Measurement of inspiratory muscle performance with incremental threshold loading. 1987

J B Martyn, and R H Moreno, and P D Paré, and R L Pardy

We found that breathing strategies affect measurement of sustainable inspiratory pressure (SIP). After allowing time for learning, the maximum sustainable inspiratory pressure (SIPmax) was 46% greater than SIP. We therefore developed a test of ventilatory muscle performance that used progressive 2-minute increments in threshold inspiratory resistance. Subjects started with a low load and continued to breathe until they could no longer inspire. With increasing load there was a fall in minute ventilation and time of inspiration, and an increase in oxygen consumption and PETCO2. Power was greatest when loads were 55 to 75% of maximum static inspiratory pressure (MIP). The inspiratory mouth pressure corresponding to the greatest load achieved (PmPeak) was the same in trained and naive subjects. PmPeak/MIP was reproducible and was not influenced by fixing subjects' breathing frequency. We concluded that tests of ventilatory muscle performance should allow subjects to develop breathing strategies to handle high inspiratory loads. Two-minute incremental loading is a simple assessment of ventilatory muscle performance and the test may have clinical application where reproducibility is necessary.

UI MeSH Term Description Entries
D007320 Inspiratory Capacity The maximum volume of air that can be inspired after reaching the end of a normal, quiet expiration. It is the sum of the TIDAL VOLUME and the INSPIRATORY RESERVE VOLUME. Common abbreviation is IC. Capacities, Inspiratory,Capacity, Inspiratory,Inspiratory Capacities
D008297 Male Males
D009119 Muscle Contraction A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments. Inotropism,Muscular Contraction,Contraction, Muscle,Contraction, Muscular,Contractions, Muscle,Contractions, Muscular,Inotropisms,Muscle Contractions,Muscular Contractions
D010101 Oxygen Consumption The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346) Consumption, Oxygen,Consumptions, Oxygen,Oxygen Consumptions
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D011659 Pulmonary Gas Exchange The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER. Exchange, Pulmonary Gas,Gas Exchange, Pulmonary
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D012132 Respiratory Muscles These include the muscles of the DIAPHRAGM and the INTERCOSTAL MUSCLES. Ventilatory Muscles,Respiratory Muscle,Muscle, Respiratory,Muscle, Ventilatory,Muscles, Respiratory,Muscles, Ventilatory,Ventilatory Muscle
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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