Mj. Brennick et al., INFLUENCE OF PRELOAD AND AFTERLOAD ON GENIOGLOSSUS MUSCLE LENGTH IN AWAKE GOATS, American journal of respiratory and critical care medicine, 155(6), 1997, pp. 2010-2017
Citations number
26
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
The genioglossus is an upper airway dilator muscle, the length of whic
h is directly related to patency in the oropharyngeal region. We hypot
hesized that genioglossal length (Lgg) is dynamically influenced by th
e afterload exerted by negative upper airway pressure during inspirati
on and by the intrinsic length-tension characteristics of the muscle (
preload). Seven awake goats were chronically instrumented with electro
des for EMCgg and sonomicrometry for Lgg. We examined the Lgg-EMGgg re
lationship during hypercapnia and inspiratory resistive loading (18 cm
H2O/L/s). The goats breathed through the upper airway (TC) or airflow
was diverted through a tracheostomy (TO). We found that: (1) passive
inspiratory lengthening was observed with negative upper airway pressu
re (UAP) but not when UAP = 0 (TO breathing), (2) Lgg shortening for a
given EMCgg was significantly decreased with negative inspiratory UAP
, and (3) phasic Lgg shortening per unit EMCgg was greatest when Lgg w
as near optimal length (Lo). We conclude that genioglossal length is s
ubstantially influenced by afterload exerted by negative UAP and that
genioglossal active shortening may be limited if the muscle operates a
t a length significantly greater or less than the optimal length.