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What happens to the diaphragm during quiet breathing?
Primarily contraction and relaxation of the diaphragm.
What is the rate of rest breathing for adults and its trend?
Adults: 12–18 breaths/min
Trend: breathing rate decreases with age
What is the breathing pattern for quiet breathing?
40% inhale / 60% exhale
Nose breathing dominates
Abd moves more than rc because the diaphragm is doing most of the work
What is a spirometer?
Measures respiratory volumes — how much air you breathe in and out.
What is tidal volume?
the amount of air you breathe in and out during one normal breath.
Changes with activity; Quiet rest = small TV, Vigorous activity = larger TV
What are the tidal volume values of adult males and the trend for tidal volume?
Adult male: 600–750 cc
Trend: TV increases with age
What is vital capacity (VC)?
The amount of air you can blow out after taking the biggest breath in.
Vital capacity = Inspiratory reserve volume + Expiratory reserve volume + Tidal volume
What are the vital capacity volumes for young adults and its trend?
Young adults: 5000–5300 cc
Trend: VC increases with age, then decreases in older adulthood.
What is inspiratory reserve volume? (IRV)
Air you can inhale above a normal breath
What is expiratory reserve volume? (ERV)
Air you can exhale below a normal breath
What is residual volume? (RV)
Air that stays in your lungs even after you exhale as much as possible. You cannot push this air out voluntarily. (Adults: 1000–1500 cc)
What is functional residual capacity? (FRC)
ERV + RV – air left in lungs after a normal exhale.
What is total lung capacity? (TLC)
All the air your lungs can hold (TV+IRV+ERV+RV)
What is the function of maximum phonation time? (MPT)
How long you can say /a/ on one deep breath, hold it as long as possible.
It roughly estimates respiratory volume,
it’s affected by laryngeal function (vocal fold resistance).
High laryngeal resistance = artificially longer MPT.
What are the normal MPT values for young males and its trend?
Young Males: 28 sec (range 22–35)
Trend: MPT decreases with age.
What is the function of the maximum /s/ duration and values for young adults?
Maximum /s/ duration removes the laryngeal factor. It’s basically a pure respiratory measure.
Young adults: 20–30 sec
Trend: decreases with age.
What are the norms of speech breathing?
Normal adult speech: uses 20–25% of vital capacity
Loud speech: uses about 40% of VC
Children: use about 35% of VC (they need more air because their systems are smaller)
What are breath groups and how do you measure them?
A breath group = the number of words you say on one breath.
How to measure: Read aloud → mark where you inhale → count the words between breaths.
What is the normal breath group length got adults?
Adults: 11–16 words per breath (≈ 16–22 syllables per breath)
What are the effects of age on syllables per breath?
25 yrs: ~20 syllables
50 yrs: ~22 syllables
75 yrs: ~16 syllables
Trend: Breath groups get shorter in older adults
What are additional respiratory tasks considered in a respiratory assessment?
Loudness tasks
Strong sniffs & gasps
Strong blows & coughs
Rapid panting
Posture effects
Slow controlled expiration
What is the framework for evaluating respiratory fuction?
Volume
Air Pressure
Airflow
Chest wall shape & movement
What is air pressure?
the forces generated by the respiratory process
force per unit area (centimeters of water: cmH2O)
reflects the power supply for speech
What are the different speech pressures?
Palv - alveolar pressure = pressure inside the lungs
Ps – subglottal pressure = pressure below the vocal folds
Ptrach – tracheal pressure = pressure below the vocal folds and inside the trachea
Poral – oral pressure = pressure inside the mouth (intraoral pressure)
Pnasal - nasal pressure = pressure inside the nasal cavities
How do we measure speech pressures?
Direct Ps/Ptrach measurement = invasive
Indirect measurement = non‑invasive
Equal-pressure conditions if;
Nose is plugged
Vocal folds open
Mouth closed
oral, subglottal, tracheal, and alveolar pressures all become equal
measurement of oral pressure during /p/ closure gives a good estimate of subglottal, tracheal, and alveolar pressures
What is a manometer and its function?
Manometer = U‑tube or gauge that measures slow, steady pressure
Good for static pressure tasks
5 cmH₂O for 5 seconds = minimum pressure needed for speech
Straw‑in‑water test = easy way to check if someone can hit 5 cmH₂O for 5 sec
Not good for fast, dynamic speech pressures
What is an air pressure transducer and its function?
Air pressure transducer converts pressure → electrical signal for computer display
Tube goes into the mouth
Oral pressure during /p/ in running speech ≈ subglottal pressure estimate
Conversational speech: 5–10 cmH₂O
If loudness stays constant → pressure stays consistent
Pressure increases with loudness
Doubling pressure → +8–9 dB louder
What are the maximum effort air pressures for young males, young females, older males, older females and children?
Young males: 166 cmH₂O
Trend: air pressure is smallest in children, increases in young adulthood (men highest) and decreases in older adults.
What are the intraoral air pressure for speech sounds?
Voiceless plosives (p, t, k): 5–7 cmH₂O
Voiced plosives (b, d, g): 3–4 cmH₂O
Voiceless fricatives (s, f, ʃ): 4–6 cmH₂O
Voiced fricatives (z, v, ʒ): 2–3 cmH₂O
Glides/liquids (w, j, l, r): 0.5–1 cmH₂O
Nasals (m, n, ŋ): 0.2–0.4 cmH₂O
What is airflow?
change in volume of air over a certain period of time
also referred to as volume velocity
preferred unit of measure ml/sec (also ml/min and l/sec)
What is a rotameter?
A rotameter has a small ball in a tapered tube.
More airflow = ball rises higher.
Good for slow, steady (static) airflow.
Not good for fast, dynamic speech airflow.
Used for simple tasks like checking if someone can maintain airflow.
What is a pneumotachograph?
A pneumotachograph measures continuous airflow electronically.
Works by measuring pressure difference across a fixed resistance: Flow = (Pressure₁ – Pressure₂) / Resistance
Uses a face mask with a small wire mesh of known resistance.
Great for dynamic speech airflow (real‑time display on computer).
What is the average airflow during prolonged vowel /a/ ? (men)
Most airflow in conversation comes from vowels (they take up most of speaking time).
Adults (conversation) = 170 ml/sec
Men = 112 ml/sec
What is the duration for consonant air flow?
Voiceless stops /p t k/: 900 ml/sec
Voiced stops /b d g/: 400 ml/sec
Voiceless fricatives: 400 ml/sec
Voiced fricatives: 100–150 ml/sec
Glides/liquids: 100–150 ml/sec
Vowels: 100–150 ml/sec
What is laryngeal resistance?
Laryngeal resistance = pressure ÷ airflow (Just like Ohm’s law: Pressure = Flow × Resistance)
We estimate it using oral pressure and oral airflow during /pipipipi/.
How to measure laryngeal resistance?
Measure peak oral pressure during /p/ (Example: 5 cmH₂O)
Measure airflow during /i/ (Example: 140 ml/sec = 0.14 L/sec)
Calculate resistance (Resistance=50.14≈35.7)
Normal adult laryngeal resistance ≈ 35 cmH₂O/L/sec
What are the voice quality effects of laryngeal resistance?
Breathy voice:
Low resistance (~20)
Because airflow is high (~250 ml/sec)
Strained voice:
High resistance (~60)
Because airflow is low (~83 ml/s/sec)
Explain the relation between lung volume and chest wall shape
Lung volume changes come from two parts of the chest wall:
Rib cage movement
Abdomen movement
If you measure how much the rib cage (RC) and abdomen (ABD) expand or shrink, you can accurately tell how much the lungs are filling or emptying.
How do we measure rib cage (RC) and abdomen (ABD) movements?
Inductive Plethysmography
Two coiled wires wrap around RC and ABD
The chest/abdomen expand, the coils change electromagnetic inductance
Produces a continuous electrical signal showing RC + ABD movement
Magnetometer
Magnetic transmitter + receiver coils placed front + back of RC and ABD
Changes in RC/ABD diameter → changes in magnetic force
Also gives a continuous (dynamic) electrical signal of movement
What does the chest wall display when we measure rib cage (RC) and abdomen (ABD) movements?
Shows RC movement (y‑axis) vs ABD movement (x‑axis) Used to see:
Start, end, total volumes
Movement patterns
smooth vs variable
parallel vs paradoxical (opposite directions)