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J Appl Physiol (October 4, 2002). doi:10.1152/japplphysiol.00329.2002
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Articles in PresS, published online ahead of print October 4, 2002
J Appl Physiol, 10.1152/jap.00329.2002
Submitted on April 12, 2002
Accepted on September 28, 2002

Chest wall kinematic determinants of diaphragm fibre length measured by opto-electronic plethysmography and ultrasonography

Andrea Aliverti1*, Giuseppe Ghidoli2, Raffaele L Dellaca1, Antonio Pedotti1, and Peter T Macklem3

1 Dipartimento di Bioingegneria, Politecnico di Milano, Milano, Italy; Centro di Bioingegneria, Fondazione Don Gnocchi IRCCS and Politecnico di Milano, Milano, Italy
2 Centro di Bioingegneria, Fondazione Don Gnocchi IRCCS and Politecnico di Milano, Milano, Italy
3 Meakins-Christie Laboratories, Montreal Chest Institute, McGill University Health Centre, Montreal, Canada

* To whom correspondence should be addressed. E-mail: aliverti{at}mail.cbi.polimi.it.

To estimate diaphragm fibre length from thoraco-abdominal configuration we measured axial motion of the right-sided area of apposition (Aap) by ultrasonography and volumes displaced by chest wall compartments, (pulmonary and abdominal rib cage (Vrc,p, Vrc,a) and abdomen (Vab)) by optoelectronic plethysmography in 4 normal men during quiet breathing and incremental exercise without and with expiratory flow limitation. Points at the cephalic Aap border were digitised from echo images, mapped into 3D space and the axial distance from the xyphoidal transverse plane (Dap) measured simultaneously with the volumes. Linear regression analysis between {Delta}Dap and the measured volume changes under all conditions showed: 1){Delta}Dap was linearly related more to {Delta}Vab than to {Delta}Vrc,p and {Delta}Vrc,a; 2) this was highly repeatable between measures. Multiple stepwise regression analysis showed that {Delta}Vab accounted for 89%- 96% of the variability of {Delta}Dap, while the rib cage compartments added <1%. We conclude that, under conditions of quiet breathing and exercise with and without EFL, instantaneous {Delta}Dap can be estimated from {Delta}Vab.







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