Relationship Between Chest Wall Motion and Diaphragmatic Excursion in Healthy Adults in Supine Position

• Main Authors: Hsing-Kuo Wang, Tung-Wu Lu, Rong-Jiuan Liing, Tiffany Ting-Fang Shih, Sheng-Chang Chen, Kwan-Hwa Lin
• Format: Article
• Language: English
• Published: Elsevier 2009-07-01
• Series: Journal of the Formosan Medical Association
• Subjects: diaphragmatic excursion; optoelectronic plethysmography; thoracic wall; ultrasonography
• Online Access: http://www.sciencedirect.com/science/article/pii/S0929664609603764

There has been a lack of studies that have used both three-dimensional analysis and imaging tools concurrently to describe lung volume changes and breathing pattern in subjects in the supine position. The purpose of this study was to investigate the correlation between volume changes estimated by optoelectronic plethysmography (OEP) and diaphragmatic excursion (DE) measured by ultrasonography of healthy adults in the supine position. Methods: Twelve healthy male subjects (age, 25.08 ± 6.35 years) were recruited and asked to perform tidal and deep breathing in the supine position. The volume changes during chest wall motion were quantified from OEP analysis—this was done for the upper thorax (UT), lower thorax (LT), and abdominal (AB) compartment. Lung volume was measured synchronously via the mouth piece of an electrospirometer. The right diaphragmatic movement was measured by ultrasonography. Results: Linear regression showed that all three compartments (VUT, VLT and VAB) in the inspiratory phase were correlated highly with DE during tidal and deep breathing. However, multiple linear regression analysis showed that the VAB contributed 94–95% of the variance when performing either tidal or deep breathing. A predicted equation for diaphragmatic movement during deep breathing was DE = 0.052 + 0.294VAB. Conclusion: The movement of VAB can be used as an index of DE among the normal population in the supine position. Its application in patients requires further study.