Analysis of diaphragm movement, during tidal breathing and during its activation while breath holding, using MRI synchronized with spirometry

Title:

Analysis of diaphragm movement, during tidal breathing and during its activation while breath holding, using MRI synchronized with spirometry

Creator:

Kolář, P., Jiří Neuwirth, Jan Šanda, Vojtěch Suchánek, Zuzana Svatá, J. Volejník, and Martin Pivec

Identifier:

https://cdk.lib.cas.cz/client/handle/uuid:18ba79d2-54a6-4347-b500-0205a7553376
uuid:18ba79d2-54a6-4347-b500-0205a7553376
issn:0862-8408

Subject:

Fyziologie člověka a srovnávací fyziologie, fyziologie, držení těla, physiology, posture, diaphragm fiction, magnetic resonance Paging, thorax, 14, and 612

Type:

article, články, model:article, and TEXT

Format:

print, bez média, and svazek

Description:

a1_Using magnetic resonance imaging (MRI) in conjunction with synchronized spirometry we an alyzed and compared diaphragm movement during tidal breathing and voluntary movement of the diaphragm while breath holding. Breathing cycles of 16 healthy subjects were examined using a dynamic sequence (77 slices in sagittal plane during 20 s, 1NSA, 240x256, TR4.48, TE2.24, FA90, TSE1, FOV 328). The amplitude of movement of the apex and dorsal costophren ic angle of the diaphragm were measured for two test conditions: tidal breathing and voluntary breath holding. The maximal inferior and superior positions of the diaphragm were subtracted from the corresponding positions during voluntary movements while breath holding. The average amplitude of inferio-superior mo vement of the diaphragm apex during tidal breathing was 27.3±10.2 mm (mean ± SD), and during voluntary movement while breath holding was 32.5±16.2 mm. Movement of the costophrenic angle was 39±17.6 mm during tidal breathing and 45.5±21.2 mm during voluntary movement while breath holding. The inferior position of the diaphragm was lower in 11 of 16 subjects (68.75 %) and identical in 2 of 16 (12.5 %) subj ects during voluntary movement compared to the breath holding. Pearson’s correlation coefficient was used to demonstrate that movement of the costophrenic angle and apex of the diaphragm ha d a linear relationship in both examined situations (r=0.876). A correlation was found between the amplitude of diaphragm movement during tidal breathing and lung volume (r=0.876). The amplitude of movement of the diaphragm with or without breathing showed no correlation to each other (r=0.074). The moveme nt during tidal breathing shows a correlation with the changes in lung volumes. Dynamic MRI demonstrated that individuals are capable of moving their diaphragm voluntarily, but the amplitude of movement differs from person to person., a2_In this study, the movements of the diaphragm apex and the costophr enic angle were synchronous during voluntary movement of the diaphragm while breath holding. Although the sample is small, this study confirms that the function of the diaphragm is not only respiratory but also postural and can be voluntarily controlled., P. Kolář, J. Neuwirth, J. Šanda, V. Suchánek, Z. Svatá, J. Volejník, M. Pivec., and Obsahuje bibliografii

Language:

English

Rights:

http://creativecommons.org/licenses/by-nc-sa/4.0/
policy:public

Source:

Physiological research | 2009 Volume:58 | Number:3

Harvested from:

CDK

Metadata only:

false