Diaphragmatic fatigue following voluntary hyperpnea. 1996

J M Mador, and A Rodis, and J Diaz
Division of Pulmonary and Critical Care Medicine, State University of New York at Buffalo, USA.

The purpose of this study was to determine whether diaphragmatic fatigue occurs after voluntary hyperpnea to task failure. Ten male subjects were asked to breathe at minute ventilation (V1) equal or slightly greater than 60% of their 12-s maximum voluntary ventilation (MVV) until task failure. Transdiaphragmatic pressure (Pdi) was measured during bilateral supramaximal stimulation of the phrenic nerves before and 10, 30, 60, and 120 min after hyperpnea. For the group, V1 averaged 107.1 +/- 7.1 L/min (SE) (range, 71-154 L/min), which represented 60 +/- 2% of the MVV. After voluntary hyperpnea, seven of the 10 subjects displayed at least a 10% reduction in twitch Pdi during transcutaneous stimulation, while all 10 subjects had a greater than 10% reduction in twitch Pdi during cervical magnetic stimulation. For the group, transcutaneous twitch Pdi was significantly decreased from 27.0 +/- 1.9 at baseline to 21.4 +/- 1.7 cm H2O (p < 0.0001) at 10 min posthyperpnea. Magnetic twitch Pdi was also significantly decreased from 36.0 +/- 2.1 at baseline to 28.7 +/- 1.9 cm H2O (p < 0.0001) at 10 min posthyperpnea. Twitch Pdi remained significantly decreased from baseline for at least 1 h after hyperpnea. After hyperpnea, the mean percentage decrease from baseline in twitch Pdi was virtually identical with the two stimulation techniques. The percentage fall in twitch Pdi after hyperpnea with the two techniques was not significantly correlated (r = 0.4). In conclusion, long-lasting contractile fatigue of the diaphragm reliably occurs after voluntary hyperpnea at levels sufficient to induce task failure. Cervical magnetic stimulation can detect diaphragmatic fatigue after a fatiguing task, but the results obtained with this technique may differ from those obtained with transcutaneous stimulation in individual subjects.

UI MeSH Term Description Entries
D008280 Magnetics The study of MAGNETIC PHENOMENA. Magnetic
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
D010791 Phrenic Nerve The motor nerve of the diaphragm. The phrenic nerve fibers originate in the cervical spinal column (mostly C4) and travel through the cervical plexus to the diaphragm. Nerve, Phrenic,Nerves, Phrenic,Phrenic Nerves
D010812 Physical Stimulation Act of eliciting a response from a person or organism through physical contact. Stimulation, Physical,Physical Stimulations,Stimulations, Physical
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
D003964 Diaphragm The musculofibrous partition that separates the THORACIC CAVITY from the ABDOMINAL CAVITY. Contraction of the diaphragm increases the volume of the thoracic cavity aiding INHALATION. Respiratory Diaphragm,Diaphragm, Respiratory,Diaphragms,Diaphragms, Respiratory,Respiratory Diaphragms
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

J M Mador, and A Rodis, and J Diaz
January 2015, PloS one,
J M Mador, and A Rodis, and J Diaz
March 1994, American journal of respiratory and critical care medicine,
J M Mador, and A Rodis, and J Diaz
April 2017, American journal of respiratory and critical care medicine,
J M Mador, and A Rodis, and J Diaz
November 2015, European journal of applied physiology,
J M Mador, and A Rodis, and J Diaz
May 2016, American journal of respiratory and critical care medicine,
J M Mador, and A Rodis, and J Diaz
January 1980, Respiration; international review of thoracic diseases,
J M Mador, and A Rodis, and J Diaz
May 2011, Respiratory physiology & neurobiology,
J M Mador, and A Rodis, and J Diaz
November 1955, La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris,
J M Mador, and A Rodis, and J Diaz
December 1983, Journal of applied physiology: respiratory, environmental and exercise physiology,
Copied contents to your clipboard!