC
configuration was measured. Compliances of RCp and RCa measured during
phrenic stimulation against a closed airway were 20 and 0%,
respectively, of their values during relaxation. There was marked RC
distortion. Thus nonuniform distribution of pressures distorts the RC
and markedly stiffens it. However, during steady-state ergometer
exercise at 0, 30, 50, and 70% of maximum workload, RC distortions
were small because of a coordinated action of respiratory muscles, so
that net pressures acting on RCp and RCa were nearly the same
throughout the respiratory cycle. This maximizes RC compliance and
minimizes the work of RC displacement. During quiet breathing, plots of
RCa volume vs. abdominal pressure were to the right of the relaxation
curve, indicating an expiratory action on RCa. We attribute this to
passive stretching of abdominal muscles, which more than
counterbalances the insertional component of transdiaphragmatic pressure.
0161-7567/97 $5.00
Copyright © 1997 the American Physiological Society
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