The influence of gravity on respiratory kinematics during phonation measured by dynamic magnetic resonance imaging.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
25 11 2021
Historique:
received: 05 07 2021
accepted: 03 11 2021
entrez: 26 11 2021
pubmed: 27 11 2021
medline: 1 2 2022
Statut: epublish

Résumé

Respiratory kinematics are important for the regulation of voice production. Dynamic MRI is an excellent tool to study respiratory motion providing high-resolution cross-sectional images. Unfortunately, in clinical MRI systems images can only be acquired in a horizontal subject position, which does not take into account gravitational effects on the respiratory apparatus. To study the effect of body posture on respiratory kinematics during phonation, 8 singers were examined both in an open-configuration MRI with a rotatable gantry and a conventional horizontal MRI system. During dynamic MRI the subjects sang sustained tones at different pitches in both supine and upright body positions. Sagittal images of the respiratory system were obtained at 1-3 images per second, from which 6 anatomically defined distances were extracted to characterize its movements in the anterior, medium and posterior section of the diaphragm as well as the rip cage (diameter at the height of the 3rd and 5th rip) and the anterior-posterior position of the diaphragm cupola. Regardless of body position, singers maintained their general principles of respiratory kinematics with combined diaphragm and thorax muscle activation for breath support. This was achieved by expanding their chest an additional 20% during inspiration when singing in the supine position but not for sole breathing. The diaphragm was cranially displaced in supine position for both singing and breathing and its motion range increased. These results facilitate a more realistic extrapolation of research data obtained in a supine position.

Identifiants

pubmed: 34824315
doi: 10.1038/s41598-021-02152-y
pii: 10.1038/s41598-021-02152-y
pmc: PMC8617256
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

22965

Informations de copyright

© 2021. The Author(s).

Références

J Voice. 1997 Jun;11(2):195-201
pubmed: 9181543
J Voice. 2020 May;34(3):485.e1-485.e21
pubmed: 30337119
J Appl Physiol (1985). 1988 Jan;64(1):194-9
pubmed: 3356637
J Voice. 1998 Jun;12(2):159-65
pubmed: 9649071
J Voice. 2001 Sep;15(3):373-83
pubmed: 11575634
J Voice. 2003 Sep;17(3):269-82
pubmed: 14513951
J Voice. 2000 Sep;14(3):363-9
pubmed: 11021503
J Voice. 2011 Jan;25(1):e15-24
pubmed: 20456913
J Voice. 2014 Sep;28(5):653.e1-653.e7
pubmed: 24810998
Respir Physiol Neurobiol. 2017 Feb;236:69-77
pubmed: 27871890
J Voice. 1999 Dec;13(4):529-41
pubmed: 10622519
Intensive Care Med. 1982;8(4):173-7
pubmed: 7119270
J Voice. 2013 Mar;27(2):141-8
pubmed: 23380394
J Speech Hear Res. 1976 Jun;19(2):297-356
pubmed: 135885
Logoped Phoniatr Vocol. 2010 Oct;35(3):105-12
pubmed: 19883171
Clin Linguist Phon. 2004 Sep-Dec;18(6-8):463-78
pubmed: 15573484
Respir Physiol Neurobiol. 2017 May;239:26-33
pubmed: 28109943
J Voice. 2017 Mar;31(2):249.e13-249.e19
pubmed: 27658336
PLoS One. 2014 Nov 07;9(11):e112405
pubmed: 25379885
PLoS One. 2020 Dec 31;15(12):e0244539
pubmed: 33382744
J Magn Reson Imaging. 2004 May;19(5):605-9
pubmed: 15112310
Radiologe. 2009 Aug;49(8):676-86
pubmed: 19693617
J Speech Hear Res. 1985 Mar;28(1):104-22
pubmed: 3157022
J Appl Physiol. 1966 Mar;21(2):483-96
pubmed: 5934452
J Appl Physiol (1985). 1987 Jan;62(1):259-70
pubmed: 3558185
Respir Care. 2000 Apr;45(4):407-10
pubmed: 10780036

Auteurs

Louisa Traser (L)

Institute of Musicians' Medicine, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany. Louisa.Traser@uniklinik-freiburg.de.

Carmen Schwab (C)

Department of Prosthetic Dentistry, Center for Dental Medicine, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.

Fabian Burk (F)

Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Ali Caglar Özen (AC)

Department of Radiology, Medical Physics, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.

Michael Burdumy (M)

Department of Radiology, Medical Physics, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.

Michael Bock (M)

Department of Radiology, Medical Physics, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.

Bernhard Richter (B)

Institute of Musicians' Medicine, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.

Matthias Echternach (M)

Division of Phoniatrics and Pediatric Audiology, Department of Otorhinolaryngology, Munich University Hospital, Munich, Germany.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH