Postural disturbances resulting from unilateral and bilateral diaphragm contractions: a phrenic nerve stimulation study.
Identifieur interne : 003436 ( PubMed/Corpus ); précédent : 003435; suivant : 003437Postural disturbances resulting from unilateral and bilateral diaphragm contractions: a phrenic nerve stimulation study.
Auteurs : Alain Hamaoui ; Anna L. Hudson ; Louis Laviolette ; Marie-Cécile Nierat ; Manh-Cuong Do ; Thomas SimilowskiSource :
- Journal of applied physiology (Bethesda, Md. : 1985) [ 1522-1601 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- methods : Electric Stimulation.
- physiology : Biomechanical Phenomena, Diaphragm, Movement, Muscle Contraction, Phrenic Nerve, Posture.
- Acceleration, Adult, Female, Gravitation, Humans, Male, Respiration.
Abstract
Thoracoabdominal breathing movements are a complex source of postural disturbance, but there are contradictory reports in the literature with inspiration described as having either a backward or a forward disturbing effect. To elucidate the mechanisms underlying this phenomenon, the present study studied the postural disturbance caused by isolated contractions of the diaphragm. Eight male and four female healthy subjects followed an original paradigm of phrenic nerve stimulation (bilateral and unilateral) and "diaphragmatic" voluntary sniff maneuvers in the seated and standing postures. Center of gravity (CG) acceleration was calculated from force plate recordings, and respiratory kinematics were assessed with thoracic and abdominal sensor belts. CG and respiratory signals revealed that, while seated, bilateral phrenic stimulation and sniff maneuvers consistently produced expansion of the abdomen associated with a forward peak of CG acceleration. In the standing posture, the direction of the CG peak was reversed and always directed backward. Unilateral phrenic stimulation induced an additional medial-lateral acceleration of the CG, directed toward the nonactive side while seated, but in the opposite direction while standing. These results suggest that isolated diaphragmatic contractions produce a constant disturbing pattern for a given posture, but with opposite effects between standing and seated postures. This could be related to the different biomechanical configuration of the body in each posture, corresponding to distinct kinematic patterns of the osteoarticular chain. In addition, the lateral component of the CG acceleration induced by unilateral diaphragm contractions could be clinically relevant in patients with hemidiaphragm paralysis.
DOI: 10.1152/japplphysiol.00369.2014
PubMed: 25150226
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Hudson</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; Neuroscience Research Australia and University of New South Wales, Sydney, Australia;</nlm:affiliation></affiliation></author><author><name sortKey="Laviolette, Louis" sort="Laviolette, Louis" uniqKey="Laviolette L" first="Louis" last="Laviolette">Louis Laviolette</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; Centre de Recherche clinique de l'Institut Universitaire de Cardiologie et Pneumologie de Québec (CRIUCPQ), Quebec, Canada; and.</nlm:affiliation></affiliation></author><author><name sortKey="Nierat, Marie Cecile" sort="Nierat, Marie Cecile" uniqKey="Nierat M" first="Marie-Cécile" last="Nierat">Marie-Cécile Nierat</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France;</nlm:affiliation></affiliation></author><author><name sortKey="Do, Manh Cuong" sort="Do, Manh Cuong" uniqKey="Do M" first="Manh-Cuong" last="Do">Manh-Cuong Do</name><affiliation><nlm:affiliation>CIAMS Laboratory, UFR STAPS, University Paris-Sud, Orsay, France.</nlm:affiliation></affiliation></author><author><name sortKey="Similowski, Thomas" sort="Similowski, Thomas" uniqKey="Similowski T" first="Thomas" last="Similowski">Thomas Similowski</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), Paris, France;</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25150226</idno><idno type="pmid">25150226</idno><idno type="doi">10.1152/japplphysiol.00369.2014</idno><idno type="wicri:Area/PubMed/Corpus">003436</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003436</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Postural disturbances resulting from unilateral and bilateral diaphragm contractions: a phrenic nerve stimulation study.</title><author><name sortKey="Hamaoui, Alain" sort="Hamaoui, Alain" uniqKey="Hamaoui A" first="Alain" last="Hamaoui">Alain Hamaoui</name><affiliation><nlm:affiliation>Laboratory of Posture and Movement Physiology, University Champollion, Albi, France; alain.hamaoui@univ-jfc.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Hudson, Anna L" sort="Hudson, Anna L" uniqKey="Hudson A" first="Anna L" last="Hudson">Anna L. Hudson</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; Neuroscience Research Australia and University of New South Wales, Sydney, Australia;</nlm:affiliation></affiliation></author><author><name sortKey="Laviolette, Louis" sort="Laviolette, Louis" uniqKey="Laviolette L" first="Louis" last="Laviolette">Louis Laviolette</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; Centre de Recherche clinique de l'Institut Universitaire de Cardiologie et Pneumologie de Québec (CRIUCPQ), Quebec, Canada; and.</nlm:affiliation></affiliation></author><author><name sortKey="Nierat, Marie Cecile" sort="Nierat, Marie Cecile" uniqKey="Nierat M" first="Marie-Cécile" last="Nierat">Marie-Cécile Nierat</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France;</nlm:affiliation></affiliation></author><author><name sortKey="Do, Manh Cuong" sort="Do, Manh Cuong" uniqKey="Do M" first="Manh-Cuong" last="Do">Manh-Cuong Do</name><affiliation><nlm:affiliation>CIAMS Laboratory, UFR STAPS, University Paris-Sud, Orsay, France.</nlm:affiliation></affiliation></author><author><name sortKey="Similowski, Thomas" sort="Similowski, Thomas" uniqKey="Similowski T" first="Thomas" last="Similowski">Thomas Similowski</name><affiliation><nlm:affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), Paris, France;</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of applied physiology (Bethesda, Md. : 1985)</title><idno type="eISSN">1522-1601</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acceleration</term><term>Adult</term><term>Biomechanical Phenomena (physiology)</term><term>Diaphragm (physiology)</term><term>Electric Stimulation (methods)</term><term>Female</term><term>Gravitation</term><term>Humans</term><term>Male</term><term>Movement (physiology)</term><term>Muscle Contraction (physiology)</term><term>Phrenic Nerve (physiology)</term><term>Posture (physiology)</term><term>Respiration</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electric Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Biomechanical Phenomena</term><term>Diaphragm</term><term>Movement</term><term>Muscle Contraction</term><term>Phrenic Nerve</term><term>Posture</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acceleration</term><term>Adult</term><term>Female</term><term>Gravitation</term><term>Humans</term><term>Male</term><term>Respiration</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Thoracoabdominal breathing movements are a complex source of postural disturbance, but there are contradictory reports in the literature with inspiration described as having either a backward or a forward disturbing effect. To elucidate the mechanisms underlying this phenomenon, the present study studied the postural disturbance caused by isolated contractions of the diaphragm. Eight male and four female healthy subjects followed an original paradigm of phrenic nerve stimulation (bilateral and unilateral) and "diaphragmatic" voluntary sniff maneuvers in the seated and standing postures. Center of gravity (CG) acceleration was calculated from force plate recordings, and respiratory kinematics were assessed with thoracic and abdominal sensor belts. CG and respiratory signals revealed that, while seated, bilateral phrenic stimulation and sniff maneuvers consistently produced expansion of the abdomen associated with a forward peak of CG acceleration. In the standing posture, the direction of the CG peak was reversed and always directed backward. Unilateral phrenic stimulation induced an additional medial-lateral acceleration of the CG, directed toward the nonactive side while seated, but in the opposite direction while standing. These results suggest that isolated diaphragmatic contractions produce a constant disturbing pattern for a given posture, but with opposite effects between standing and seated postures. This could be related to the different biomechanical configuration of the body in each posture, corresponding to distinct kinematic patterns of the osteoarticular chain. In addition, the lateral component of the CG acceleration induced by unilateral diaphragm contractions could be clinically relevant in patients with hemidiaphragm paralysis.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25150226</PMID><DateCreated><Year>2014</Year><Month>10</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>10</Month><Day>30</Day></DateCompleted><DateRevised><Year>2014</Year><Month>10</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1522-1601</ISSN><JournalIssue CitedMedium="Internet"><Volume>117</Volume><Issue>8</Issue><PubDate><Year>2014</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>Journal of applied physiology (Bethesda, Md. : 1985)</Title><ISOAbbreviation>J. Appl. Physiol.</ISOAbbreviation></Journal><ArticleTitle>Postural disturbances resulting from unilateral and bilateral diaphragm contractions: a phrenic nerve stimulation study.</ArticleTitle><Pagination><MedlinePgn>825-32</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1152/japplphysiol.00369.2014</ELocationID><Abstract><AbstractText>Thoracoabdominal breathing movements are a complex source of postural disturbance, but there are contradictory reports in the literature with inspiration described as having either a backward or a forward disturbing effect. To elucidate the mechanisms underlying this phenomenon, the present study studied the postural disturbance caused by isolated contractions of the diaphragm. Eight male and four female healthy subjects followed an original paradigm of phrenic nerve stimulation (bilateral and unilateral) and "diaphragmatic" voluntary sniff maneuvers in the seated and standing postures. Center of gravity (CG) acceleration was calculated from force plate recordings, and respiratory kinematics were assessed with thoracic and abdominal sensor belts. CG and respiratory signals revealed that, while seated, bilateral phrenic stimulation and sniff maneuvers consistently produced expansion of the abdomen associated with a forward peak of CG acceleration. In the standing posture, the direction of the CG peak was reversed and always directed backward. Unilateral phrenic stimulation induced an additional medial-lateral acceleration of the CG, directed toward the nonactive side while seated, but in the opposite direction while standing. These results suggest that isolated diaphragmatic contractions produce a constant disturbing pattern for a given posture, but with opposite effects between standing and seated postures. This could be related to the different biomechanical configuration of the body in each posture, corresponding to distinct kinematic patterns of the osteoarticular chain. In addition, the lateral component of the CG acceleration induced by unilateral diaphragm contractions could be clinically relevant in patients with hemidiaphragm paralysis.</AbstractText><CopyrightInformation>Copyright © 2014 the American Physiological Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hamaoui</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Laboratory of Posture and Movement Physiology, University Champollion, Albi, France; alain.hamaoui@univ-jfc.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hudson</LastName><ForeName>Anna L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; Neuroscience Research Australia and University of New South Wales, Sydney, Australia;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laviolette</LastName><ForeName>Louis</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; Centre de Recherche clinique de l'Institut Universitaire de Cardiologie et Pneumologie de Québec (CRIUCPQ), Quebec, Canada; and.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nierat</LastName><ForeName>Marie-Cécile</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Do</LastName><ForeName>Manh-Cuong</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>CIAMS Laboratory, UFR STAPS, University Paris-Sud, Orsay, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Similowski</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; INSERM, UMR_S 1158 "Neurophysiologie Respiratoire Expérimentale et Clinique", Paris, France; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département "R3S"), Paris, France;</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>08</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Appl Physiol (1985)</MedlineTA><NlmUniqueID>8502536</NlmUniqueID><ISSNLinking>0161-7567</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000054" MajorTopicYN="N">Acceleration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001696" MajorTopicYN="N">Biomechanical Phenomena</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003964" MajorTopicYN="N">Diaphragm</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004558" MajorTopicYN="N">Electric Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006112" MajorTopicYN="N">Gravitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009068" MajorTopicYN="N">Movement</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009119" MajorTopicYN="N">Muscle Contraction</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010791" MajorTopicYN="N">Phrenic Nerve</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012119" MajorTopicYN="N">Respiration</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">diaphragm</Keyword><Keyword MajorTopicYN="N">posture</Keyword><Keyword MajorTopicYN="N">respiration</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>10</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25150226</ArticleId><ArticleId IdType="pii">japplphysiol.00369.2014</ArticleId><ArticleId IdType="doi">10.1152/japplphysiol.00369.2014</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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