ORIGINAL PAPER
Breathing pattern stability in healthy adults: focusing on ribcage and abdominal contributions during respiration within the sitting and supine positions
 
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Mohammed Al-Mana College for Medical Sciences (MACHS), Dammam, Saudi Arabia
 
 
Submission date: 2024-12-09
 
 
Acceptance date: 2025-10-23
 
 
Online publication date: 2026-06-15
 
 
Corresponding author
Fatimah Jaffer Alshaikh   

Mohammed Al-Mana College for Medical Sciences (MACHS), Abdulrazaq Bin Hammam Street, Al Safa, Dammam 34222, Saudi Arabia
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
To examine the stability of breathing pattern in healthy adults, in sitting and supine positions. An observational single group repeated measures design.

Methods:
Thirty-eight healthy adults (age 31.08 ± 6.56 years) with no reported history of respiratory disease. Resting breathing patterns were recorded over 15-minute periods in sitting and supine using respiratory inductive plethysmography (RIP). For each position comparisons were made: within individual recording sessions, between recording sessions on a single day and between recording sessions on different days. Eight breathing parameters were extracted from raw RIP data: inspiration and expiration time, breathing cycle time, respiratory rate, and the regional percentage contributions of ribcage and abdomen during inspiration and expiration.

Results:
For nearly all parameters across all comparisons in both positions there were: strong correlations, low to moderate within subject standard deviation values, and narrow 95% limits of agreement, with Bland and Altman analysis indicating good agreement. There were no statistically significant differences in cohort mean values.

Conclusions:
Recording breathing patterns in sitting may be a useful alternative to the supine position. Ribcage and abdominal contributions to respiratory movement have sufficient stability to have value as a potential outcome measure for evaluating physiotherapy interventions.
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