Detection and interaction of elastic and flow-resistive respiratory loads in man.
نویسندگان
چکیده
1. The detection of added inspiratory airflow resistances was studied in normal individuals under two circumstances: first, while breathing unhindered, and secondly, while breathing against continuously applied ('basal') inspiratory elastic loads. The addition of basal elastic loads resulted in impaired detection of flow-resistive loads whether expressed as added flow resistance or as a proportion of the basal flow resistance. 2. When loads were plotted on a logarithmic scale, load-detection relationships were linear, permitting both threshold and slope of the detection response ('sensitivity') to be assessed. Impaired detection associated with basal elastic loads was shown to be due to a raised threshold without change in 'sensitivity'. 3. When the flow resistances submitted for detection were expressed as a proportion of the sum of the basal flow resistance and added elastance, the probability of detection was independent of the magnitude of the added elastance. 4. The interaction between basal elastic and added flow-resistive loads suggests that at the time of detection the basal elastance acts in a manner similar to that of an added flow resistance. 5. Added basal flow resistances had no significant effect on the detection of threshold elastic loads.
منابع مشابه
Interaction between chemical ventilatory drive and respiratory compensation for flow-resistive loading.
DIscuSsIoN The normal occlusion pressure response to elastic loads in COPD patients in whom the response to flow loads is impaired indicates that the diminished response to flow loads cannot be explained by decreased muscle performance or fatigue. Rather, this phenomenon appears to represent a specific defect perhaps in the recognition of the resistive load by mechanoreceptors or in the interpr...
متن کاملElastic and resistive loading in chronic obstructive lung disease.
R espiratory neuromuscular output as measured by the mouth occlusion pressure increases in normal subjects when the resistance to airflow is heightened acutely. In studies conducted by Altose et al’ in patients with chronic obstructive lung disease, the compensatory response to resistive loading was found to be significantly blunted. The diminished occlusion pressure response to flow loading in...
متن کاملOptimal Robust Control for a Series Elastic Actuator assisting Knee Joint
Rehabilitation and assistive systems such as rotary series elastic actuators (RSEA) should provide the desired torque precisely. In this paper, to improve the life quality of those who suffer from weak knees, the control problem of a rotary series elastic actuator (RSEA) has been studied in order to generate soft human walking motion. These actuators produce the require torque, but the nonlinea...
متن کاملDetection threshold for inspiratory resistive loads and respiratory-related evoked potentials.
The relationship between detection threshold of inspiratory resistive loads and the peaks of the respiratory-related evoked potential (RREP) is unknown. It was hypothesized that the short-latency and long-latency peaks of the RREP would only be elicited by inspiratory loads that exceeded the detection threshold. The detection threshold for inspiratory resistive loads was measured in healthy sub...
متن کاملClinical utility of work-of-breathing measurements in COPD
The measurement of the mechanical work of breathing (WOB) has been used in clinical research for over four decades and has provided valuable insights into the pathophysiological derangements that exist in patients with chronic obstructive pulmonary disease (COPD). These WOB calculations are based on the principle that work is performed when pressure changes the volume of the respiratory system....
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Clinical science
دوره 61 3 شماره
صفحات -
تاریخ انتشار 1981