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PLATES X X X l V , X X X V , AND X X X ¥ I .
make difficult the use of recording apparatus, and will render the
tracings valueless. For example, a pneumograph over a stiff corset
may show no movement while evidences of increased abdominal
pressure may be secured by a manometer connected with an air bulb
in the rectum (Kellogg). We may take this as evidence that any
extra' space inside the corset or below it is used in respiration. Again,
a pneumograph over folds of thick clothing may not show the real
enlargement since part or all of it can be taken up by the clothing.
Any record, therefore, with clothing which constricts or cushions the
abdomen must be looked upon with suspicion. The immediate inter-
ference of dress with the movements of respiration depends so largely
upon individual habits in regard to abdominal pressure and the re-
sults are so hard to determine for reasons noted above that this study
of its influence was llmited to the permanent or inhibitive effects,
thick clothing and corsets being removed and belts loosened.
I n this study simultaneous movements of the thorax and abdo-
men were recorded by means of belt pneumographs applied over the
regions where motion was greatest. No anatomical landmarks were
used, for it was soon found that there was considerable individual
* S u g g e s t e d b y Dr. F. W. Ellis.
680 A Stucl~, of Types of Resjoiratory .Movements
with a modification of the Ellis piston recorder (Fig. 2), which made
tracings corresponding to variations in girth. On account of the
length and elasticity of
the tubing, the pressure
of the pneumograph
was too slight to be no-
ticed, all enlargement
was faithfully taken up,
there was no inelastic
resistance and no diffi-
culty or delay in adjust-
ing it to any subject.
The calibre of the pneu-
mographs and of the
piston recorders was ap-
proximately the same,
the depth of the tracing
was, therefore, the same
as the increase in girth.
A series of calibra-
FIG. 2 . - - P i s t o n r e c o r d e r , m o d i f i e d f o r r e s p i r a t o r y t r a c - tion testsmadeupon two
ings, a n d p o r t i o n of tracing.
subjects to determine
the amounts of air moved by chest and abdomen respectively, when
acting alone, gave the following results:
Ab 2O
viduals in whom the abdominal movement is greater than the thoracic,
and greater than unity in all those in whom th6 abdominal move-
ment is less. The records are arranged in the tables according to the
Th
value of the respiratory ratios A--b"
* This o p p o r t u n i t y is t a k e n to e x p r e s s a p p r e c i a t i o n of t h e k i n d assist~
ance r e n d e r e d b y t h e m a n a g e r s of various a m u s e m e n t e n t e r p r i s e s of t h e
M i d w a y P l a i s a n c e , a m o n g w h i c h m a y b e m e n t i o n e d t h e S a m o a n Village,
t h e T u r k i s h T h e a t r e , t h e B e d o u i n Village, t h e B e d o u i n E n c a m p m e n t , t h e
E s k i m o Village, t h e S t r e e t s of Cairo, t h e J a v a n e s e Village; a n d also b y
t h e m a n a g e r of a g r o u p of t t a w a i i a n d a n c e r s w h i c h w a s in Chicago d u r i n g
t h e s u m m e r of 1893, a n d b y Mr. Salisbury, of " Buffalo Bill's Wild W e s t . "
t T h e m e a n is s h o w n b y t h e a p e x of t h e curve; t h e m e d i a n , b y a h e a v y
vertical line i n t e r s e c t i n g it.
682 A Study of Types of Resplratorj Movements
for each group, the unit of distribution being a difference of 0.5 in re-
spiratory ratio. The curves contain all the records with respiratory
ratios less than 4.25 in value, and the percentage of the observations
having ratios higher than 4.25 is represented by a vertical line at the
end of tile curve. As may be seen by reference to Curves I, I I I , and V,
very symmetrical curves of distribution have resulted with only moder-
ate numbers of observations. This leads us to the conclusion that a type
of breathing exists which will be true for the majority of any large
natural group in spite of individual variations in ratio and depth.
Curve V I I is an attempt to secure a distribution curve for the respira-
tory ratios of those females who gave a direct history of constricting
dress. It will be seen that there is no mean even with the large unit
of distribution. A certain proportion of the ratios fall at various
points between 0.0 and 4.25, and, as may be seen by reference to
Table III, the ratios above 4.25 (forty-three per cent of the total)
were scattered even more irregularly than were those below. W e
judge, then, that the effect of constriction to the abdomen, not neces-
sarily by corsets and in our subjects very rarely so produced, is to
diminish the proportionate movement of the abdomen, and to destroy
the natural grouping of the individuals so affected. To show that
the unit of distribution chosen is abundantly large, it may be
stated that a smooth curve of distribution results in the case of school-
boys and college men with a unit of 0.2 in place of the one of 0.5
which we have used. Curves V I and V I I I show the distribution
curves of two classes of constricted individuals, Curve V I from the
records of twenty-four male Syrians (Bedouins, Turks, etc.) and
Curve V I I I from the tracings of fifty-two American women, both
mixed so far as the effects of constriction are concerned. The ab-
dominal movements of the Syrians had been restricted by tight
swathing in childhood and long, tightly wound belts in adult life,
while many of the American women had similarly interfered with
their respiratory movements by corsets and skirt bands. Certain in-
dividuals in both groups were known not to have been seriously con-
stricted, but it was impossible to separate them from the constricted
on the evidence available. The curves are flat~ a certain proportion of
G. W. Fitz 683
the ratios occur above the limit and the means are decidedly higher
than in Curves I and III. There is a great contrast between these
and Curve ~ I I and this would seem to be due to the fact that both
constricted and unconstricted individuals are included in the former.
The differences between these curves and those for clearly uncon-
stricted groups will be seen in Curve I X on which the curves of
schoolboys, college men, constricted males and American women
have been plotted for direct comparison. Nearly the same percentages
of the four groups have ratios at ~ 1.0, the mean for the two groups
* Dr. Dudley A. S a r g e n t , D i r e c t o r of t h e t t e m e n w a y G y m n a s i u m of H a r -
v a r d U n i v e r s i t y , k i n d l y f u r n i s h e d t h e a n t h r o p o m e t r i c d a t a i n c l u d e d in t h i s
table.
G. W. Fitz 687
CONCLUSIONS.
1. Children of the two sexes differ very little in the character of
their respiratory movements.
2. Between girls and women and boys and men there is little or
no difference in respiratory type.
3. Childbearing does not permanently affect respiration.
688 A Study of Ty2e8 of l~es2iratory 3fovements
4. The natural type of respiration for both sexes is one in which
the lhovement is fairly equally balanced between chest and abdomen,
the abdominal being somewhat in excess.
5. In typical unconstricted individuals the chest contributes about
the same bulk of air as does the abdomen.
6. Constricting dress causes preponderance of thoracic movement
in ratio to its restriction of abdominal movement and to the sensitive-
ness of the nervous co-ordination.
TABLE I.
Thirty-five Schoolboys. Average Age, Nine Years Eight .~lonths. Range, Six to Fifteen
Years
RESPIRATORY MOVE- R E S P I R A T O R Y MOVE-
M E N T S IN MM. Th M E N T S I N MM. Th
No. Age. No. age.
Ab Ab
_ _ - - T h ° r a xAt
" __°men" Thorax. Abdomen.
TABLE IL
TABL~ I l l .
4O J. 12"3 .... OO
41 I. 42 13"5 .... OO
44 J. oo oo 16"5 .... OO
Eg. : Egyptian. Es. = Eskimo. Sy. = Syrian. J. ---- Javanese. I. ---- American Indian.
G. W. Fitz 691
TABLE I V .
Fifty-two American Women. Average Age, Twenty-two Years Five zllonths. R~,nge,
Seventeen to Thirty~our Years.
RESPIRATORY RESPIRATORY
~ I O V E M ' T S I N MM, , ~OVEM~TS IN~IM.
Th Th
:No. Age Corset. No. Age. Corset.
Ab Thorax. Abdo-: Ab
Thorax. Abdo-
illeI1. men.
Yes ~- Corset worn, l e n g t h of t i m e not stated. 4 = Corset w o r n f o r f o u r years. (3) ---- Dis-
c o n t i n u e d w e a r i n g cor~ets t h r e e y e a r s ago. W m Corset waL~ts worn. No---- N e v e r wore
corsets.
TABLE V.
TABLE VI.
Correlation.
C H E S T NOE~IAL. !ABD. N O R M A L .
Th Capac- Total
Height. Weight. ity of strength. Chest Increase Depth.
Ab lungs. at rest in respi- Girth. Depth.
ration.
la,_
0
~ 2o
/
a_ 0
0.0 0.5 LO 1.5 ~0 2,~ 35 #.0 Am,~
V.~
i T")
,s
z
~0
0
V- 50
I1=
en
0
,, 30
0
Z
2o i , i
I0
n
0 ~ L _
0.0 03 /o /5 2o 2_5 50 b8 ~.0 ABo~
~.Z5
RESPIRATORY RATIOS
(Th)
~-~
"'
o
0
qO
50 /\
~
o
2~o
I0
/
o_ 0
0.o 0.5 LO /5 Z,O Z5 3.0 3.5 ~0 A~VE
THE JOURNAL OF EXPERIMENTAL MEDICINE. VOL. I, PLATE X X X V .
oi , 50
O
z
~
hm
¢e
20
/
UJ
Q- L__
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0,0 Q5 1.0 /5 ?~.0 ?~.,~ 3.0 5.5 1/.0
RESPIRATORY RATIOS
(Th)
~-~
0
h
0
Z
U
,0
0
0.0 05 10 1.5 2,.0 Z.5 30 3.5" I./.0 ABOVE
RESPIRATORY RATIOS
(Th)
CURVE Vl. 9..4 MALES, CONSTRICTING DRESS.
70
o4
z
0
l-
fo0 i
50
~e
l.u
#o
t~
0
i, 30
0
20
z
w
(0 I0 J
ne
r~
RESPIRATORY RATIOS
(Th)
~-~
THE JOURNALOF EXPERIMENTAL MEDICINE. VOL. h PLATE X X X V l .
o
~
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t)
e¢"
O.
_ ~ i
u~ go
Z
o
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>,
c,"
cn
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o
~0
Z
MJ
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LLI
12..
I0
0
/ _L
0.0 O.5 1.0 /.$ ~.0 7.5 3.0 3,$' 9.0 Asol,~
~.2,5
RESPIRATORY RATIOS
(Th)
CURVE IX.
7'0
o
>
6o
50
/\ Joile~e Mzn ~---:-
~aleS Col isl;ricl:-ed- . . . .
e,," W 0 m t,tt ~ , _ o - •
0t) qo
o t I°
h 30
o
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10
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O.O 05 1.0 IB ZD Z.5 3.O 3.f
RESPIRATORY RATIOS