The study will recruit subject of healthy adult, COPD-like patient and patient with COPD to investigate the difference of respiratory performance. We will measure the body composition, respiratory muscle force, pulmonary function and performance of voluntary cough. The muscle thickness of abdominal muscle and diaphragm, assessment of diaphragm during different breathing pattern and the muscle activation during voluntary cough will also being determined. We hypothesized that there will be a significantly different between three group on the performance of voluntary cough, and the correlation between each variable will be further investigated.
The specific aims of the study are: 1. difference of respiratory muscle performance between three groups 2. the correlation between respiratory symptom and pulmonary functional test 3. difference of functional respiratory performance (peak cough flow of voluntary cough) between three groups 4. muscle activation of abdominal muscle and diaphragm during performing voluntary force 5. performance of diaphragm under different breathing load
Study Type
OBSERVATIONAL
Enrollment
65
National Cheng Kung University Hospital
Tainan, Taiwan
Peak cough flow
Peak coughing velocity of voluntary cough in liter/second
Time frame: baseline
Respiratory muscle force
MIP/MEP in cmH2O
Time frame: baseline
Pulmonary function test
PEF/MVV in liter/min
Time frame: baseline
Pulmonary function test
FEV1/FVC/VT in liter
Time frame: baseline
Pulmonary function test
MVV rate in breaths/min
Time frame: baseline
Muscle thickness during voluntary force
tRA/tEO/tIO/tTrA/tD in millimeter
Time frame: baseline
Muscle activation during voluntary force
aURA/aLRA/aEO/aIOTrA/aD (all the data will be collected through surface EMG and will be presented as maximal voluntary contraction in %)
Time frame: baseline
Diaphragm assessment
QB\_ex/DB\_ex/Sniff\_ex in millimeter
Time frame: baseline
Diaphragm assessment
QB\_slope/DB\_slope/Sniff\_slope in cm/s
Time frame: baseline
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