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Vol. 83, Issue 5, 1486-1491, 1997
Department of Civil Engineering, University of Salerno, Salerno 84084, Italy; Baylor College of Medicine, Houston, Texas 77030; and Department of Aerospace, Engineering and Mechanics, University of Minnesota, Minneapolis, Minnesota 55455
Angelillo, Maurizio, Aladin M. Boriek, Joe R. Rodarte, and
Theodore A. Wilson. Theory of diaphragm structure and shape. J. Appl. Physiol. 83(5):
1486-1491, 1997.
The muscle bundles of the diaphragm form a
curved sheet that extends from the chest wall to the central tendon.
Each muscle bundle exerts a force in the direction of its curvature;
the magnitude of this force is proportional to the curvature of the
bundle. The contribution of this force to transdiaphragmatic pressure
is maximal if the direction of bundle curvature is orthogonal to the
surface and the curvature is maximal. That is, the contribution of
muscle tension to transdiaphragmatic pressure is maximal if the muscle bundles lie along lines that are both geodesics and lines of maximal principal curvature of the surface. A theory of diaphragm shape is
developed from the assumption that all muscle bundles have these
optimal properties. The class of surfaces that are formed of line
elements that are both geodesics and lines of principal curvature is
described. This class is restricted. The lines that form the surface
must lie in planes, and all lines must have the same shape. In
addition, the orientation of the lines is restricted. An example of
this class that is similar to the shape of the canine diaphragm is
described, and the stress distribution in this example is analyzed.
muscle; mechanics; mathematical model
RECENTLY, BORIEK ET AL. (1) described the shape of the
diaphragm and the geometry of the muscle bundles in the midregion of
the costal diaphragm of the dog. They found that in this midcostal region, the diaphragm has nearly the shape of a right circular cylinder
and that the muscle bundles lie in the direction of the maximal
principal curvature of the surface. They also found that the muscle
bundles lie in planes and that the planes of the muscle bundles lie
perpendicular to the tangent plane of the surface. It follows that the
curvature of the muscle bundles is orthogonal to the tangent plane of
the surface at every point along the bundle. The latter property is the
defining property of a geodesic. Thus, in the midcoastal region, the
muscle bundles lie along lines that are both lines of principal
curvature and geodesics. The shape of the diaphragm is different in
other regions. However, the properties of the muscle bundles that
Boriek et al. (1) observed in the midcostal region have functional
significance. The direct contribution of muscle tension to
transdiaphragmatic pressure is maximal if the muscle bundle lies in the
direction of maximal surface curvature and the direction of bundle
curvature is normal to the diaphragm surface. It therefore seems
plausible that, although the shape is different, the optimal structure
may be preserved and the muscle bundles may lie on lines that are both
geodesics and lines of principal curvature in all regions.
Not all surfaces allow this optimal structure; surfaces that are formed
of lines which are both geodesics and lines of principal curvature must
be a restricted class. We therefore set out to describe this class of
surfaces. Surfaces were constructed by placing line elements,
representing muscle bundles, along a reference line and requiring that
the line elements be both lines of principal curvature and geodesics at
every point on the surface. We found that, to form surfaces with the
required properties, the line elements must be restricted. The lines
must lie in planes, and all line elements must have the same shape. The
shape of the surface is restricted because of these restrictions on the
line element. In addition, the shape of the surface is restricted by a
condition on the orientation of the line element with respect to the
reference line. Although the class of allowed surfaces is severely
limited, it includes shapes that seem compatible with the limited
information that is available about the diaphragm. A simple example
qualitatively similar to the shape of the canine diaphragm is
described, and the stress distribution in a diaphragm with this shape
is analyzed.
Nomenclature and assumptions.
The coordinates that are used to describe the geometry of the surface
are shown in Fig. 1. The surface is denoted
S and the vector positions of points
on S are denoted
x. A family of lines that span the
surface are denoted µ. A line
is drawn orthogonal to the lines µ and forms a reference curve in the surface. Points on the curve
are denoted
x°(s),
where s is the arc length along
.
Points on the lines µ are described by
x = x°(s) + z(s,t),
where z is a vector from the
intersection of
and µ to a point along µ and
t is the arc length along µ from the
reference curve
.
Fig. 1.
Coordinates used to describe muscle and surface geometries. Coordinate
s lies along arbitrary reference line
. Lines µ lie in planes and are orthogonal to
at their
intersection with
. Vector from origin
O to a point on surface
S is denoted
x(s,t). Vectors T,
C, and
B are tangent to µ, curvature of
µ, and a vector in surface
x/
s,
respectively. Lines µ are assumed to be both lines of principal
curvature and geodesics, and as a result, lines lie in planes and
vectors T,
C, and
B form an orthogonal triad at every
point along µ.
[View Larger Version of this Image (12K GIF file)]
Thus
T is a unit vector and
C is a vector with magnitude
1/r, where
r is the radius of curvature of the
line µ; the vectors T and
C are orthogonal. The third vector
shown in Fig. 1, the vector B, is
defined by the equation
(1)
Thus
B lies in the tangent plane of
S at
x.
(2)
|
(3) |
,
B is orthogonal to
T at
x = 0. Thus
B · T = 0 at t = 0. The derivative of this
scalar product with respect to t is
given by the following equation
|
(4) |
B/
t =
T/
s,
this term equals (
T/
s) · T,
which is zero because T is a unit
vector. The second term is zero because
T/
t = C and
C · B
has been assumed to be zero. Because
B · T
is zero at x = 0 and the derivative of
B · T
with respect to t is zero,
B · T
is zero at all points along µ, and the vectors
T, C,
B form an orthogonal triad at all
points along µ.
Second, it is assumed that the line µ is a line of
principal curvature of the surface. The surface is locally
symmetrical around the line of principal curvature. That is, the
surface falls away from the tangent plane at the same rate ahead and
behind the point of tangency. As a result, the component normal to the tangent plane of the derivative of the normal vector
B along a line of principal curvature
is zero
|
(5) |
B/
t) = (
T/
s),
it follows that
|
(6) |
|
(7) |
B/
t =
T/
s
and the fact that T is a unit vector,
and the second is a restatement of the assumption that the line is a
geodesic. From Eqs. 7, it follows that
the direction of B remains constant
along µ, and because B is orthogonal
to both T and
C, these vectors lie in the same plane
at every point along µ and the line must lie in that plane. Second,
because the vectors T,
C, and B form an orthogonal triad at all
points along µ, the plane of µ must be orthogonal to the surface
tangent plane at every point. Thus the two assumptions, that the lines µ are both lines of principal curvature and geodesics, lead to the
conclusion that the lines must lie in planes that are orthogonal to the
tangent plane of the surface.
In the previous section, the assumption that the lines which form the surface are both geodesics and lines of principal curvature has been expressed as equations governing the variables which describe the surface, and the assumption has been shown to imply that the lines lie in planes which are orthogonal to the tangent plane of the surface. In this section, the class of surfaces that are formed by a family of lines with these properties is described.
We begin by restating a condition on the derivative of B that follows from the fact that the direction of B is the same at all points along the line µ
|
(8) |
C/
t
lies in the plane of µ and
B/
t is perpendicular to that plane and the identity
B/
t =
T/
s,
it can be shown that
|
(9) |
Finally, a condition on the inclination of the universal curve to the
reference line can be obtained. The derivation of this condition begins
with the definition of local reference vectors on
. The natural set
of reference vectors on
is the Frenet triad consisting of the
tangent, the normal, and the binormal. Unit vectors in these three
orthogonal directions are denoted ei and are
defined as follows
|
|
(10) |
, the
e2-e3
plane. The angle between
e2 and the
curvature of the universal curve is denoted
, and the tangent and
normal vectors to the universal curve at
t = 0, T° and
C°, can then be written as
|
(11) |
T°/
s
is obtained by differentiating the first of Eqs.
11 with respect to
s
|
|
(12) |
, and
e1,
e2, and
e3 are an
orthogonal triad of unit vectors with
e1 and
e2 in directions
of tangent and curvature of
, respectively. Orientation of line µ is described by angle
between
e2 and
C°.
The derivatives of
ei are given by
the following equations, where
and
are the curvature and
torsion of
, respectively
|
|
(13) |
e2/
s
and
e3/
s
in Eq. 12 from Eq. 13 and collecting terms yields the following
result
|
|
(14) |
T°/
s
in the direction of C. As stated by
Eq. 6,
(
T/
s) · C = 0. This condition therefore requires that the magnitude of the
component of
(
T°/
s)
in the direction of C be zero
|
(15) |
and the torsion of the reference curve. The orientation of the
universal curve to the reference curve
can be assigned arbitrarily at one point on the reference curve, but the orientation at all other
points along the reference curve is determined by Eq. 15.
Equation 15 provides a formal
condition on the surface, but it does not provide much help in
visualizing the surface. Some help in visualizing the surface is
obtained by considering a second reference line for the surface, the
line of centers of the arc of the universal curve along
. The radius
of curvature of the universal curve is constant along
with
magnitude 1/|C°|. Thus
the line of centers of the arc for all
s, denoted
xc(s), is given by
|
(16) |
xc/
s.
Differentiating Eq. 16 and
substituting from Eq. 13 yields the following expression
|
|
(17) |

/
s) +
= 0,
xc/
s
lies in the direction of
e1, and the line
of centers is a line parallel to
. Here the word "parallel"
means that the line passes through planes perpendicular to
at a
constant distance from
and with a tangent vector that has the same
direction as the tangent vector of
.
The preceding analysis provides the basis for a more pictorial method
for constructing the surface. This method can be summarized as follows.
The surface has two elements, a universal curve µ that lies in a
plane and an arbitrary curve
. The surface is constructed from these
elements by the following procedure. First, a given point on the
universal curve is chosen, and the radius of curvature of µ at that
point is computed. Then a line is constructed parallel to
at a
distance from
equal to the radius of curvature of µ at the fixed
point. The surface is constructed by moving the universal curve along
, holding the plane of µ perpendicular to
and holding the
fixed point on
and the center of curvature of the fixed point on
the parallel line. Alternatively, the line of centers could be chosen
as the arbitrary line, and the line
could be constructed parallel
to it. If the line µ is a circle, the second method is simpler,
because, in that case, the line
plays no role and the surface can
be constructed from the arbitrary line of centers alone.
Some familiar simple surfaces are members of the allowed class. For example, any surface of revolution is a member. For a surface of revolution, the reference line is a circle on the surface, and the line of centers reduces to a point on the axis of revolution. A torus is also a member. For a torus, the reference line is a circle on the surface, and the line of centers is a circle that runs along the axis of the sleeve of the torus. The line of centers is not restricted to a circle. A Slinky, laid on a table, with the axis of the Slinky following any curve in a plane, forms an allowable surface. The cross section of the Slinky need not be circular, but the cross-sectional shape must be the same at all points along the Slinky and the orientation of the shape, relative to the vertical, must be the same at all points. That is, if the axis lies in a plane, the Slinky cannot twist around its axis. A more general example is obtained by allowing the axis of the Slinky to follow any path in space rather than restricting the axis to lie in a plane. If the Slinky has a circular cross-sectional shape, the orientation around the line of centers is meaningless. However, in the most general example, a Slinky of arbitrary cross-sectional shape with its axis following an arbitrary path in space, the orientation of the cross-sectional shape, as a function of position along the axis, is constrained by the relation given by Eq. 15.
A simple example. A surface with a shape that is qualitatively similar to the shape of the canine diaphragm (5) can be constructed from simple components. This shape is shown in Fig. 3. It consists of a segment of a torus capped by segments of spheres. That is, the section ABDE is a segment of a torus with circular cross section, and the section BCD is a segment of a sphere. The reference line is the line ABCDE. The line of centers for the toroidal section is a circle of radius R. For the spherical cap, the line of centers reduces to a point at the center of the sphere. The universal curves are circular arcs of radius
.
. Sections
AB and DE are inside and outside surfaces of
a segment of a torus. Section BCD is a
segment of a sphere. Section AC
represents costal diaphragm and section
CE represents crural diaphragm.
The surface is divided into two parts by a line that runs along the crest. Section ABC represents the costal diaphragm and section CDE represents the crural diaphragm. In the toroidal sections, AB and DE, the planes of the universal lines are orthogonal to the reference line and the coordinate t runs along the circular arcs and ranges from t = 0 at the reference line to t = (
/2)
at the peak of
the torus. In the spherical sections, any great circle is both a
geodesic and a line of principal curvature, and the orientation of the
lines on the sphere is therefore somewhat arbitrary. Different families
of great circles have been chosen to represent the two parts of the
spherical cap. The family for section
BC passes through a pole that is
inclined toward the midplane, and the family for section
CD passes through a pole that is
inclined away from the midplane. In sections
BC and
CD, the value of
t ranges from zero at the reference
line to a variable upper limit at the line of intersection of the two
segments of the spherical cap.
An analytical solution can be obtained for the tension in a membrane
with this shape loaded by a uniform pressure difference P. Membrane
tension in the direction of the coordinate
t is denoted
1, and tension in the
orthogonal direction, the direction of coordinate
s, is denoted
2. Shear tensions are assumed
to be zero. The equilibrium equations for the toroidal sections of the model are the following
|
|
|
1/
P vs.
t in regions
AB and
CD for
/R = 4/5 are shown in Fig.
4.
1 as a function of coordinate
t in sections
AB and
DE of surface shown in Fig. 3. Tension
is nondimensionalized by
P, and t
is nondimensionalized by
, where
is radius of curvature of
muscle fibers and P is pressure across membrane.
In the spherical caps,
1 =
2 =
P/2, and this familiar
value of tension in a spherical shell is a useful reference value. In
the toroidal section,
2 equals
tension in the spherical cap, and the normal tensions are equal at the
boundary between the two sections. The other component of tension in
the toroidal section,
1,
represents tension in the direction of the muscle bundles. In section
AB,
1 is larger than
P/2 at
t = 0 and increases to
P at the
peak of the torus. In section DE,
1 is considerably larger than
P/2 at t = 0 and de- creases toward
the peak to match the tension in section
AB at the peak. Thus
1 is smallest in the spherical
caps, larger in the ventral region of the costal diaphragm, and larger
still in the crural diaphragm with a maximal at the dorsal end of the
crural diaphragm.
In this paper, we have presented a theory of diaphragm shape. This theory is based on assumptions about the structure and geometry of the diaphragm, namely, the assumptions that all muscle bundles of the diaphragm lie along lines which are both lines of maximal principal curvature and geodesics of the surface. We showed that these assumptions imply that the muscle bundles lie in planes that are orthogonal to the tangent planes of the surface. In fact, these two sets of properties are equivalent; one implies the other. Boriek et al. (1) studied the midcostal region of the canine diaphragm and found that the geometry of the muscle bundles in this region matches our assumptions; the muscle bundles lie in planes that are orthogonal to the surface, and they noted that the muscles lie along the lines of maximal principal curvature of the surface. In addition to this limited observational support for our assumptions, it can be argued that the assumed geometry has functional advantages. A curved muscle exerts a net force per unit length in the direction of its curvature, and the magnitude of the force is proportional to curvature. Thus the contribution of this force to transdiaphragmatic pressure is maximal if the muscle bundle lies along a line of maximal curvature and the direction of its curvature is normal to the surface. If the line of the muscle bundle were not a geodesic, a component of force would be exerted in the plane of the surface, and this force would tend to distort the surface and distort the line of the muscle bundle toward a geodesic. These arguments about the relation between shape and function are pertinent to lung-apposed regions of the diaphragm; in the zone of apposition, diaphragm shape must conform to chest wall shape and transdiaphragmatic pressure is small.
The class of surface shapes that are compatible with the assumption about muscle geometry was described. Compatible shapes are subject to two restrictions. The lines that generate the surface must all have the same shape, and the orientation of the lines is restricted. These are testable predictions, and these predictions constitute the major results presented in this paper.
A simple example of an allowable surface was described. This example is qualitatively similar to the canine diaphragm, but quantitative differences between this example and the observed shape are apparent. The ratio of the ventrodorsal to lateral dimensions of the example is smaller than the observed ratio. We think that this implies that the line of centers of the costal and crural muscles does not coincide as in the example. It appears that the line of centers for the crural diaphragm lies dorsal to the line of centers of the costal diaphragm. As a result, the arcs of the crural and costal muscles do not meet, and the central tendon fills the gap between these two arcs. The gap is greatest on the midplane and narrows when moving laterally. Also, in the example, the shape of the universal curve is the same in both muscles, and the line of centers is continuous. Perhaps the costal and crural diaphragms are more distinct, with different shapes of the lines of muscle bundles and a discontinuity between the line of centers at the joint.
Although there may be quantitative differences between the example and the true diaphragm shape, we think that the example is useful for two reasons. First, it illustrates a method for describing diaphragm shape. If all muscle fibers have the same shape, as predicted, the shape of the surface is described by the shape of that universal curve and the shape of the line of centers. This provides a simple and graphical description of the surface. It also offers the promise of providing a simple method of describing diaphragm kinematics. The descent of the diaphragm could be described by a succession of universal curves and a descent of a line of centers.
Second, we think that the analytical description of the tension distribution is useful. Finite-element methods have been used to determine the tension distribution in the diaphragm (5), but finite-element methods are not well suited to the solution of membrane problems, and the solutions that have been reported are not readily interpretable. The analytical solution presented here provides a qualitative guide that can be used to test and interpret finite-element solutions.
The distribution of muscle tension in the model is a result of the shape, and because this shape is qualitatively similar to the shape of the canine diaphragm, we expect the distribution of tension in the model to be qualitatively similar to the distribution of tension in the canine diaphragm. The qualitative features of the model distribution of muscle tension are the following. In the ventral and midcostal diaphragms, tension in the direction of the muscle fibers is larger than tension in the transverse direction. Curvature is also larger in the direction of the muscle fibers than in the transverse direction, and, in this region, transdiaphragmatic pressure is balanced primarily by muscle tension. At the dorsal end of the costal diaphragm and the lateral end of the crural diaphragm, curvature in the transverse direction is large and the contribution of transverse tension to transdiaphragmatic pressure is large. As a result, tension in the muscle fibers is lower. In the medial region of the crural diaphragm, transverse curvature is reversed, and muscle tension must be large in this region. In the model, muscle tension at the boundary between the toroidal and spherical sections changes abruptly because the change in geometry is abrupt. In the diaphragm, we would expect these changes to be smoother.
The distribution of muscle tensions in the model is consistent with
some physiological observations. Tension
1 is a membrane tension, a
force per unit distance in a direction transverse to the muscle
direction. Therefore, in regions in which
1 is higher, either the
thickness of the diaphragm must be greater or the force, or activation,
of each muscle bundle must be greater, or both. In the model, muscle
tension is largest in the medial region of the crural diaphragm. This
is consistent with the observation that the crural diaphragm is thicker
than the costal diaphragm (2, 4). Muscle tension is least at the dorsal
end of the costal diaphragm, and this is consistent with the
observations that the diaphragm is thinner (2, 4) and that blood flow is smaller (3) near the dorsal end of the costal diaphragm.
This work was supported by National Heart, Lung, and Blood Institute Grant HL-46230.
Address for reprint requests: T. A. Wilson, 107 Akerman Hall, 110 Union St. SE, Minneapolis, MN 55455.
Received 5 November 1996; accepted in final form 25 June 1997.
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Boriek, A.,
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