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Centre de Recherche, Hôpital Laval, Institut Universitaire de Cardiologie et de Pneumologie de l'Université Laval, Québec, Canada G1V 4G5
Phrenic
nerve stimulation (PNS) applied at end-expiration allows the
investigation of passive upper airway (UA) dynamic during wakefulness.
Assuming that phasic UA dilating/stabilizing forces should modify the
UA properties when twitches are applied during inspiration, we compared
the UA dynamic responses to expiratory and inspiratory twitches (2 s
and 200 ms after expiratory and inspiratory onset, respectively) in
nine men (mean age 28 yr). This procedure was repeated with a 2-cm
mouth opening provided with a closed mouthpiece. The percentage of
flow-limited (FL) twitches was significantly higher when PNS was
realized during expiration than during inspiration. Maximal inspiratory
flow (
Imax) of FL twitches was
significantly higher for inspiratory twitches (1,383 ± 42 and
1,185 ± 40 ml/s). With mouth aperture,
Imax decreased with an increase in
the corresponding pharyngeal resistance values, and the percentage of
twitch with a FL regimen increased but only for inspiratory twitches.
We conclude that 1) UA dynamics are significantly influenced
by the inspiratory/expiratory timing at which PNS is applied,
2) the improvement in UA dynamic properties observed from
expiratory to inspiratory PNS characterizes the overall inspiratory
stabilizing effects, and 3) mouth aperture alters the
stability of UA structures during inspiration.
upper airway dilator muscles; airway closure; upper airway stability
This article has been cited by other articles:
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F. Series, W. Wang, C. Melot, and T. Similowski Concomitant responses of upper airway stabilizing muscles to transcranial magnetic stimulation in normal men Exp Physiol, April 1, 2008; 93(4): 496 - 502. [Abstract] [Full Text] [PDF] |
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