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Division of Critical Care, Department of Medicine, University of Calgary, Calgary, Alberta, Canada T2N 4N1
Because the first stage of expiration or "postinspiration"
is an active neurorespiratory event, we expect some persistence of
diaphragm electromyogram (EMG) after the cessation of inspiratory airflow, as postinspiratory inspiratory activity (PIIA). The costal and
crural segments of the mammalian diaphragm have different mechanical
and proprioceptive characteristics, so postinspiratory activity of
these two portions may be different. In six canines, we implanted
chronically EMG electrodes and sonomicrometer transducers and then
sampled EMG activity and length of costal and crural diaphragm segments
at 4 kHz, 10.2 days after implantation during wakeful, resting
breathing. Costal and crural EMG were reviewed on-screen, and duration
of PIIA was calculated for each breath. Crural PIIA was present in
nearly every breath, with mean duration 16% of expiratory time,
compared with costal PIIA with duration
2.6% of expiratory time
(P < 0.002). A linear regression
model of crural centroid frequency vs. length, which was computed
during the active shortening of inspiration, did not accurately predict crural EMG centroid frequency values at equivalent length during the
controlled relaxation of postinspiration. This difference in activation
of crural diaphragm in inspiration and postinspiration is consistent
with a different pattern of motor unit recruitment during PIIA.
sonomicrometer; electromyogram; electromyogram spectrum; centroid frequency; postinspiratory inspiratory activity
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