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1 Biomedical Physics Laboratory, Université Libre de Bruxelles, 1070 Brussels; and 2 Department of Electronics, Microelectronics and Telecommunications, Université Libre de Bruxelles, 1050 Brussels, Belgium
Discrepancies in the assessment of
thoracoabdominal asynchrony are observed depending on the choice of
respiratory movement sensors. We test the hypothesis that these
discrepancies are due to a different dependence of the sensors on
cross-sectional perimeter and area variations of the chest wall. First,
we study the phase shift between perimeter and area
(
PA) for an elliptical model, which is deformed
by sinusoidal changes of its principal axes. We show that perimeter and
area vary sinusoidally in the physiological range of deformations, and
we discuss how
PA depends on the ellipticity of
the cross section, on the ratio of transverse and dorsoventral movement
amplitudes, and on their phase difference. Second, we compute the
relationship between perimeter, area, and the output of the inductive
sensor, and we proceed by comparing inductive plethysmography with
strain gauges for several cross section deformations. We demonstrate
that both sensors can provide different phase information for identical cross section deformations and, hence, can estimate thoracoabdominal asynchrony differently. Furthermore, the complex dependence of the
inductive sensor on perimeter and area warns against this sensor for
the evaluation of thoracoabdominal asynchrony.
respiratory movements; strain gauges; inductive plethysmography
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