title: Modulation of chest wall intermuscular coherence: effects of lung volume excursion and transcranial direct current stimulation.
abstract: Chest wall muscle recruitment varies as a function of the breathing task performed. However, the cortical control of the chest wall muscles during different breathing tasks is not known. We studied chest wall intermuscular coherence during various task-related lung volume excursions in 10 healthy adults (34 ± 15 yr; 2 men, 8 women) and determined if transcranial direct current stimulation (tDCS) could modulate chest wall intermuscular coherence during these tasks. Simultaneous assessment of regional intercostal and oblique electromyographic activity was measured while participants performed standardized tidal breathing, speech, maximum phonation, and vital capacity tasks. Lung volume and chest wall kinematics were determined using variable inductance plethysmography. We found that chest wall area of intermuscular coherence was greater during tidal and speech breathing compared with phonation and vital capacity (all P < 0.05) and between tidal breathing compared with speech breathing (P < 0.05). Anodal tDCS increased chest wall area of intermuscular coherence from 0.04 ± 0.09 prestimulation to 0.18 ± 0.19 poststimulation for vital capacity (P < 0.05). Sham tDCS and cathodal tDCS had no effect on coherence during lung volume excursions. Chest wall kinematics were not affected by tDCS. Our findings indicate that lung volume excursions about the midrange of vital capacity elicit a greater area of chest wall intermuscular coherence compared with lung volume excursions spanning the entire range of vital capacity in healthy adults. Our findings also demonstrate that brief tDCS may modulate the cortical control of the chest wall muscles in a stimulation- and lung volume excursion task-dependent manner but does not affect chest wall kinematics in healthy adults.
authors.affiliation: Department of Speech Pathology and Audiology, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Corey R
authors.initials: CR
authors.lastname: Tomczak
authors.forename: Krista R
authors.initials: KR
authors.lastname: Greidanus
authors.forename: Carol A
authors.initials: CA
authors.lastname: Boliek
mesh_terms: D000328:Adult; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D008176:Lung Volume Measurements; D008297:Male; D009044:Motor Cortex / Q000502:physiology*; D012132:Respiratory Muscles / Q000294:innervation / Q000502:physiology*; D035441:Thoracic Wall / Q000294:innervation / Q000502:physiology*
keywords: EMG-EMG coherence; chest wall kinematics; motor control; respiratory muscles