Abstract

BackgroundThoracoabdominal asynchrony is often adopted to discriminate respiratory diseases in clinics. Conventionally, Lissajous figure analysis is the most frequently used estimation of the phase difference in thoracoabdominal asynchrony. However, the temporal resolution of the produced results is low and the estimation error increases when the signals are not sinusoidal. Other previous studies have reported time-domain procedures with the use of band-pass filters for phase-angle estimation. Nevertheless, the band-pass filters need calibration for phase delay elimination.MethodsTo improve the estimation, we propose a novel method (named as instantaneous phase difference) that is based on complementary ensemble empirical mode decomposition for estimating the instantaneous phase relation between measured thoracic wall movement and abdominal wall movement. To validate the proposed method, experiments on simulated time series and human-subject respiratory data with two breathing types (i.e., thoracic breathing and abdominal breathing) were conducted. Latest version of Lissajous figure analysis and automatic phase estimation procedure were compared.ResultsThe simulation results show that the standard deviations of the proposed method were lower than those of two other conventional methods. The proposed method performed more accurately than the two conventional methods. For the human-subject respiratory data, the results of the proposed method are in line with those in the literature, and the correlation analysis result reveals that they were positively correlated with the results generated by the two conventional methods. Furthermore, the standard deviation of the proposed method was also the smallest.ConclusionsTo summarize, this study proposes a novel method for estimating instantaneous phase differences. According to the findings from both the simulation and human-subject data, our approach was demonstrated to be effective. The method offers the following advantages: (1) improves the temporal resolution, (2) does not introduce a phase delay, (3) works with non-sinusoidal signals, (4) provides quantitative phase estimation without estimating the embedded frequency of breathing signals, and (5) works without calibrated measurements. The results demonstrate a higher temporal resolution of the phase difference estimation for the evaluation of thoracoabdominal asynchrony.

Highlights

  • Thoracoabdominal asynchrony is often adopted to discriminate respira‐ tory diseases in clinics

  • The aim and the organization of the current study In this paper, we present a novel procedure for estimating the instantaneous phase difference (IPD) of respiratory inductance plethysmography (RIP) signals between thoracic wall movement (TWM) and abdominal wall movement (AWM)

  • Both simulation and human-subject experimental respiratory data show that the proposed IPD estimation method demonstrated competitive performance compared with the recent version of Lissajous figure analysis and the automatic phase estimation procedure (APEP)

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Summary

Introduction

Thoracoabdominal asynchrony is often adopted to discriminate respira‐ tory diseases in clinics. Estimating thoracoabdominal asynchrony presents information about the time shift of AWM or other respiratory movements to the TWM. This shift demonstrates the disability of the respiratory mechanism. The “respiratory rate variability” (in analogy to heart rate variability or pulse rate variability) has not been established yet since it is difficult to determine the instantaneous respiratory rate unambiguously [14]. It is difficult because most of the measurements of thoracoabdominal asynchrony need to segment respiratory signal into breath-by-breath [15]. As the recent advances in the field of the pulse rate variability research have demonstrated that the “instantaneous pulse rate variability” improved the temporal resolution and helped in frequency exploration of cardiovascular autoregulation (e.g., autonomic nervous system function) [16], it was thought that the development of the instantaneous respiratory pattern could be helpful for exploring how the breathing modulates autonomic nervous system

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