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1 Department of Biomedical Science, University of Wollongong, Wollongong, New South Wales 2522, Australia; and 2 School of Kinesiology, Simon Fraser University, Burnaby, British Columbia Canada, V5A 1S6
Upright immersion imposes a pressure imbalance
across the thorax. This study examined the effects of air-delivery
pressure on inspiratory muscle work during upright immersion. Eight
subjects performed respiratory pressure-volume relaxation maneuvers
while seated in air (control) and during immersion. Hydrostatic,
respiratory elastic (lung and chest wall), and resultant static
respiratory muscle work components were computed. During immersion, the
effects of four air-delivery pressures were evaluated: mouth pressure (uncompensated); the pressure at the lung centroid
(PL,c); and at
PL,c ±0.98 kPa. When
breathing at pressures less than the
PL,c, subjects generally
defended an expiratory reserve volume (ERV) greater than the immersed
relaxation volume, minus residual volume, resulting in additional
inspiratory muscle work. The resultant static inspiratory muscle work,
computed over a 1-liter tidal volume above the ERV, increased from 0.23 J · l
1,
when subjects were breathing at
PL,c, to 0.83 J · l
1 at
PL,c
0.98 kPa
(P < 0.05), and to 1.79 J · l
1 at
mouth pressure (P < 0.05). Under the
control state, and during the above experimental conditions, static
expiratory work was minimal. When breathing at
PL,c +0.98 kPa, subjects adopted
an ERV less than the immersed relaxation volume, minus residual volume, resulting in 0.36 J · l
1 of
expiratory muscle work. Thus static inspiratory muscle work varied with
respiratory loading, whereas
PL,c air supply minimized this
work during upright immersion, restoring lung-tissue, chest-wall, and
static muscle work to levels obtained in the control state.
breathing apparatus; lung centroid pressure; pressure breathing; pulmonary mechanics; static loading; work of breathing
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