Association between inspiratory muscle activity and lung volumes in Chronic Obstructive Pulmonary Disease

Authors

DOI:

https://doi.org/10.5902/2236583471292

Keywords:

Chronic obstructive pulmonary disease, Electromyography, Spirometry

Abstract

Objective: To analyze the correlation between lung volumes and inspiratory muscle activity of the sternocleidomastoid muscle (SCM) in COPD patients. Methods:Cross-sectional study that evaluated COPD patients (GOLD II to IV) regarding their anthropometric characteristics, lung volumes and electromyographic activity of the SCM muscle in eupnea. Forced vital capacity (FVC), forced expired volume in one second (FEV1), forced expired flow between 25 and 75% of FVC (FEF25-75%) and FEV1/FVC%pred ratio were evaluated by digital spirometry. The electromyographic activity was evaluated by means of a surface electromyograph with values ​​obtained in percentage of root mean square (%RMS). Results: Sample (n= 17) (male: n= 10) with mean age of 63.5 ± 7.8 years and body mass index of 24.8±5.2 kg/m2. An inverse and moderate correlation was found between SCM electromyographic activation and the predicted FEV1/FVC ratio (r= - 0.515; p= 0.035). Final Considerations: There was an inverse and significant association between the obstructive pattern, represented by the FEV1/FVC%pred ratio and the SCM electromyographic activation, showing greater activation of this accessory musculature.

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Author Biographies

Dulciane Nunes Paiva, Universidade de Santa Cruz do Sul

PhD in Medical Sciences from the Federal University of Rio Grande do Sul.

Diogo Fanfa Bordin, Universidade Federal do Rio Grande do Sul

Master's degree in Pulmonological Sciences from the Federal University of Rio Grande do Sul.

Litiele Evelin Wagner, Universidade Federal do Rio Grande do Sul

Master's degree in Pulmonological Sciences from the Federal University of Rio Grande do Sul.

Nicolas de Almeida Ziemann, Universidade de Santa Cruz do Sul

Graduating in Physiotherapy from the University of Santa Cruz do Sul.

Alexander Romão Vieira Morinélli, Universidade de Santa Cruz do Sul

Graduated in Physiotherapy from the University of Santa Cruz do Sul.

Jéssica Luiza Pedroso da Silva, Universidade de Santa Cruz do Sul

Physical Therapy Student at the University of Santa Cruz do Sul.

Bruna Eduarda Diehl, Universidade de Santa Cruz do Sul

Graduated in Physiotherapy from the University of Santa Cruz do Sul.

Fabiana Rafaela Santos de Mello, Universidade de Santa Cruz do Sul

Undergraduate in Medicine at the University of Santa Cruz do Sul.

Isabella Martins de Albuquerque, Universidade Federal de Santa Maria

PhD in Medical Sciences from the Federal University of Rio Grande do Sul.

Dannuey Machado Cardoso, Centro de Ensino Superior Dom Alberto

PhD in Pulmonological Sciences from the Federal University of Rio Grande do Sul.

References

Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Diagnoses, management, and prevention of Chronic Obstructive Pulmonary Disease; 2022 [Acesso em 17 de jun 2022]. Disponível em: <https://goldcopd.org/2022-gold-reports-2/>

Langer D, Ciavaglia C, Faisal A, Webb K. A, Neder JA, Gosselink R, et al. Anna Ivanova and Denis E. O’Donnell. Inspiratory muscle training reduces diaphragm activation and dyspnea during exercise in COPD. Acesso em 15 de jun 2022]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29543134/ . Doi: 10.1152/japplphysiol.01078.2017.

Kennedy E, Albert M, Nicholson H. The fascicular anatomy and peak force capabilities of the sternocleidomastoid muscle. Surg Radiol Anat. 2016:1-17. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27807639/. doi: 10.1007/s00276-016-1768-9.

Iwakura M, Wakasa M, Okura K, Kawagoshi A, Sugawara K, Takahashi H, et al. Functionally relevant threshold of inspiratory muscle strength in patients with chronic obstructive pulmonary disease. Respir Med. 2021 Nov;188:106625. Acesso em: 15 de jun 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34592537/ Doi: 10.1016/j.rmed.2021.106625

Oliveira MJP, Rodrigues F, Machado JF, Ladeira IT, Lima R, Conde SD, et al. Assessment of respiratory muscle weakness in subjects with neuromuscular disease. Respir Care. 2018 Oct;63(10):1223-1230. Acesso em: 18 de jun 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30065077/ Doi: 10.4187/respcare.06136

Zhang Q, Sheng Z, Moore-Clingenpeel F, Kim K, Sharma N, "Ankle Dorsiflexion Strength Monitoring by Combining Sonomyography and Electromyography," 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR), 2019, pp. 240-245, doi: 10.1109/ICORR.2019.8779530.

Lin L, Guan L, Wu W, Chen R. Correlation of surface respiratory electromyography with esophageal diaphragm electromyography. Respir Physiol Neurobiol. 2019 Jan;259:45-52. doi: 10.1016/j.resp.2018.07.004.

Cardoso DM, Fregonezi GAF, Jost RT, Gass R, Alberton CL, Albuquerque IM, Paiva DN, Barreto SSM. Acute effects of expiratory positive airway pressure (EPAP) on different levels in ventilation and electrical activity of sternocleidomastoid and parasternal muscles in Chronic Obstructive Pulmonary Disease (COPD) patients: a randomized controlled trial. Braz. J. Phys. Ther.2016 Nov-Dec;20(6):525-534. Acesso em: 18 de jun 2022. Disponivel em: https://www.scielo.br/j/fp/a/4zY3ChxMDHhq6WwtsTnFdqg/?lang=en doi: https://doi.org/10.1590/1809-2950/19009727022020

Florencio LL, Oliveira AS, Will-Lemos T, Pinheiro CF, Marçal JCDS, Dach F, et al. Muscle endurance and cervical electromyographic activity during submaximal efforts in women with and without migraine. Clin. Biomech. 2021, 82, 105276. Acesso em 25 jul, 2022. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33561677/ . Doi: 10.1016/j.clinbiomech.2021.105276.

Wu W, Guan L, Li X, Lin L, Guo B, Yang Y, et al. Correlation and compatibility between surface respiratory electromyography and transesophageal diaphragmatic electromyography measurements during treadmill exercise in stable patients with COPD. Int J Chron Obstruct Pulmon Dis. 2017 Nov 6;12:3273-3280. doi: 10.2147/COPD.S148980.

Soumagne T, Guillien A, Roux P, Laplante JJ, Botebol M, Laurent L, et al (2019). Quantitative and qualitative evaluation of spirometry, for COPD screening in general practice. Respiratory Medicine and Research. doi:10.1016/j.resmer.2019.07.004

Huprikar NA, Skabelund AJ, Bedsole VG, Sjulin TJ, Karandikar AV, Aden JK,et al. Comparison of the forced and slow vital capacity maneuvers in defining airway obstruction. Respir Care. 2019 Jul;64(7):786-792. Acesso em: 22 de jun 2022. Disponível em:https://pubmed.ncbi.nlm.nih.gov/30890630/. Doi: 10.4187/respcare.06419

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007 May;39(2):175-91. Doi: 10.3758/bf03193146.

Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods.2009 Nov;41(4):1149-60. Doi: 10.3758/BRM.41.4.1149.

Pereira CAC. Valores de referência para a espirometria em uma amostra da população brasileira adulta. J. Bras. Pneumol. 2007 Mar; 18(1):10-22. Doi: https://doi.org/10.1590/S1806-37132007000400008

American Thoracic Society. ATS Statement: Guidelines for the Six-Minute Walk Test. This Official Statement of The American Thoracic Society Was Approved buy the ATS Board of Directors. March 2002 Am J Respir Crit Care Med, 166 (1) (2002), pp. 111-117. Doi: 10.1164/ajrccm.166.1.at1102.

Merletti R. Standards for Reporting EMG data. J Electromyogr Kinesiol. 1999;9(1):III-IV.

Santana PY, Prina E, Albuquerque ALP, Carvalho CRR, Caruso P. Identifying decreased diaphragmatic mobility and diaphragmthic kening in interstitial lung disease: The utility of ultra sound imaging. J Bras Pneumol. 2016 Apr;42(2):88-94. Acesso em: 22 de jun 2022. Disponível em: https://www.scielo.br/j/jbpneu/a/BfvK4Qf5KXWV4BMW44jCg4C/abstract/?lang=en Doi: https://doi.org/10.1590/S1806-37562015000000266

Souza RMP, Cardim AB, Maia TO, Rocha LG, Bezerra SD, Marinho PEM. Inspiratory muscle strength, diaphragmatic mobility, and body composition in chronic obstructive pulmonary disease. Physiother Res Int. 2019 Apr;24(2):e1766. Acesso em 22 de jun 2022. Disponível em:https://pubmed.ncbi.nlm.nih.gov/30628141/ . Doi: 10.1002/pri.1766

Tout R, Tayara L, Halimi M. The effects of respiratory muscle training on improvement of the internal and external thoraco-pulmonary respiratory mechanism in COPD patients. Ann Phys Rehabil Med. 2013 Apr;56(3):193-211. Doi: doi: 10.1016/j.rehab.2013.01.008.

Cardoso, DM; Gass R. ; Sbruzzi G ; Berton DC; Knorst MM. Effect of the expiratory positive airway pressure on dynamic hyperinflation and exercise capacity in patients with COPD: a meta-analysis. Scientific Reports, v. 10, p. 13292, 2020. Doi: https://doi.org/10.1038/s41598-020-70250-4

Ekström M, Bornefalk-Hermansson A, Wysham N, Currow DC, Macintyre N. Spirometric volumes and breath less ness a cross level so fair flow limitation: the COPD gene study. Am J Respir Crit Care Med. 2018 Apr 27. doi: 10.1164/rccm.201803-0594LE.

Chuang HY, Chang HY, Fang YY, Guo SE. The effects of threshold inspiratory muscle training in patients with chronic obstructive pulmonary (COPD) disease: a randomized experimental study. J Clin Nurs. 2017;26(23-24):4830-8. Doi: 10.1111/jocn.13841.

Sá RB, Pessoa MF, Cavalcanti AGL, Campos SL, Amorim C, Andrade AD. Immediate effects of respiratory muscle stretching on chest wall kinematics and electromyography in COPD patients. Respir Physiol Neurobiol. 2017;242:1-7. Doi: 10.1016/j.resp.2017.03.002

Lee EN, Kim MJ. Meta-análise do efeito de um programa de reabilitação pulmonar em força muscular respiratória em pacientes com doença pulmonar obstrutiva crônica. Res de Enfermagem Asiática (Korean Soc Nurs Sci). 2019;13(1):1-10. Doi:10.1016/j.anr.2018.11.005.

Domnik NJ, Phillips DB, James MD, Ayoo GA, Taylor SM, Schereen SE, et al. Compensatory responses to increased mechanical abnormalities in COPD during sleep. Eur J Appl Physiol 122, 663–676. 2022. Doi: https://doi.org/10.1007/s00421-021-04869-0.

Roesthuis LH, Hoeven JG, Hees HWH, Schellekens WM, Doorduin J, Heunks LMA. Recruitment pattern of the diaphragm and extradiaphragmatic inspiratory muscles in response to different levels of pressure support. Ann Intensive Care. 2020;10(1):67. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32472272/. Doi: 10.1186/s13613-020-00684-6.

Tobin MJ, Laghi F, Brochard L. Role of the respiratory muscles in acute respiratory failure of COPD: lessons from weaning failure. J Appl Physiol. 1985. 2009;107(3):962-970. doi:10.1152/japplphysiol.00165.2009

Peche R, Estenne M, Gevenois PA, Brassinne E, Yernault JC, De Troyer A. Sternomastoid muscle size and strength in patients with severe chronic obstructive pulmonary disease. Am J RespirCritCare Med.1996 Jan;153(1):422-5. Acesso em: 22 de jun 2022. Disponível em:https://pubmed.ncbi.nlm.nih.gov/8542153/. Doi: 10.1164/ajrccm.153.1.8542153

Bureau C, Dres M, Morawiec E, et al. Dyspnea and the electromyographic activity of inspiratory muscles during weaning from mechanical ventilation. Ann. Intensive Care 12, 50; 2022. Disponível em: https://doi.org/10.1186/s13613-022-01025-5

Published

2025-10-23

How to Cite

Paiva, D. N., Bordin, D. F., Wagner, L. E., Ziemann, N. de A., Morinélli, A. R. V., Silva, J. L. P. da, Diehl, B. E., Mello, F. R. S. de, Albuquerque, I. M. de, & Cardoso, D. M. (2025). Association between inspiratory muscle activity and lung volumes in Chronic Obstructive Pulmonary Disease. Saúde (Santa Maria), 51, e71292. https://doi.org/10.5902/2236583471292

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