No description available.

Background: Dysfunctional breathing (DB) is a respiratory disorder involving an upper chest breathing pattern and respiratory symptoms that cannot be attributed to a medical diagnosis. Aim: The overall aim of this thesis was to describe patients with DB and investigate clinical outcomes after physiotherapy treatment. Methods: Study I was descriptive and comparative, that included 25 patients with DB and 25 age- and sex-matched patients with asthma. Health-related quality of life (HRQoL), anxiety, depression, sense of coherence, influence on daily life due to breathing problems, respiratory symptoms, emergency room visits and asthma medication were investigated. Study II, a 5-year follow-up study based on the same sample as study I (22 patients with DB, 23 patients with asthma), studied treatment outcomes after information and breathing retraining. Study III was descriptive and correlational (20 healthy subjects), investigating whether the Respiratory Movement Measuring Instrument (RMMI) can discriminate between different breathing patterns in varying body positions. Study III also studied correlations between respiratory movements and breathing volumes (12 healthy subjects). Study IV was a single-subject AB design with follow-ups. Self-registered patient-specific respiratory symptoms and respiratory-related activity limitations and breathing pattern (measured with the RMMI) were evaluated after an intervention consisting of information and breathing retraining in five patients with DB. Results: Patients with DB had lower HRQoL (SF-36): vitality (mean 47 vs. 62), social functioning (70 vs. 94) and role emotional (64 vs. 94) (p<0.05) than patients with asthma. The DB group had a higher prevalence of anxiety (56% vs. 24%) and experienced more breathing problems than the asthma group. Patients with DB had made several emergency room visits and had been treated with asthma medication. At the 5-year follow-up, patients with DB showed improved HRQoL (SF-36): physical function 77 to 87 (p=0.04), decreased breathing problems and emergency room visits, and they were not treated with asthma medication. The RMMI can differentiate between different breathing patterns in different body positions. Strong correlations between respiratory movements and breathing volumes were observed (rs 0.86-1.00). The results in study IV indicate that patients with DB benefit from information and breathing retraining regarding decreased respiratory symptoms and activity limitations and improved breathing pattern.

The increased work of breathing associated with intense cycling has been identified as a factor that may negatively affect cycling performance. The aerodynamic position, abnormal respiratory mechanics either at rest or during exercise, and the development of a tachypnoeic breathing pattern are factors known to increase the work of breathing. Breathing pattern retraining aims to decrease the work of breathing by delaying the onset of dynamic hyperinflation and the recruitment of accessory breathing muscles. To date no studies have investigated the performance, physiological and perceptual consequences of manipulating breathing pattern in trained cyclists. Purpose: The aim of the present study was to investigate the effect of breathing pattern retraining on 20-km time trial performance and respiratory and metabolic measures in competitive cyclists. Method: Twenty-four competitive male cyclists (age 37.7 ± 8.6 years, mean ± SD; peak 4.34 ± 0.47 L·min-1) were match paired on 20-km time trial performance and assigned at random to either an intervention group (breathing pattern retraining; N = 12) or control group (N = 12). 20-km time trial performance, pulmonary function and the physiological and perceptual response during a maximal incremental cycle step test were assessed pre- and post-intervention. The intervention group underwent four weeks of specific breathing pattern retraining using exercises designed to reduce dynamic hyperinflation and optimise respiratory mechanics. The control group attended the laboratory once a week during this period and performed a 10 minute sub-maximal ride wearing a biofeedback breathing harness. The control group was led to believe the purpose for their participation was to investigate the effect that maximal exercise had on breathing pattern, and to test the reliability of the breathing harness. There was no attempt to modify the breathing pattern of the control group. Data were analysed using an MS Excel spreadsheet designed for statistical analysis. The uncertainty in the effect was expressed as 90% confidence limits and a smallest worthwhile effect of 1.0% was assumed. Results: The intervention group showed substantial improvements in 20-km time trial performance (-1.5 ± 1.1%) and incremental power (3.2 ± 3%). Additionally, breathing frequency (-13.2 ± 8.9%; -9.5 ± 8.4%), tidal volume (10.6 ± 8.5%; 9.4 ± 7.6%), inspiratory time (10.1 ± 8%; 9.4 ± 7.7%), breathing RPE (-30 ± 33.9%; -24.7 ± 28.1%) and leg RPE (-27.9 ± 38.5%; -24.7 ± 28.2%) were all positively affected at lactate threshold and lactate turn point. No positive changes were observed in the control group for 20-km time trial performance (0.0 ± 1.0%), incremental power (-1.4 ± 3.5%), breathing frequency (-1.6 ± 8.0%; -2.0 ± 7.9%), tidal volume (0.9 ± 7.2%; 2.9 ± 9.4%), breathing RPE (16.1 ± 50.2%, 24.8 ± 43%) or leg RPE (13.4 ± 39.6%; 19.9 ± 43.2%) . Conclusion: These results provide evidence of the performance enhancing effect of four weeks of breathing pattern retraining in cyclists. Furthermore, they suggest breathing pattern can be retrained to exhibit a controlled pattern, without a tachypnoeic shift, during high intensity cycling. Additionally, these results indicate breathing pattern retraining attenuates the respiratory and peripheral perceived effort during incremental exercise. Key words: Breathing pattern disorders, retraining, blood stealing, cycling, performance, power output, respiratory mechanics, perceived exertion, 20km-TT

The increased work of breathing associated with intense cycling has been identified as a factor that may negatively affect cycling performance. The aerodynamic position, abnormal respiratory mechanics either at rest or during exercise, and the development of a tachypnoeic breathing pattern are factors known to increase the work of breathing. Breathing pattern retraining aims to decrease the work of breathing by delaying the onset of dynamic hyperinflation and the recruitment of accessory breathing muscles. To date no studies have investigated the performance, physiological and perceptual consequences of manipulating breathing pattern in trained cyclists. Purpose: The aim of the present study was to investigate the effect of breathing pattern retraining on 20-km time trial performance and respiratory and metabolic measures in competitive cyclists. Method: Twenty-four competitive male cyclists (age 37.7 ± 8.6 years, mean ± SD; peak 4.34 ± 0.47 L·min-1) were match paired on 20-km time trial performance and assigned at random to either an intervention group (breathing pattern retraining; N = 12) or control group (N = 12). 20-km time trial performance, pulmonary function and the physiological and perceptual response during a maximal incremental cycle step test were assessed pre- and post-intervention. The intervention group underwent four weeks of specific breathing pattern retraining using exercises designed to reduce dynamic hyperinflation and optimise respiratory mechanics. The control group attended the laboratory once a week during this period and performed a 10 minute sub-maximal ride wearing a biofeedback breathing harness. The control group was led to believe the purpose for their participation was to investigate the effect that maximal exercise had on breathing pattern, and to test the reliability of the breathing harness. There was no attempt to modify the breathing pattern of the control group. Data were analysed using an MS Excel spreadsheet designed for statistical analysis. The uncertainty in the effect was expressed as 90% confidence limits and a smallest worthwhile effect of 1.0% was assumed. Results: The intervention group showed substantial improvements in 20-km time trial performance (-1.5 ± 1.1%) and incremental power (3.2 ± 3%). Additionally, breathing frequency (-13.2 ± 8.9%; -9.5 ± 8.4%), tidal volume (10.6 ± 8.5%; 9.4 ± 7.6%), inspiratory time (10.1 ± 8%; 9.4 ± 7.7%), breathing RPE (-30 ± 33.9%; -24.7 ± 28.1%) and leg RPE (-27.9 ± 38.5%; -24.7 ± 28.2%) were all positively affected at lactate threshold and lactate turn point. No positive changes were observed in the control group for 20-km time trial performance (0.0 ± 1.0%), incremental power (-1.4 ± 3.5%), breathing frequency (-1.6 ± 8.0%; -2.0 ± 7.9%), tidal volume (0.9 ± 7.2%; 2.9 ± 9.4%), breathing RPE (16.1 ± 50.2%, 24.8 ± 43%) or leg RPE (13.4 ± 39.6%; 19.9 ± 43.2%) . Conclusion: These results provide evidence of the performance enhancing effect of four weeks of breathing pattern retraining in cyclists. Furthermore, they suggest breathing pattern can be retrained to exhibit a controlled pattern, without a tachypnoeic shift, during high intensity cycling. Additionally, these results indicate breathing pattern retraining attenuates the respiratory and peripheral perceived effort during incremental exercise. Key words: Breathing pattern disorders, retraining, blood stealing, cycling, performance, power output, respiratory mechanics, perceived exertion, 20km-TT

O objetivo deste estudo foi comparar variáveis cinemáticas e coordenativas do nado borboleta sob diferentes modelos inspiratórios, velocidades de nado e níveis de desempenho. Participaram 23 nadadores competitivos, divididos em grupo de nível iniciante (n = 9) e grupo de nível avançado (n = 14). Foram mensuradas as durações das fases da braçada (entrada e apoio, puxada, empurrada e recuperação) e da pernada (descendente1, ascendente 1, descendente 2, ascendente 2), bem como a duração relativa das duas fases propulsivas principais DP1 (do início ao final da fase descendente 1 da pernada) e DP2 (do início da puxada ao final da fase descendente da segunda pernada). Os ângulos de ataque do tronco foram avaliados nos pontos-chave de entrada das mãos, início da puxada, início da empurrada e saída das mãos da água. Com relação à coordenação de membros, foram avaliadas as diferenças temporais entre pontos-chave da braçada e da pernada, sendo: T1 (entrada das mãos – início da fase descendente da primeira pernada), T2 (final da fase descendente da primeira pernada – início da puxada), T3 (início da empurrada – início da fase descendente da segunda pernada), T4 (final da fase descendente da segunda pernada – saída das mãos da água) e TTG (diferença de tempo total). Foi realizado, ainda, o estudo de um dos casos por meio de videogrametria tridimensional, por meio da qual foi possível mensurar as amplitudes de oscilação vertical do vértex e do ombro. Os principais resultados mostram que: (1) O grupo de nível avançado, comparado ao de nível iniciante, apresentou maior velocidade de nado, maior freqüência de ciclos e maior índice de nado. Este maior índice de nado foi acompanhado de menores ângulos de ataque do tronco nos pontos-chave de entrada das mãos, início da puxada e saída das mãos da água. Nadadores de nível avançado apresentaram, ainda, menor duração relativa na fase de entrada e apoio, maior duração relativa na fase de recuperação. Considerando as fases propulsivas principais do nado, a duração relativa de DP2 foi maior no grupo avançado. Com relação à coordenação de membros, estes nadadores apresentaram menor diferença de tempo entre pontos-chave da braçada e da pernada para T2, T3, T4 e TTG. (2) Ao se executar ciclos não-inspiratórios, houve uma menor DC, comparado ao modelo de inspiração lateral, e um maior índice de nado, com relação aos modelos de inspiração frontal e lateral. Ainda, ciclos não-inspiratórios acarretaram em menores ângulos de ataque do que os demais modelos nos pontos-chave de entrada das mãos, início da puxada, início da empurrada e saída das mãos da água. O modelo de inspiração lateral apresentou um menor ângulo de ataque do que o modelo frontal somente no ponto-chave de entrada das mãos na água. Analisando a coordenação de nado, o modelo de inspiração lateral apresentou uma maior diferença de tempo para T1 e T3, quando comparado ao modelo de ciclos não-inspiratórios. (3) Com o aumento da velocidade imposta, os nadadores aumentaram a freqüência de ciclos, reduziram a distância percorrida por ciclo e aumentaram o índice de nado. Esse comportamento foi acompanhado por uma redução do ângulo de ataque do tronco nos pontos-chave de entrada das mãos na água, início da puxada e saída das mãos da água. Ainda, houve aumento na duração relativa das fases propulsivas e redução das fases não-propulsivas da braçada. Da mesma forma a duração relativa das fases propulsivas da pernada aumentou e a duração relativa da fase não-propulsiva A1 reduziu. Com relação à coordenação de membros, as diferenças de tempo para T1, T2, T4 e TTG reduziram com o aumento da velocidade. / The aim of this study was to compare the kinematical and coordinative parameters of the butterfly stroke under different breathing patterns, paces and expertise levels. Volunteered to this study 23 competitive swimmers, divide in beginner level group (n=9) and advanced level group (n = 14). Arm (entry and catch, pull, push and recovery) and leg (downward 1, upward 1, downward 2, upward 2) stroke phases relative duration, the main propulsive phases durations DP1 (from the beginning to the end of the downward 1 leg stroke phase) and DP2 (from the beginning of the pull phase to the end of the upward 2 leg stroke phase). The trunk angle of attack was measured at the hands entry, pull beginning, push beginning and hands exit key points. Regarding the inter-limb coordination, we analyzed the time gap between arm and leg propulsive actions, being: T1 (hands entry – beginning of the downward 1 phase), T2 (end of the downward 1 phase – beginning of the pull phase), T3 (beginning of the push phase –beginning of the downward 2 phase), T4 (end of the downward 2 phase – hands exit) and TTG (total time gap). In parallel a tridimensional analysis case study was developed for measuring the vertex and shoulder’s vertical amplitude of oscillation. The main results includes: (1) The advanced level group presented higher stroke rate and stroke index when compared to the beginner level group. This higher stroke index was due to lower angle of attack at the hands entrym pull beginning and hands exit key point. Advanced level swimmers presented also a shorter entry and catch phase and a longer recovery phase. Regarding the main propulsive phases of the butterfly stroke, advanced level swimmers had a longer DP2. Considering the inter-limb coordination the advanced level group also presented shorter time gaps for T2, T3, T4 and TTG; (2) Performing the non-breathing condition swimmers had shorter stroke length, compared to de lateral breathing pattern, and a higher stroke index, compared to both frontal and lateral breathing conditions. Regarding the trunk angle of attack it was smaller at the hands entry, beginning of the pull phase, beginning of the push phase and hands release key points when performing non-breathing cycles. Compared to frontal breathing pattern, the trunk angle of attack was smaller at the hands entry performing lateral breathing. Compared to non-breathing pattern, T1 and T3 time gaps were longer performing lateral breathing; (3) Increasing the imposed pace, stroke rate and stroke index increased while stroke length decreased. Trunk angle of attack also reduced at the hands entry, beginning of pull phase and hands release key points. Relative duration for arm and leg stroke propulsive phases relative duration increased and non-propulsive phases relative duration decreased, except for the upward 2 phase. Regarding the inter-limb coordination T1, T2, T4 and TTG reduced when increasing the imposed pace.

O objetivo deste estudo foi comparar variáveis cinemáticas e coordenativas do nado borboleta sob diferentes modelos inspiratórios, velocidades de nado e níveis de desempenho. Participaram 23 nadadores competitivos, divididos em grupo de nível iniciante (n = 9) e grupo de nível avançado (n = 14). Foram mensuradas as durações das fases da braçada (entrada e apoio, puxada, empurrada e recuperação) e da pernada (descendente1, ascendente 1, descendente 2, ascendente 2), bem como a duração relativa das duas fases propulsivas principais DP1 (do início ao final da fase descendente 1 da pernada) e DP2 (do início da puxada ao final da fase descendente da segunda pernada). Os ângulos de ataque do tronco foram avaliados nos pontos-chave de entrada das mãos, início da puxada, início da empurrada e saída das mãos da água. Com relação à coordenação de membros, foram avaliadas as diferenças temporais entre pontos-chave da braçada e da pernada, sendo: T1 (entrada das mãos – início da fase descendente da primeira pernada), T2 (final da fase descendente da primeira pernada – início da puxada), T3 (início da empurrada – início da fase descendente da segunda pernada), T4 (final da fase descendente da segunda pernada – saída das mãos da água) e TTG (diferença de tempo total). Foi realizado, ainda, o estudo de um dos casos por meio de videogrametria tridimensional, por meio da qual foi possível mensurar as amplitudes de oscilação vertical do vértex e do ombro. Os principais resultados mostram que: (1) O grupo de nível avançado, comparado ao de nível iniciante, apresentou maior velocidade de nado, maior freqüência de ciclos e maior índice de nado. Este maior índice de nado foi acompanhado de menores ângulos de ataque do tronco nos pontos-chave de entrada das mãos, início da puxada e saída das mãos da água. Nadadores de nível avançado apresentaram, ainda, menor duração relativa na fase de entrada e apoio, maior duração relativa na fase de recuperação. Considerando as fases propulsivas principais do nado, a duração relativa de DP2 foi maior no grupo avançado. Com relação à coordenação de membros, estes nadadores apresentaram menor diferença de tempo entre pontos-chave da braçada e da pernada para T2, T3, T4 e TTG. (2) Ao se executar ciclos não-inspiratórios, houve uma menor DC, comparado ao modelo de inspiração lateral, e um maior índice de nado, com relação aos modelos de inspiração frontal e lateral. Ainda, ciclos não-inspiratórios acarretaram em menores ângulos de ataque do que os demais modelos nos pontos-chave de entrada das mãos, início da puxada, início da empurrada e saída das mãos da água. O modelo de inspiração lateral apresentou um menor ângulo de ataque do que o modelo frontal somente no ponto-chave de entrada das mãos na água. Analisando a coordenação de nado, o modelo de inspiração lateral apresentou uma maior diferença de tempo para T1 e T3, quando comparado ao modelo de ciclos não-inspiratórios. (3) Com o aumento da velocidade imposta, os nadadores aumentaram a freqüência de ciclos, reduziram a distância percorrida por ciclo e aumentaram o índice de nado. Esse comportamento foi acompanhado por uma redução do ângulo de ataque do tronco nos pontos-chave de entrada das mãos na água, início da puxada e saída das mãos da água. Ainda, houve aumento na duração relativa das fases propulsivas e redução das fases não-propulsivas da braçada. Da mesma forma a duração relativa das fases propulsivas da pernada aumentou e a duração relativa da fase não-propulsiva A1 reduziu. Com relação à coordenação de membros, as diferenças de tempo para T1, T2, T4 e TTG reduziram com o aumento da velocidade. / The aim of this study was to compare the kinematical and coordinative parameters of the butterfly stroke under different breathing patterns, paces and expertise levels. Volunteered to this study 23 competitive swimmers, divide in beginner level group (n=9) and advanced level group (n = 14). Arm (entry and catch, pull, push and recovery) and leg (downward 1, upward 1, downward 2, upward 2) stroke phases relative duration, the main propulsive phases durations DP1 (from the beginning to the end of the downward 1 leg stroke phase) and DP2 (from the beginning of the pull phase to the end of the upward 2 leg stroke phase). The trunk angle of attack was measured at the hands entry, pull beginning, push beginning and hands exit key points. Regarding the inter-limb coordination, we analyzed the time gap between arm and leg propulsive actions, being: T1 (hands entry – beginning of the downward 1 phase), T2 (end of the downward 1 phase – beginning of the pull phase), T3 (beginning of the push phase –beginning of the downward 2 phase), T4 (end of the downward 2 phase – hands exit) and TTG (total time gap). In parallel a tridimensional analysis case study was developed for measuring the vertex and shoulder’s vertical amplitude of oscillation. The main results includes: (1) The advanced level group presented higher stroke rate and stroke index when compared to the beginner level group. This higher stroke index was due to lower angle of attack at the hands entrym pull beginning and hands exit key point. Advanced level swimmers presented also a shorter entry and catch phase and a longer recovery phase. Regarding the main propulsive phases of the butterfly stroke, advanced level swimmers had a longer DP2. Considering the inter-limb coordination the advanced level group also presented shorter time gaps for T2, T3, T4 and TTG; (2) Performing the non-breathing condition swimmers had shorter stroke length, compared to de lateral breathing pattern, and a higher stroke index, compared to both frontal and lateral breathing conditions. Regarding the trunk angle of attack it was smaller at the hands entry, beginning of the pull phase, beginning of the push phase and hands release key points when performing non-breathing cycles. Compared to frontal breathing pattern, the trunk angle of attack was smaller at the hands entry performing lateral breathing. Compared to non-breathing pattern, T1 and T3 time gaps were longer performing lateral breathing; (3) Increasing the imposed pace, stroke rate and stroke index increased while stroke length decreased. Trunk angle of attack also reduced at the hands entry, beginning of pull phase and hands release key points. Relative duration for arm and leg stroke propulsive phases relative duration increased and non-propulsive phases relative duration decreased, except for the upward 2 phase. Regarding the inter-limb coordination T1, T2, T4 and TTG reduced when increasing the imposed pace.

O objetivo deste estudo foi comparar variáveis cinemáticas e coordenativas do nado borboleta sob diferentes modelos inspiratórios, velocidades de nado e níveis de desempenho. Participaram 23 nadadores competitivos, divididos em grupo de nível iniciante (n = 9) e grupo de nível avançado (n = 14). Foram mensuradas as durações das fases da braçada (entrada e apoio, puxada, empurrada e recuperação) e da pernada (descendente1, ascendente 1, descendente 2, ascendente 2), bem como a duração relativa das duas fases propulsivas principais DP1 (do início ao final da fase descendente 1 da pernada) e DP2 (do início da puxada ao final da fase descendente da segunda pernada). Os ângulos de ataque do tronco foram avaliados nos pontos-chave de entrada das mãos, início da puxada, início da empurrada e saída das mãos da água. Com relação à coordenação de membros, foram avaliadas as diferenças temporais entre pontos-chave da braçada e da pernada, sendo: T1 (entrada das mãos – início da fase descendente da primeira pernada), T2 (final da fase descendente da primeira pernada – início da puxada), T3 (início da empurrada – início da fase descendente da segunda pernada), T4 (final da fase descendente da segunda pernada – saída das mãos da água) e TTG (diferença de tempo total). Foi realizado, ainda, o estudo de um dos casos por meio de videogrametria tridimensional, por meio da qual foi possível mensurar as amplitudes de oscilação vertical do vértex e do ombro. Os principais resultados mostram que: (1) O grupo de nível avançado, comparado ao de nível iniciante, apresentou maior velocidade de nado, maior freqüência de ciclos e maior índice de nado. Este maior índice de nado foi acompanhado de menores ângulos de ataque do tronco nos pontos-chave de entrada das mãos, início da puxada e saída das mãos da água. Nadadores de nível avançado apresentaram, ainda, menor duração relativa na fase de entrada e apoio, maior duração relativa na fase de recuperação. Considerando as fases propulsivas principais do nado, a duração relativa de DP2 foi maior no grupo avançado. Com relação à coordenação de membros, estes nadadores apresentaram menor diferença de tempo entre pontos-chave da braçada e da pernada para T2, T3, T4 e TTG. (2) Ao se executar ciclos não-inspiratórios, houve uma menor DC, comparado ao modelo de inspiração lateral, e um maior índice de nado, com relação aos modelos de inspiração frontal e lateral. Ainda, ciclos não-inspiratórios acarretaram em menores ângulos de ataque do que os demais modelos nos pontos-chave de entrada das mãos, início da puxada, início da empurrada e saída das mãos da água. O modelo de inspiração lateral apresentou um menor ângulo de ataque do que o modelo frontal somente no ponto-chave de entrada das mãos na água. Analisando a coordenação de nado, o modelo de inspiração lateral apresentou uma maior diferença de tempo para T1 e T3, quando comparado ao modelo de ciclos não-inspiratórios. (3) Com o aumento da velocidade imposta, os nadadores aumentaram a freqüência de ciclos, reduziram a distância percorrida por ciclo e aumentaram o índice de nado. Esse comportamento foi acompanhado por uma redução do ângulo de ataque do tronco nos pontos-chave de entrada das mãos na água, início da puxada e saída das mãos da água. Ainda, houve aumento na duração relativa das fases propulsivas e redução das fases não-propulsivas da braçada. Da mesma forma a duração relativa das fases propulsivas da pernada aumentou e a duração relativa da fase não-propulsiva A1 reduziu. Com relação à coordenação de membros, as diferenças de tempo para T1, T2, T4 e TTG reduziram com o aumento da velocidade. / The aim of this study was to compare the kinematical and coordinative parameters of the butterfly stroke under different breathing patterns, paces and expertise levels. Volunteered to this study 23 competitive swimmers, divide in beginner level group (n=9) and advanced level group (n = 14). Arm (entry and catch, pull, push and recovery) and leg (downward 1, upward 1, downward 2, upward 2) stroke phases relative duration, the main propulsive phases durations DP1 (from the beginning to the end of the downward 1 leg stroke phase) and DP2 (from the beginning of the pull phase to the end of the upward 2 leg stroke phase). The trunk angle of attack was measured at the hands entry, pull beginning, push beginning and hands exit key points. Regarding the inter-limb coordination, we analyzed the time gap between arm and leg propulsive actions, being: T1 (hands entry – beginning of the downward 1 phase), T2 (end of the downward 1 phase – beginning of the pull phase), T3 (beginning of the push phase –beginning of the downward 2 phase), T4 (end of the downward 2 phase – hands exit) and TTG (total time gap). In parallel a tridimensional analysis case study was developed for measuring the vertex and shoulder’s vertical amplitude of oscillation. The main results includes: (1) The advanced level group presented higher stroke rate and stroke index when compared to the beginner level group. This higher stroke index was due to lower angle of attack at the hands entrym pull beginning and hands exit key point. Advanced level swimmers presented also a shorter entry and catch phase and a longer recovery phase. Regarding the main propulsive phases of the butterfly stroke, advanced level swimmers had a longer DP2. Considering the inter-limb coordination the advanced level group also presented shorter time gaps for T2, T3, T4 and TTG; (2) Performing the non-breathing condition swimmers had shorter stroke length, compared to de lateral breathing pattern, and a higher stroke index, compared to both frontal and lateral breathing conditions. Regarding the trunk angle of attack it was smaller at the hands entry, beginning of the pull phase, beginning of the push phase and hands release key points when performing non-breathing cycles. Compared to frontal breathing pattern, the trunk angle of attack was smaller at the hands entry performing lateral breathing. Compared to non-breathing pattern, T1 and T3 time gaps were longer performing lateral breathing; (3) Increasing the imposed pace, stroke rate and stroke index increased while stroke length decreased. Trunk angle of attack also reduced at the hands entry, beginning of pull phase and hands release key points. Relative duration for arm and leg stroke propulsive phases relative duration increased and non-propulsive phases relative duration decreased, except for the upward 2 phase. Regarding the inter-limb coordination T1, T2, T4 and TTG reduced when increasing the imposed pace.

The 'exponential peeling' technique has been applied to minute ventilation and tidal volume transients occurring after the abrupt removal of 7,6 and 5% CO2 in inspired air. These transients, in many cases, were found to be composed of three exponential components, each contributing to the total ventilatory response and each having individual time responses. Gelfand and Lambertsen (1973) have attributed these components to the peripheral chemoreceptors as a group and to two central chemoreceptors. Statistical analysis to determine the constancy of the contribution of the three components over the the range of CO2 values studied showed that, although the values for each at the different stimulus levels were not significantly different, the great subject-to-subject variation in the data precluded a firm conclusion about the constancy of the components. Because of a number of considerations it was concluded that exponential peeling of respiratory transients following abrupt removal of CO2 inhalation is not a satisfactory way to approach the problem of the numbers, relative contributions and time responses of the various receptor groups comprising the respiratory controller.

No description available.

L'objectif du travail était l'étude des effets ventilatoires et cardiovasculaires de l'hyperventilation volontaire (HV) ainsi que psychophysiologiques chez les sujets sains et les patients souffrant de trouble panique. Nous avons mené deux études : la première sur des sujets sains sur lesquels le débit ventilatoire, les mouvements du thorax et de l'abdomen, le pourcentage de CO2 dans l'air expiré (FETCO2), l'électrocardiogramme (ECG) ont été enregistre au cours de deux tests d'hyperventilation : l'un à la fréquence de repos (THV) et l'autre à la fréquence de 20 cycles par minute (THV20). La deuxième étude a porté sur un groupe de sujets sains (groupe contrôle) et un groupe de patients souffrant du trouble panique (TP) sur lesquels le débit ventilatoire et l'ECG ont été enregistrés et les niveaux d'anxiété (Spielbergher), de dépression (Beck), du stress (Holmes), des symptômes de troubles fonctionnels (Profil Végétatif) et des symptômes produits par l'hyperventilation ont été évalués. Les variables ventilatoires classiques ont été calculées cycle par cycle. La forme des cycles ventilatoires a été étudiée en calculant les asters (représentation vectorielle des quatre premières harmoniques d'une décomposition en série de Fourier de chaque cycle respiratoire) ainsi que les triads (complexe trivarié: volume courant Vt, temps d'inspiration Ti et d'expiration Te). Les asters et triads ont été comparés dans les différentes conditions en utilisant un test statistique multi-varié (test de similarité). Les composantes du spectre de la période cardiaque, les périodes cardiaques moyennes et les coefficients de variation de la période cardiaque ont été calculés à partir des intervalles RR de l'ECG. Les résultats du test de similarité montrent que la forme du cycle ventilatoire de repos est modifiée au cours de l'hyperventilation volontaire, mais que la forme cycle à l'HV est conservée à un an d'intervalle et aussi pour les périodes d'HV des deux tests THV et TVH20. L'hyperventilation volontaire modifie significativement les caractéristiques de la ventilation (variables et forme du cycle). Cependant, au cours de l'hyperventilation volontaire ces caractéristiques sont conservées à un an d'intervalle et il semble que la personnalité ventilatoire de repos ne se conserve pas au cours de l'HV, mais l'on retrouve une personnalité « différente » au cours de l'HV. Les variables ventilatoires et leurs coefficients de variation sont modifiés pendant toutes les périodes des deux tests d'hyperventilation. Les variables ventilatoires du groupe contrôle ne sont significativement différentes du groupe TP qu'au cours des trois premières minutes de récupération. La variabilité cardiaque est significativement modifiée au cours des périodes des tests d'hyperventilation volontaire. La variabilité cardiaque est significativement plus faible chez les patients TP que chez les sujets sains et l'analyse des composantes spectrales de la période cardiaque permet de déduire que les patients semblent présenter au repos et pendant l'HV, une activité cardio-vagale plus faible et une activité sympathique plus élevée que les sujets sains. Les patients TP ont des niveaux plus élevés d'anxiété et de dépression que les sujets du groupe contrôle. Au cours des trois première minutes de récupération après l'hyperventilation volontaire à la fréquence de repos, la ventilation est plus élevée chez les sujets présentant une anxiété élevée que chez ceux présentant une anxiété normale à moyenne. Le nombre de symptômes fonctionnels et produits par l'hyperventilation volontaire est aussi plus élevé chez les sujets présentant une anxiété élevée. / The aim of this research was the evaluation of the ventilatory and cardiovascular effects the voluntary hyperventilation (HV) and psychophysiological peculiarities in healthy subjects and patients with panic disorder. We performed two studies: we recorded the airflow, thoracic and abdominal movements, percent of the CO2 in expired air (FETCO2), electrocardiogram (ECG) in a group of healthy subjects during the two voluntary hyperventilation tests: at rest frequency (THV) and at 20 breaths per minute (THV20). The second study was performed on the healthy subjects (control group) and panic disorder patients (TP): airflow and ECG were recorded and the levels of anxiety (Spielbergher), depression (Beck), stress (Holmes), functional symptoms (Vegetative Profile) and symptoms generated by voluntary hyperventilation were evaluated. The classical respiratory variables were calculated cycle by cycle. The shape of ventylatory cycles were studied by calculation of asters (vectorial representation of the first four harmonics obtained by Fourier transformation of each respiratory cycle) and triads (trivariate complex tidal volume - Vt, inspiratory - Ti and expiratory - Te times). The asters and triads were compared in different conditions using statistical multivariate test (similarity test). The components of heart periods spectre, mean cardiac periods and their variation coefficients were determined from the RR intervals of ECG. The results of the similarity test show the change of respiratory cycle shape during voluntary hyperventilation compared with rest, but the shape of the cycle during HV is conserved during one year interval and between periods of HV of two tests THV and THV20. Voluntary hyperventilation changes significantly ventilatory characteristics (variables and shape of cycle). However, these characteristics are conserved during voluntary hyperventilation after one year interval and the rest ventilatory personality is not conserved during HV, but the different personality appears during HV. Ventilator variables and their variation coefficients are modified during all periods of the two hyperventilation tests. The ventilatory variables of the control group compared with TP group differ only during first three minutes of recovery. Heart rate variability is significantly modified during all periods of hyperventilation test. Heart rate variability is significantly diminished in TP patients compared with healthy subjects and the analysis of spectral components of cardiac period allows affirming a weaker cardio-vagal activity and higher sympathetic activity compared with the healthy subjects. The TP patients compared with control group have higher levels of anxiety and depression. The ventilation during three minutes of recovery after voluntary hyperventilation at rest frequency is higher in subjects with high anxiety level compared with subjects with normal and mean level of anxiety. The number of functional symptoms and symptoms caused by voluntary hyperventilation is also higher in subjects with high anxiety.