An experimental characterization of ventilation motions in healthy subjects

Clin Biomech (Bristol, Avon). 2022 Dec:100:105769. doi: 10.1016/j.clinbiomech.2022.105769. Epub 2022 Sep 29.

Abstract

Background: Existing devices detect main breathing data and none is aimed to monitor biomechanics of ventilation motions with small wearable device.

Methods: The used device has been designed for noninvasive wearing to detect main motion parameters of a rib during ventilation in an experimental campaign with 218 subjects. Experimental activity is carried out by testing in vivo with human volunteers for an experimental characterization of ventilation motions as related to normal breathing, maximal breathing and coughing.

Findings: Findings can be summarized from a numerical analysis of experimental results in terms of statistical values of ventilation motion parameters in rotation and acceleration as function of age and sex of the tested subjects. The discussed campaign reporting results on healthy patients was carried out with the aim to build a reference database of normal conditions against which the status of patients with both thoracic and ventilation problems can then be judged. Females showed significantly larger lateral-to-lateral movements during basal breathing and lateral-to-lateral Z-axis movements during maximal breathing and cough. Males demonstrated wider antero-posterior Y-axis and cranio-caudal X-axis movements during maximal breathing, while antero-posterior movements prevailed during cough. Older participants demonstrated larger lateral-to-lateral Z-axis and antero-posterior Y-axis movements during basal breathing. Young participants showed more significant increments along antero-posterior Y-axis from basal to maximal breathing and basal to cough, demonstrating a more efficient muscular activity.

Interpretation: The ventilation motion during ventilation act is useful to detect the status of ventilation and can give indications for diagnostics and medical solutions even in thoracic surgery.

Keywords: Biomechanics of ventilation; Device operation; Test results; Ventilation motions.

MeSH terms

  • Healthy Volunteers*
  • Humans