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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1990-5-1
pubmed:abstractText
The relationship among diaphragm length (LD), the width of the zone of apposition (WZapp), and transverse chest diameter (Drc) was developed from model equations and statistical analysis. We present a theoretical model of diaphragm motion that predicts that the decrease in WZapp during inspiration is the result not only of shortening of the diaphragm muscle but also of expansion of the lower rib cage. To test our model, static lengths of costal LD, WZapp, and Drc were measured in 15 normal volunteers using posteroanterior chest X-ray films taken at four or five lung volumes spanning the vital capacity. We found a strong correlation between WZapp and LD: WZapp = 0.95 LD - 15.2 (R2 = 0.81). Expressing WZapp as a combined function of LD and Drc significantly reduced the unexplained variance in WZapp: WZapp = 0.96 LD - 0.47 Drc - 2.18 (R2 = 0.95). The coefficients for LD and Drc derived statistically are close to those predicted from our theoretical model. Repeating the analysis with LD as the dependent variable, we obtained similar results: LD = 0.85 WZapp + 17.1 (R2 = 0.81) and LD = 0.98 WZapp + 0.46 Drc + 3.48 (R2 = 0.94). We conclude that shortening of WZapp is dependent on both diaphragm shortening and rib cage expansion and that roentgenographic measurements of Drc and WZapp can be used to predict diaphragm length and length change.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
8750-7587
pubmed:author
pubmed:issnType
Print
pubmed:volume
68
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
484-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Effect of lower rib cage expansion and diaphragm shortening on the zone of apposition.
pubmed:affiliation
Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville 22908.
pubmed:publicationType
Journal Article