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Keywords:

  • Cough;
  • baclofen;
  • thyrohyoid;
  • parasternal;
  • rectus abdominis;
  • thyroarytenoid;
  • posterior cricoid arytenoid;
  • antitussive;
  • upper airway;
  • larynx

Objectives/Hypothesis

The antitussive properties of (±) baclofen on laryngeal muscle activities have not been determined. The hypothesis of this study was that administration of (±) baclofen would suppress upper airway muscle motor activity in a dose-dependent manner during cough.

Study Design

This is a prospective, preclinical, hypothesis-driven, paired design.

Methods

Electromyograms of the parasternal, rectus abdominis, thyroarytenoid, posterior cricoarytenoid, and thyrohyoid were measured, along with esophageal pressure. Cough was elicited by mechanical stimulation of the lumen of the intrathoracic trachea in spontaneously breathing cats.

Results

Baclofen (±) (3–10 μg kg−1 i.a.) induced decreases in the electromyogram amplitude of the rectus abdominis motor drive during coughing, the inspiratory and active expiratory (E1) phases of cough, and cough number per epoch. There was no effect of (±) baclofen on the EMG amplitudes of any of the laryngeal muscles, the parasternal, or the duration of the passive expiratory (E2) phase.

Conclusions

Results from the present study indicate differential control mechanisms for laryngeal and inspiratory motor drive during cough, providing evidence of a control system regulating laryngeal activity and inspiratory spinal drive that is divergent from the control of expiratory spinal motoneurons.

Level of Evidence

N/A. Laryngoscope, 123:3088–3092, 2013