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Phase-locked parallel movement of diaphragm and pelvic floor during breathing and coughing-a dynamic MRI investigation in healthy females.
- Source :
-
International urogynecology journal [Int Urogynecol J] 2011 Jan; Vol. 22 (1), pp. 61-8. Date of Electronic Publication: 2010 Aug 31. - Publication Year :
- 2011
-
Abstract
- Introduction and Hypothesis: the aim of this pilot study was to demonstrate physiological movements of the muscular walls surrounding the abdominal cavity during breathing and coughing in healthy nulliparous women by means of real-time dynamic magnetic resonance imaging (MRI).<br />Methods: eight volunteers underwent MRI measurements in a 1.5-T whole body MR-scanner. Coronal and sagittal slices were acquired simultaneously to assess respiratory-related cranio-caudal movement of diaphragm and pelvic floor (PF) and concomitant changes in horizontal abdominal diameter.<br />Results: respective mean amplitudes of cranio-caudal movement of the right and left diaphragmatic cupolae were 15 ± 6 and 9 ± 7 mm during quiet breathing; 32 ± 15 and 28 ± 16 mm during forceful breathing; and 32 ± 13 and 28 ± 7 mm during coughing. Both diaphragm and PF moved caudally during inspiration and cranially during expiration. Abdominal diameter decreased in all eight women consistently during the expiration phase of breathing, and in five women during coughing.<br />Conclusions: in healthy women, real-time dynamic MRI demonstrates parallel cranio-caudal movement of the diaphragm and the PF during breathing and coughing and synchronous changes in abdominal wall diameter.
- Subjects :
- Abdominal Muscles physiology
Adolescent
Adult
Exhalation physiology
Female
Humans
Magnetic Resonance Imaging
Pilot Projects
Retrospective Studies
Waist Circumference physiology
Young Adult
Cough physiopathology
Diaphragm anatomy & histology
Diaphragm physiology
Pelvic Floor anatomy & histology
Pelvic Floor physiology
Respiration
Subjects
Details
- Language :
- English
- ISSN :
- 1433-3023
- Volume :
- 22
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International urogynecology journal
- Publication Type :
- Academic Journal
- Accession number :
- 20809211
- Full Text :
- https://doi.org/10.1007/s00192-010-1240-z