Inspiratory flow rate, not type of incentive spirometry device, influences chest wall motion in healthy individuals

Physiother Theory Pract. 2010 Aug;26(6):385-92. doi: 10.3109/09593980903423210.

Abstract

This study investigated the effect of flow rates and spirometer type on chest wall motion in healthy individuals. Twenty-one healthy volunteers completed breathing trials to either two times tidal volume (2xV(T)) or inspiratory capacity (IC) at high, low, or natural flow rates, using a volume- or flow-oriented spirometer. The proportions of rib cage movement to tidal volume (%RC/V(T)), chest wall diameters, and perceived level of exertion (RPE) were compared. Low and natural flow rates resulted in significantly lower %RC/V(T) compared to high flow rate trials (p=0.001) at 2xV(T). Low flow trials also resulted in significantly less chest wall motion in the upper anteroposterior direction than high and natural flow rates (p<0.001). At IC, significantly greater movement occurred in the abdominal lateral direction during low flow compared to high and natural flow trials (both p<0.003). RPE was lower for the low flow trials compared to high flow trials at IC and 2xV(T) (p<0.01). In healthy individuals, inspiratory flow (not device type) during incentive spirometry determines the resultant breathing pattern. High flow rates result in greater chest wall motion than low flow rates.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Breathing Exercises*
  • Equipment Design
  • Female
  • Forced Expiratory Volume
  • Humans
  • Inhalation*
  • Inspiratory Capacity
  • Linear Models
  • Male
  • Respiratory Muscles / physiology*
  • Spirometry / instrumentation*
  • Thoracic Wall / physiology*
  • Tidal Volume
  • Vital Capacity
  • Young Adult