BMJ Open Sport & Exercise Medicine (Apr 2020)

Changes in pulmonary function and feasibility of portable continuous laryngoscopy during maximal uphill running

  • Trine Stensrud,
  • Hege Havstad Clemm,
  • Mette Engan,
  • Elisabeth Edvardsen,
  • Ida Jansrud Hammer,
  • Hilde Gundersen

DOI
https://doi.org/10.1136/bmjsem-2020-000815
Journal volume & issue
Vol. 6, no. 1

Abstract

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Objective To evaluate changes in pulmonary function and feasibility of portable continuous laryngoscopy during maximal uphill running.Methods Healthy volunteers participated in an uphill race. Forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were obtained before and 5 and 10 min after finishing the race. Capillary blood lactate concentration ([BLa-]) and Borg score for perceived exertion were registered immediately after the race. One participant wore a portable video-laryngoscope during the race, and the video was assessed for technical performance.Results Twenty adult subjects participated with a mean (SD) age of 40.2 (9.7) years. Mean (SD) race duration and post-exercise [BLa-] was 13.9 (2.3) min and 10.7 (2.1) mmol/L, respectively, and the median (range) Borg score for perceived exertion was 9 (5–10).Mean percentage change (95% CI) 5 and 10 min post-exercise in FEV1 were 6.9 (3.7 to 10.2) % and 5.9 (2.7 to 9.0) %, respectively, and in FVC 5.2 (2.3 to 8.1) % and 4.7 (1.6 to 7.9) %, respectively. The recorded video of the larynx was of good quality.Conclusions Maximal aerobic field exercise induced bronchodilatation in the majority of the healthy non-asthmatic participants. It is feasible to perform continuous video-laryngoscopy during heavy uphill exercise.