Chest-wall compliance 2026-11-05
Chest-wall compliance is the volume response of the passive chest wall to pressure across it. For a local static relation,
It differs from lung compliance, which uses the pressure difference between the alveolar gas and pleural surroundings. Active respiratory-muscle effort must be distinguished from passive elastic recoil when defining the chest-wall relation.
The chest-wall relaxation volume is the passive volume at which its recoil pressure is zero. Below that volume, outward recoil corresponds to negative in this convention; above it, inward recoil corresponds to positive . Negative recoil pressure is compatible with a positive slope and positive compliance. OpenStax describes chest-wall elasticity opposing the inward pull of the lungs.[ref]
An original linear illustration makes the signs explicit. Over a chosen volume range, suppose
with volume in litres and pressures in centimetres of water. Both components have compliance . At L, lung recoil is and chest-wall recoil is cm water, so their sum is zero. At L, the sum is cm water. The same shared half-litre change requires a five-centimetre-water increment even though both component slopes are positive. These are toy relations, not measured normal curves.
Adding pressure drops gives
The combined compliance in the example is . Treating that total as lung compliance alone assigns the chest-wall contribution to the wrong structure.
Pressure partition requires more information than a total volume and airway-pressure measurement. A primary lung-mechanics study's use of an esophageal balloon and differential pressure measurement illustrates the experimental effort to constrain an internal pressure reference.[ref] Its relationship to pleural pressure, posture and muscle activity must be accounted for rather than assumed away.
A useful mechanical comparison states whether the wall is passive, which pressure zero is used and whether local or interval compliance is reported. Chest movement, total respiratory-system stiffness and the chest wall's own elastic slope answer distinct questions.
Figure 1.
Original linear example of passive lung compliance, chest-wall compliance and their combined recoil; at volume 2.5 L the pressures cancel
. Details.