Frontiers in Physiology (May 2017)

Abdominal Binding Improves Neuromuscular Efficiency of the Human Diaphragm during Exercise

  • Sara J. Abdallah,
  • David S. Chan,
  • Robin Glicksman,
  • Cassandra T. Mendonca,
  • Yuanming Luo,
  • Jean Bourbeau,
  • Jean Bourbeau,
  • Jean Bourbeau,
  • Jean Bourbeau,
  • Jean Bourbeau,
  • Jean Bourbeau,
  • Jean Bourbeau,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Benjamin M. Smith,
  • Dennis Jensen,
  • Dennis Jensen,
  • Dennis Jensen,
  • Dennis Jensen,
  • Dennis Jensen,
  • Dennis Jensen,
  • Dennis Jensen,
  • Dennis Jensen

DOI
https://doi.org/10.3389/fphys.2017.00345
Journal volume & issue
Vol. 8

Abstract

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We tested the hypothesis that elastic binding of the abdomen (AB) would enhance neuromuscular efficiency of the human diaphragm during exercise. Twelve healthy non-obese men aged 24.8 ± 1.7 years (mean ± SE) completed a symptom-limited constant-load cycle endurance exercise test at 85% of their peak incremental power output with diaphragmatic electromyography (EMGdi) and respiratory pressure measurements under two randomly assigned conditions: unbound control (CTRL) and AB sufficient to increase end-expiratory gastric pressure (Pga,ee) by 5–8 cmH2O at rest. By design, AB increased Pga,ee by 6.6 ± 0.6 cmH2O at rest. Compared to CTRL, AB significantly increased the transdiaphragmatic pressure swing-to-EMGdi ratio by 85–95% during exercise, reflecting enhanced neuromuscular efficiency of the diaphragm. By contrast, AB had no effect on spirometric parameters at rest, exercise endurance time or an effect on cardiac, metabolic, ventilatory, breathing pattern, dynamic operating lung volume, and perceptual responses during exercise. In conclusion, AB was associated with isolated and acute improvements in neuromuscular efficiency of the diaphragm during exercise in healthy men. The implications of our results are that AB may be an effective means of enhancing neuromuscular efficiency of the diaphragm in clinical populations with diaphragmatic weakness/dysfunction.

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