Respiratory Physiology
Conditions
Brief summary
The present study aims at enhancing our understanding of the influence of the mouthpiece configuration on the amplitude of oral pressures generated during a maximum expiratory pressure maneuver and on the neuromuscular recruitment of expiratory muscles (more specifically of the internal oblique and the transverse abdominal muscles).
Detailed description
Enhancing our understanding of the influence of the mouthpiece configuration on oral pressures and on the neuromuscular recruitment of the internal oblique and the transverse abdominal muscles during a maximum expiratory pressure (MEP) maneuver is the primary goal of this study Maximal Respiratory Mouth Pressures (MIP and MEP): Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) are commonly used indices to assess respiratory muscle strength at the mouth. MIP measures the strength of inspiratory muscles, while MEP assesses expiratory muscle strength. These measurements are simple, convenient, and noninvasive. However, clear standards for these measurements are not well-established. Choice of Mouthpiece: We propose exploring different mouthpiece designs to know their impact on pressure measurements. Influence of Mouthpiece Design: The type of mouthpiece used can affect pressure measurements. Some investigators recommend including a small leak in the measuring circuit to dissipate pressure generated in the mouth and minimize measurement errors. However, specific studies focusing on the influence of mouthpiece design on MEP and neuromuscular recruitment of expiratory muscles (such as the internal oblique and transverse muscles) during MEP maneuvers would be valuable. Additional Considerations: Factors like body position (sitting vs. half-lying) may also impact pressure measurements, although no significant differences were found in one study. Among the objectives of our study, we aim at exploring ways to improve the accuracy and reliability of respiratory pressure measurements. In summary, understanding the impact of mouthpiece design on oral pressures during MEP maneuvers is essential for accurate assessment of respiratory muscle function. Further research in this area could provide valuable insights for clinical practice and pulmonary function laboratories.
Interventions
OTHERMEP measurement - Surface EMG
Participants will undergo serial expiratory maneuvers using different mouthpieces. At each maneuver, the maximal expiratory mouth pressure at total lung capacity will be measured, alongside with the degree of neuromuscular activation of the internal oblique and transverse abdominal muscles using surface electromyography.
Sponsors
Laboratory of Movement, Condorcet, Tournai, Belgium
University of Mons
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Age over 18
Exclusion criteria
* Any neuromuscular disease or condition susceptible to interfere with the results * Pregnant women * Any contraindications to the realization of maximal expiratory maneuvers, as defined in the ATS Pulmonary Function Laboratory Management And Procedure Manual (3rd Edition) * Excessive abdominal gird, compromising ultrasonographic positioning of electrodes or altering signal quality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximal expiratory pressure | 120 minutes |
| Root mean square of the EMG signal | 120 minutes |
Countries
Belgium
Contacts
PRINCIPAL_INVESTIGATORAlexandre Legrand (MD, PhD), Physician, PhD
University of Mons
PRINCIPAL_INVESTIGATORFrederic Duprez (PhD)
Provincial High School of Hainaut, Condorcet
PRINCIPAL_INVESTIGATOREliot Rudy Mbolo Ebubu (MD, PhD candidate)
University of Mons
PRINCIPAL_INVESTIGATORAlexandra Tassin, Biomedical scientist
University of Mons
Outcome results
None listed