title: Chest wall motion and expiratory muscle use during phonation in normal humans.
abstract: The pattern of rib cage (RC) and abdomen (AB) motion and the electromyograms of the triangularis sterni (TS) and abdominal external oblique (EO) muscles were studied during speech and reading in six normal uninformed subjects in the sitting posture. Most phrases were started from within the tidal breathing range and extended below RC and AB spontaneous end-expiratory volumes. On the average, 75% of the change in chest wall volume occurred below the resting end-expiratory level. The expired volume resulted from a large predominance of RC displacement, and this was accompanied by marked recruitment of the TS. The EO was also generally activated, but the pattern of activation was less consistent. We conclude that 1) speech occurs primarily below the spontaneous end-expiratory level; 2) most of the volume change is caused by active emptying of the RC produced, at least in part, by contraction of the TS; 3) concomitant activation of the abdominal muscles serves to optimize the inspiratory function of the diaphragm, which has to contract rapidly between phrases to refill the respiratory system.
authors.affiliation: Respiratory Research Unit and Chest Service, Erasme University Hospital, Brussels School of Medicine, Belgium.
authors.forename: M
authors.initials: M
authors.lastname: Estenne
authors.forename: L
authors.initials: L
authors.lastname: Zocchi
authors.forename: M
authors.initials: M
authors.lastname: Ward
authors.forename: P T
authors.initials: PT
authors.lastname: Macklem
mesh_terms: D000328:Adult; D004576:Electromyography; D006801:Humans; D008176:Lung Volume Measurements; D008297:Male; D009068:Movement; D010699:Phonation / Q000502:physiology*; D015656:Respiratory Mechanics / Q000502:physiology; D012132:Respiratory Muscles / Q000502:physiology*; D013909:Thorax / Q000502:physiology*; D014831:Voice / Q000502:physiology*