How to Cite
Ravva Sathyanarayana, Lagishetti, S. K., & GV, H. (1). Body Position Effect on Respiratory Measures in Normal Adults. Journal of All India Institute of Speech and Hearing, 34(1), 31-35. Retrieved from http://203.129.241.91/jaiish/index.php/aiish/article/view/834
Abstract
Respiration plays a major role in the human for breathing and speech production. Respiratory measures vary depending on age, gender, weight, height. The present study was aimed to obtain normative baseline for respiratory parameters like forced vital capacity (FVC), forced vital capacity in 1 second (FEV1), peak expiratory ow rate (PEFR), maximum voluntary ventilation (MVV), and vital capacity (VC) at ve dierent body positions like sitting, supine, prone, right lateral recumbent i.e., right side lying (RLR), and standing. A total number of 60 normal healthy individuals (30 male and 30 female) in the age range of 18-30 years were considered for the present study. A Spirometer system RMS Helios 401 was used to measure FVC, FEV1, PEFR, MVV and VC for every subject at dierent positions. Comparison between respiratory parameters to the ve body positions and between genders was done. The
mean values were higher at standing position, lesser at prone position for all the parameters in males and females. The mean dierences were also observed between positions and between genders for the ve parameters in repeated measures of ANOVA results. Thus, respiratory measures changes depending on the body position which might be due to
physiological changes in thoracic cavity and muscles of respiratory system.
References
American Thoracic Society, & Standardization of Spirome-
try, (2005) update. M.R Miller, J., Hankinson. Journal
of Respiration. 26, 319-338.
Association of Respiratory Technicians and Physiolo-
gists/British Thoracic Society. (1994). Guidelines for
the measurement of respiratory function. Respiratory
Medicine. 88, 165-194.
Badr, C., Mark, R., Elkins, & Elizabeth, R., E. (2002). The
e ect of body position on maximal expiratory pressure
and
ow. Australian Journal of Physiotherapy, 48, 105-
115.
Castile, R., Mead. J., Jackson.A., Wohl, M. E., & Stokes, D.
(1982). E ects of posture on
ow volume curve con gu-
ration in normal humans. Journal of Applied Physiology,
53, 1175-1183.
Chatterjee, S., Nag, S. K., & Dev, S. K. (1988). Spiro-
metric standards of non-smokers and smokers of India
(eastern region), Japanese Journal of Physiology, 38(3),
283-298.
Cotes, J.E., & Ward, M. P. (1966). Ventilator capacity in
normal Bhutanese. Journal of Physiology, (lord), 163,
36-37.
Crapo, R. O., Lockey, J., Aldrich, V., Jensen, R. L., & El-
liot, C. G. (1988). Normal spirometric Values in healthy
American and Indians. Journal of Occupational and En-
vironmental Medicine, 30(7), 556-560.
Dacosta, J. L. (1971). Pulmonary function studies in healthy
Chinese adults in Singapure. American Review of Res-
piratory Disease, 104, 128-131.
De Troyer. A., & Loring S. (1995). Actions of the respira-
tory muscles. In Roussos C (Ed.).The Thorax (2nd ed.)
(535-563).New York: Dekker.
Fang, L., Sriranjani, P., Susan, J.T., Deborah, P., Ronald,
W. H., & Mohsen, M. (2006). E ect of di erential sitting
postures on lung capacity, expiratory
ow, and lumbar
lordosis, Achieves of Physical Medicine and Rehabilita-
tion, 87 (4), 504-509.
Herlihy, B. (2007). The Human Body in Health and Disease
(3rd ed.). Philadelphia: Saunders.
Hough, A. (1984). The e ect of postures on lung function.
Journal of physiotherapy 70, 101-104.
Hixon, T. J., Golman, M., & Mead, J. (1973). Kinemat-
ics of the chest wall during speech Production: Volume
displacements of the ribcage, abdomen, and lung. Jour-
nal of Speech Language and Hearing Research, 16, 78-
115.
Hutchinson. B.B., & Hanson, M.L. (1979). Diagnostic
handbook of speech pathology. Baltimore: Williams &
Williams.
Jenkins, S., Soutar, S., & Moxhan J (1988). The e ects
of posture on lung volumes in normal subjects and in
patients pre and post coronary artery surgery. Physio-
therapy 74, 492-496.
Krishna Murthy, B.N. (1986). The measurement of mean
air
ow rate in normals. Unpublished Dissertation sub-
mitted to the University of Mysore. Mysore.
Lallo, U.G, Becklake M.R.., & Goldsmith, C.M. (1991).
E ect of standing versus sitting position on spiromet-
ric indices in healthy subjects. Respiration, 58, 122-
125.
Leith, D.E. (1968): Cough. Physio Therapy, 48, 439-
447.
McCool, F.D & Leith, D.E. (1987). Pathophysiology of
cough. Clinics in Chest Medicine, 8, 189-195.
Lin, F., Parthasarathy, S., Taylor, S., Pucci, D., Hendrix,
R., & Makhsous, M (2006). E ect of di erent sitting
postures on lung capacity, expiratory
ow, and lumbar
lordosis. Archives of Physiotherapy and Medical Reha-
bilitation, 87, 504-509.
Lumb, A. B., & Nunn, J. F. (1991). Respiratory func-
tion and Ribcage contribution to ventilation in body
positions commonly used during anesthesia. Anesthe-
sia Analgesia. 73, 422-426.
McCool, F.D., & Leith, D.E., (1987). Pathophysiology of
cough. Clinics in Chest Medicine, 8, 189-195.
Nisha, S., & Shinde. K. J (2012). Peak expiratory
ow
rate: E ect of body positions in patients with chronic
obstructive pulmonary disease. Indian Journal of Basic
& Applied Medical Research, 1(4), 357-362.
Pierson D. J., Dick, N. P., & Petty, T. L. (1976). A compar-
ison of spirometric values with subjects in standing and
sitting positions. Chest, 70, 17-20.
Sider, R. & Peter, J. M. (1973) Di erence in ventilator ca-
pacity of Irish and Italian re ghters, American review
of respiratory Disease, 108, 669-671.
Siva Jyothi, N., Yatheendra kumar,G. (2015). E ect of dif-
ferent postures on peak expiratory
ow rate and peak in-
spiratory
ow rate on healthy individuals. International
Journal of Physical Education, Sports and Health, 1(3),
42-45.
Townsend, M. C. (1984). Spirometric forced expiratory vol-
umes measures in the standing versus the sitting pos-
ture. American Revised Respiratory Diseases, 130 (1),
123-124.
Vilke, G.M., Chan, T.C., Neuman, T., & Clausen, J.L.
(2000). Spirometry in normal subjects in sitting, prone,
and supine positions. Respiratory Care, 45(4), 407-
410.
Wade, O.L., & Gilson J.C. (1951). The e ect of posture
on diaphragmatic movement and vital capacity in nor-
mal subjects with a note on spirometry as an aid in
determining radiological chest volumes. Thorax, 6, 103-
126.
World Health Organization (1995). Physical status: The use
and interpretation of anthropometry. Report of a WHO
expert committee. WHO technical report series, 854.
Geneva.
World Health Organization (2004). Appropriate body-mass
index for Asian populations and its implications for
policy and intervention strategies. The Lancet, 157-
163.
Zemlin, W.R. (1981). Speech and hearing science; Anatomy
and Physiology (2nd Ed). Englewood Cli s: New Jersey,
Prentice Hall, INC.
Zemlin, W. R. (2000). Speech and hearing science; Anatomy
and Physiology (4th Ed). Needham Heights: MA, Allyn
& Bacon.
try, (2005) update. M.R Miller, J., Hankinson. Journal
of Respiration. 26, 319-338.
Association of Respiratory Technicians and Physiolo-
gists/British Thoracic Society. (1994). Guidelines for
the measurement of respiratory function. Respiratory
Medicine. 88, 165-194.
Badr, C., Mark, R., Elkins, & Elizabeth, R., E. (2002). The
e ect of body position on maximal expiratory pressure
and
ow. Australian Journal of Physiotherapy, 48, 105-
115.
Castile, R., Mead. J., Jackson.A., Wohl, M. E., & Stokes, D.
(1982). E ects of posture on
ow volume curve con gu-
ration in normal humans. Journal of Applied Physiology,
53, 1175-1183.
Chatterjee, S., Nag, S. K., & Dev, S. K. (1988). Spiro-
metric standards of non-smokers and smokers of India
(eastern region), Japanese Journal of Physiology, 38(3),
283-298.
Cotes, J.E., & Ward, M. P. (1966). Ventilator capacity in
normal Bhutanese. Journal of Physiology, (lord), 163,
36-37.
Crapo, R. O., Lockey, J., Aldrich, V., Jensen, R. L., & El-
liot, C. G. (1988). Normal spirometric Values in healthy
American and Indians. Journal of Occupational and En-
vironmental Medicine, 30(7), 556-560.
Dacosta, J. L. (1971). Pulmonary function studies in healthy
Chinese adults in Singapure. American Review of Res-
piratory Disease, 104, 128-131.
De Troyer. A., & Loring S. (1995). Actions of the respira-
tory muscles. In Roussos C (Ed.).The Thorax (2nd ed.)
(535-563).New York: Dekker.
Fang, L., Sriranjani, P., Susan, J.T., Deborah, P., Ronald,
W. H., & Mohsen, M. (2006). E ect of di erential sitting
postures on lung capacity, expiratory
ow, and lumbar
lordosis, Achieves of Physical Medicine and Rehabilita-
tion, 87 (4), 504-509.
Herlihy, B. (2007). The Human Body in Health and Disease
(3rd ed.). Philadelphia: Saunders.
Hough, A. (1984). The e ect of postures on lung function.
Journal of physiotherapy 70, 101-104.
Hixon, T. J., Golman, M., & Mead, J. (1973). Kinemat-
ics of the chest wall during speech Production: Volume
displacements of the ribcage, abdomen, and lung. Jour-
nal of Speech Language and Hearing Research, 16, 78-
115.
Hutchinson. B.B., & Hanson, M.L. (1979). Diagnostic
handbook of speech pathology. Baltimore: Williams &
Williams.
Jenkins, S., Soutar, S., & Moxhan J (1988). The e ects
of posture on lung volumes in normal subjects and in
patients pre and post coronary artery surgery. Physio-
therapy 74, 492-496.
Krishna Murthy, B.N. (1986). The measurement of mean
air
ow rate in normals. Unpublished Dissertation sub-
mitted to the University of Mysore. Mysore.
Lallo, U.G, Becklake M.R.., & Goldsmith, C.M. (1991).
E ect of standing versus sitting position on spiromet-
ric indices in healthy subjects. Respiration, 58, 122-
125.
Leith, D.E. (1968): Cough. Physio Therapy, 48, 439-
447.
McCool, F.D & Leith, D.E. (1987). Pathophysiology of
cough. Clinics in Chest Medicine, 8, 189-195.
Lin, F., Parthasarathy, S., Taylor, S., Pucci, D., Hendrix,
R., & Makhsous, M (2006). E ect of di erent sitting
postures on lung capacity, expiratory
ow, and lumbar
lordosis. Archives of Physiotherapy and Medical Reha-
bilitation, 87, 504-509.
Lumb, A. B., & Nunn, J. F. (1991). Respiratory func-
tion and Ribcage contribution to ventilation in body
positions commonly used during anesthesia. Anesthe-
sia Analgesia. 73, 422-426.
McCool, F.D., & Leith, D.E., (1987). Pathophysiology of
cough. Clinics in Chest Medicine, 8, 189-195.
Nisha, S., & Shinde. K. J (2012). Peak expiratory
ow
rate: E ect of body positions in patients with chronic
obstructive pulmonary disease. Indian Journal of Basic
& Applied Medical Research, 1(4), 357-362.
Pierson D. J., Dick, N. P., & Petty, T. L. (1976). A compar-
ison of spirometric values with subjects in standing and
sitting positions. Chest, 70, 17-20.
Sider, R. & Peter, J. M. (1973) Di erence in ventilator ca-
pacity of Irish and Italian re ghters, American review
of respiratory Disease, 108, 669-671.
Siva Jyothi, N., Yatheendra kumar,G. (2015). E ect of dif-
ferent postures on peak expiratory
ow rate and peak in-
spiratory
ow rate on healthy individuals. International
Journal of Physical Education, Sports and Health, 1(3),
42-45.
Townsend, M. C. (1984). Spirometric forced expiratory vol-
umes measures in the standing versus the sitting pos-
ture. American Revised Respiratory Diseases, 130 (1),
123-124.
Vilke, G.M., Chan, T.C., Neuman, T., & Clausen, J.L.
(2000). Spirometry in normal subjects in sitting, prone,
and supine positions. Respiratory Care, 45(4), 407-
410.
Wade, O.L., & Gilson J.C. (1951). The e ect of posture
on diaphragmatic movement and vital capacity in nor-
mal subjects with a note on spirometry as an aid in
determining radiological chest volumes. Thorax, 6, 103-
126.
World Health Organization (1995). Physical status: The use
and interpretation of anthropometry. Report of a WHO
expert committee. WHO technical report series, 854.
Geneva.
World Health Organization (2004). Appropriate body-mass
index for Asian populations and its implications for
policy and intervention strategies. The Lancet, 157-
163.
Zemlin, W.R. (1981). Speech and hearing science; Anatomy
and Physiology (2nd Ed). Englewood Cli s: New Jersey,
Prentice Hall, INC.
Zemlin, W. R. (2000). Speech and hearing science; Anatomy
and Physiology (4th Ed). Needham Heights: MA, Allyn
& Bacon.