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Updated: Oct 12, 2025

Acquisition and Semi-Automated Analysis of Respiratory Muscle Surface Electromyography
Published on: January 24, 2025
Prefrontal cortex activation during incremental inspiratory loading in healthy participants
Luana T Melo1, Antenor Rodrigues1, Elis Emmanuelle Cabral2
1Department of Physical Therapy, University of Toronto, Ontario, Canada; Keenan Centre for Biomedical Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Prefrontal cortex (PFC) activation occurs early during inspiratory muscle effort but does not indicate central fatigue. Inspiratory threshold loading (ITL) increases dyspnea without altering end-tidal CO2 levels.
Area of Science:
- Physiology
- Neuroscience
- Respiratory Medicine
Background:
- Inspiratory muscle effort is crucial for breathing.
- Understanding the neural correlates of respiratory loading is important for managing respiratory conditions.
Purpose of the Study:
- To investigate the association between prefrontal cortex (PFC) oxygenated hemoglobin (O2Hb) and deoxygenated hemoglobin (HHb) and inspiratory muscle effort during incremental inspiratory threshold loading (ITL) in healthy individuals.
Main Methods:
- Fourteen healthy participants underwent incremental ITL.
- Measurements included breathing pattern, end-tidal CO2 (PETCO2), mouth pressure, and NIRS-measured O2Hb and HHb in the PFC, sternocleidomastoid (SCM), and diaphragm/intercostals (Dia/IC).
Main Results:
- Dyspnea increased significantly post-ITL.
- PFC O2Hb increased and HHb decreased at low ITL loads, with stable levels at higher intensities.
- SCM HHb increased with ITL intensity, while SCM and Dia/IC total hemoglobin increased at task failure.
- PFC total hemoglobin increased at task failure, but PETCO2 remained unchanged.
Conclusions:
- The PFC is activated early during ITL.
- Despite increased dyspnea and altered peripheral muscle oxygenation, the PFC does not exhibit central fatigue at task failure during ITL in healthy individuals.
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