RespiratoryVolumes & Capacities 2/1/00 Measurement of Respiration • Respiratory flow, volumes & capacities are measured using a spirometer Amount of water displaced gives you estimate of the air required to displaces it Recording Drum Air Chamber Water Spirometry • The measurement of air volumes and capacities – Volume: subdivision of the total amount of air that can be contained in the lungs – Capacity: Sum of two or more volumes Spirometer Percent Vital Capacity Respiratory Volumes Inspiratory Volume Reserve Vital Capacity Total Capacity Tidal Volume Expiratory Volume Reserve Residual Residual Volume Volume Tidal Volume Resting Expiratory Level Functional Residual Capacity Inspiratory Reserve Volume Vital Capacity Total Lung Capacity Inspiratory Capacity Tidal Volume (Increasing Activity) Expiratory Reserve Volume Residual Volume Spirometer for measuring respiratory volume Measurement of Respiration Manometer -Measures Pressure; more force used the higher the water rises cm H2O Respiration for Life • Quiet respiration – Economy of effort – Minimum departure from the resting volume – Relaxed balance exists between tendencies of thorax expansion & lung collapse – Balance is typically at 35-40% of vital capacity (amount available for use) – Quiet inspiration= the volume of air that can be inhaled from a resting level with muscle contraction – Quiet expiration= Passive process by elastic recoil of lungs & abdomen Quiet Respiration Insp. Exp. Percent of Vital Capacity 40% 60% 40 Resting Volume Resting Tidal Volume 0 *Volume of air move called resting tidal volume Vital Capacity based on Age & Gender VC (ml) Male Female Age (Years) Typical Respiratory Volumes & Capacities in Adults Volume/ Capacity VC Resting TV TLC Females (cc) Males (cc) Average (in cc) 3200 cc 4800 cc 4000 cc 450cc 600 cc 525cc 4800 cc 6000 cc 5100 cc Females: VC in ml= 21.78- (0.101 x age in years) x ht.in cm Males: VC in ml= 27.63- (0.112 x age in years) x ht.in cm Breathing for Speech • Same respiratory equipment and measures of air volume &lung capacity apply for speech breathing • Difference? How & Why they are used! – Life- Objective to move O2 & CO2 in & out of lungs • resistance interferes – Speech- Objective to have air under pressure; force vocal folds to vibrate • Achieve pressure by resisting airflow Passive & Active Forces • Active Forces = Muscles (Rib Cage, Abdomen, diaphragm) • Passive Forces = Generated by elastic properties of respiratory tissue (lungs, muscles, tendons) when returning to rest High Recoil Properties of Chest wall & Lung Relaxation Pressure Curve Lung Volume Chest Wall FRC Vital Capacity (%) Lung Alveolar pressure (cm H20) Low Recoil: Chest Wall & Lung • High LV = Both chest wall & lung collapse due to extension beyond rest • 50% VC = Chest wall is neutral, but lungs tend to collapse • FRC = Tendency of expansion of chest wall is equal to opposite tendency of lungs to collapse • Low LV = Chest wall tends to expand & lungs tend to collapse Relaxation-Pressure Curve • Passive conditions- absence of muscular effort • Passive alveolar pressures generated at a particular lung volume – High LV = combined recoil forces contribute to high alveolar pressure – 38% LV = Equilibrium; alveolar pressure is 0 – 38% & below = relaxation pressure is negative (alveolar pressure less than atmospheric); inspiratory forces are passive Vital Capacity (%) Pressure- Volume Diagram IP RP Alveolar Pressure (cm H20) EP Flow Volume Loop • Relation between rate of airflow & LV for inspiration & expiration. • Expiration phase indicates peak exp. flow rate achieved at low LV (30%) • Peak rate of airflow is greater for expiration Respiratory Kinematics Introduction • Dynamic aspects of the chest wall function during speech via motion of the chest wall • Measuring changes in the anteroposterior diameters (RC & AB) • Motions of RC, AB & Diaphragm sum to match movements of the lung (LV can be determined) • Individual volume displacements of RC & AB • Contributions to LV from RC & AB Magnetometer Position Method • Equipment: – Rib cage & abdominal magnetometers • Two generator-sensor coil pairs – Catheter-balloon techniques • esophageal & gastric pressures • Measurements: – made in supine and upright positions – VC – Isovolume maneuvers at specified LV’s (20% VC) • Created relaxation curve Method • Utterances: – Sustained production of /a/ • At 130 Hz • 3 loudness levels- soft, comfortable, loud – Repeated syllable task /pa/ • 4 per/second • 3 loudness levels- soft, comfortable, loud – Spontaneous conversation – Normal reading “The Rainbow Passage” Results • Motion Diagrams: – Left of relaxation = pressures operating to make RC larger &AB smaller – Right of relaxation = pressures operating to make RC smaller & AB larger compared to relaxation Motion Diagram: Relaxation Sustained Vowel & Syllable Repetition •High lung volumes for initiation •Chest wall configuration different than relaxation •RC expanded more than AB during speech (left of relaxation) •RC larger than AB for loud productions Relative Motion Charts: Supine •Both RC & AB decrease in LV •Majority of volume change above FRC •Gravity acts on RC & AB in expiratory position Discussion • Regulation of alveolar pressure in accordance with the demands of the utterance – Accomplished by adding muscular pressure • Chest wall exerted increasingly more positive effort as lung volume decreased – Decreased passive recoil from relaxation pressure means more active muscular forces are necessary • Louder speech – Higher lung volumes (relaxation pressure high)