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Diaphragm Recruitment Increases during a Bout of Targeted Inspiratory Muscle Training.

Abstract：

PURPOSE:The extent to which the diaphragm is targeted during a bout of inspiratory muscle training (IMT) is unknown. The purpose of this study was to characterize the relative activation patterns of the diaphragm and extradiaphragmatic inspiratory muscles during a bout of IMT and to determine whether diaphragmatic recruitment can be increased by giving subjects specific diaphragmatic breathing instructions (IMTdi). METHODS:Ten healthy men were instrumented with surface EMG electrodes on the sternocleidomastoid (EMGscm), scalenes (EMGsca), parasternal intercostals (EMGpic), and seventh intercostal space (EMG7ic). A multipair esophageal electrode catheter measured crural diaphragmatic EMG (EMGdi) and transdiaphragmatic pressure (Pdi). Trial 1 of IMT involved 25 dynamic inspiratory maneuvers at 40% of maximal inspiratory mouth pressure using a variable flow resistive loading device where subjects were free to choose their own inspiratory muscle recruitment strategy. Trial 2 involved the same procedures, but subjects were given specific instructions to actively recruit their diaphragm. Cervical magnetic stimulation of the phrenic nerves verified the absence of diaphragmatic fatigue before commencing the second trial. RESULTS:Compared with IMT, IMTdi resulted in a significant increase in EMGdi (56 ± 12 vs 73 ± 10%max, P = 0.002) and Pdi swings (39 ± 14 vs 64 ± 17 cm H2O, P < 0.0001) and a decrease in EMGsca (52 ± 21 vs 36 ± 22%max, P = 0.04). There was no difference in EMG7ic (26 ± 19 vs 33 ± 21%max, P = 0.36), EMGpic (31 ± 24 vs 25 ± 15%max, P = 0.22), and EMGscm (58 ± 21 vs 45 ± 24%max, P = 0.08) when comparing IMT versus IMTdi, respectively. CONCLUSIONS:Simple diaphragmatic breathing instructions can significantly increase the recruitment of the diaphragm during IMT compared with a bout of IMT where individuals are free to choose their own inspiratory muscle recruitment strategy.

journal_name

Med Sci Sports Exerc

journal_title

Medicine and science in sports and exercise

authors

Ramsook AH,Koo R,Molgat-Seon Y,Dominelli PB,Syed N,Ryerson CJ,Sheel AW,Guenette JA

doi

10.1249/MSS.0000000000000881

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1179-86

issue

eissn

0195-9131

issn

1530-0315

journal_volume

pub_type

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Diaphragm Recruitment Increases during a Bout of Targeted Inspiratory Muscle Training.