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1 Department of Respiratory
Medicine,
Ventilation
decreases at sleep onset. This change is initiated abruptly at
-
electroencephalographic transitions. The aim of this study was to
determine the contributions of reduced activity in respiratory pump
muscles and upper airway dilator muscles to this change. Surface
electromyograms over the diaphragm (Di) and intercostal muscles and
fine-wire intramuscular electrodes in genioglossus (GG) and tensor
palatini (TP) muscles were recorded in nine healthy young men. It was
shown that phasic Di and both phasic and tonic TP activities were lower
during
than during
activity. Breath-by-breath analysis of the
changes at
-
transitions during the sleep-onset period showed a
number of changes. At
-
transitions, phasic activity of Di,
intercostal, and GG muscles fell and rose again, and phasic and tonic
activities of TP fell and remained at low levels during
. With a
state transition from
to
, the phasic and tonic activities of
the Di, GG, and TP increased dramatically. It is now clear that the
fall in ventilation that occurs with sleep is related to a fall in
activities of both upper airway dilator muscles and respiratory pump
muscles.
diaphragm; intercostals; genioglossus; tensor palatini; upper airway resistance
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