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1 Department of Medicine, School of Medicine, Kitasato University, Kanagawa 228, Japan; and 2 Division of Critical Care, Department of Medicine, University of Calgary, Calgary, Alberta, Canada T2N 4N1
In humans during
stimulated ventilation, substantial abdominal muscle activity extends
into the following inspiration as postexpiratory expiratory activity
(PEEA) and commences again during late inspiration as preexpiratory
expiratory activity (PREA). We hypothesized that the timing of PEEA and
PREA would be changed systematically by posture. Fine-wire electrodes
were inserted into the rectus abdominis, external oblique, internal
oblique, and transversus abdominis in nine awake subjects. Airflow,
end-tidal CO2, and moving average electromyogram (EMG) signals were recorded during resting and CO2-stimulated ventilation in both
supine and standing postures. Phasic expiratory EMG activity (tidal
EMG) of the four abdominal muscles at any level of
CO2 stimulation was greater while
standing. Abdominal muscle activities during inspiration, PEEA, and
PREA, were observed with CO2
stimulation, both supine and standing. Change in posture had a
significant effect on intrabreath timing of expiratory muscle
activation at any level of CO2
stimulation. The transversus abdominis showed a significant increase in
PEEA and a significant decrease in PREA while subjects were standing; similar changes were seen in the internal oblique. We conclude that
changes in posture are associated with significant changes in phasic
expiratory activity of the four abdominal muscles, with systematic
changes in the timing of abdominal muscle activity during early and
late inspiration.
respiratory muscle; expiratory muscle; rectus abdominis; external oblique; internal oblique; transversus abdominis; carbon dioxide; electromyogram; fine-wire electrode; postexpiratory expiratory activity
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