RIB CAGE MECHANICS DURING QUIET BREATHING AND EXERCISE IN HUMANS

During exercise, large pleural, abdominal, and transdiaphragmatic pres sure swings might produce substantial rib cage (RC) distortions. We us ed a three-compartment chest wall model (J. Appl. Physiol. 72: 1338-13 47, 1992) to measure distortions of lung- and diaphragm-apposed RC com partments (RCp and RCa) along with pleural and abdominal pressures in five normal men. RCp and RCa volumes were calculated from three-dimens ional locations of 86 markers on the chest wall, and the undistorted ( relaxation) RC configuration was measured. Compliances of RCp and RCa measured during phrenic stimulation against a closed airway were 20 an d 0%, respectively, of their values during relaxation. There was marke d RC distortion. Thus nonuniform distribution of pressures distorts th e RC and markedly stiffens it. However, during steady-state ergometer exercise at 0, 30, 50, and 70% of maximum workload, RC distortions wer e small because of a coordinated action of respiratory muscles, so tha t net pressures acting on RCp and RCa were nearly the same throughout the respiratory cycle. This maximizes RC compliance and minimizes the work of RC displacement. During quiet breathing, plots of RCa volume v s. abdominal pressure were to the right of the relaxation curve, indic ating an expiratory action on RCa. We attribute this to passive stretc hing of abdominal muscles, which more than counterbalances the inserti onal component of transdiaphragmatic pressure.