Journal of Applied Physiology AJP: Lung Cellular and Molecular Physiology
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J Appl Physiol 94: 1084-1091, 2003. First published November 15, 2002; doi:10.1152/japplphysiol.00256.2002
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Vol. 94, Issue 3, 1084-1091, March 2003

Breath-by-breath measurement of the volume displaced by diaphragm motion

Bhajan Singh1,2, Janine A. Panizza1, and Kevin E. Finucane1

1 Department of Pulmonary Physiology, Sir Charles Gairdner Hospital, and 2 Department of Physiology, University of Western Australia, Nedlands, Western Australia 6009, Australia

To develop an accurate method to measure the volume displaced by diaphragm motion (Delta Vdi) breath by breath, we compared Delta Vdi measured by a previously evaluated biplanar radiographic method (Singh B, Eastwood PR, and Finucane KE. J Appl Physiol 91: 1913-1923, 2001) at several lung volumes during vital capacity inspirations in 10 healthy and nine hyperinflated subjects with 1) Delta Vdi measured from the same chest X-rays by two previously described uniplanar methods (Petroll WM, Knight H, and Rochester DF. J Appl Physiol 69: 2175-2182, 1990; Verschakelen JA, Deschepper K, and Demendts M. J Appl Physiol 72: 1536-1540, 1992) and a proposed method that considered actual cross-sectional shape of the rib cage and spinal volume (Delta VdiS); and 2) Delta VdiS measured by lateral fluoroscopy in the same 10 healthy subjects. Relative to biplanar Delta Vdi, Delta VdiS values from lateral chest X-rays and fluoroscopy were not different, whereas Delta Vdi values of Petroll et al. and Verschakelen et al. were increased by (means ± SD) 1.98 ± 1.59 and 1.16 ± 0.82 liters, respectively (both P < 0.001). During quiet breathing, Delta VdiS by lateral fluoroscopy was 66 ± 16% of tidal volume and similar to that between functional residual capacity and one-half inspiratory capacity by the biplanar radiographic method. We conclude that accurate breath-by-breath measurements of Delta Vdi can be made by using lateral fluoroscopy.

respiratory muscles; respiratory mechanics; fluoroscopy


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