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An experimental investigation to model wheezing in lungs
A L Gregory1, A Agarwal1, J Lasenby1
1Department of Engineering, University of Cambridge, Trumpington Street, Cambridge CB2 1PZ, UK.
Royal Society Open Science
|May 11, 2021
Summary
Wheezing, a common respiratory symptom, arises from airway oscillations. This study models airway mechanics to predict wheezing onset, offering a new diagnostic tool for lung conditions.
Area of Science:
- Physics of Fluids
- Bioengineering
- Respiratory Physiology
Background:
- Wheezing affects a quarter of the global population and has been historically used for lung diagnosis.
- The physical mechanisms driving wheezing onset and quantitative prediction models are currently lacking.
- Understanding airway oscillations is crucial for diagnosing and treating respiratory diseases.
Purpose of the Study:
- To elucidate the physical mechanisms underlying wheezing.
- To develop a quantitative model for predicting wheezing onset.
- To establish a predictive tool for improved lung disease diagnosis and treatment.
Main Methods:
- Modeling lung airways as a modified Starling resistor with airflow through elastic tubes.
- Conducting systematic experiments to determine a generalized 'tube law' relating tube area to transmural pressure.
- Developing a flutter-like instability model for wheezing based on experimental findings.
Main Results:
- A generalized 'tube law' was identified, describing airway cross-sectional area changes under transmural pressure.
- The necessary conditions for the onset of airway oscillations (wheezing) were determined.
- A novel flutter-like instability model for wheezing was proposed.
Conclusions:
- The study provides a quantitative framework for understanding and predicting wheezing.
- The developed model offers a potential tool for enhanced diagnosis and treatment of lung diseases.
- This research bridges the gap between the physics of airway mechanics and clinical respiratory diagnostics.

