Abstract
Respiratory muscles, like other skeletal muscles, are subject to fatigue.1–2 This fatigue can be diagnosed objectively by observing changes in the frequency spectrum of the EMG.3 When fatigue of the respiratory muscles occurs, they can fail in their role as a pressure generator and the resulting effects upon gas exchange are potentially grave.4
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References
Roussos C., Macklem P.T.: Diaphragmatic fatigue in man. J. Appl. Physiol. 1977; 43: 189–197.
Roussos C., Fixley M., Gross D., Macklem P.T.: Fatigue of the inspiratory muscles and their synergic behavior. J. Appl. Physiol. 1979; 46(5): 897–904.
Gross D., Grassino A., Ross W.R.D., Macklem P.T.: Electromyogram pattern of diaphragmatic fatigue. J. Appl. Physiol. 1979; 46: 1–7.
Cohen C., Zagelbaum G., Gross D., Roussos C., Macklem P.T.: Clinical manifestations of inspiratory muscle fatigue. Am. J. Med. 1982; 73: 308–316.
Lyons A.S., Petrucelli R.J.: Medicine, An illustrated history. New York, H.N. Adams Inc. 1978, pp. 121–124.
Belman M.J.: Clinics in chest medicine, New York, W.B. Saunders Comp. 1988, p. 288.
Leith D., Bradley M.: Ventilatory muscle strength and endurance training. J. Appl. Physiol. 1976; 41:508–516.
Keens T.G., Krastins I.R.B., Wannamaker E.M.: Ventilatory muscle endurance training in normal subjects and patients with cystic fibrosis. Am. Rev. Resp. Dis. 1977; 116: 843–860.
Gross D., Ladd H.W., Riley E.J., Macklem P.T., Grassino A.: The effect of training on strength and endurance of the diaphragm in quadriplegia. Am. J. Med. 1980; 68: 27–35.
Hornstein S., Ledsome J.R.: Ventilatory muscle training in acute quadriplegia. Physiotherapy Canada.
Rocherster D.F., Braun N.M.T., Arora N.S.: Respiratory muscle strength in chronic obstructive pulmonary disease. Am. Rev. Resp. Dis. 1979; 119, 2: 151–154.
Pardy R.L., Rivington R.N., Despas P.J., Macklem P.T.: The effect of inspiratory muscle training on exercise performance in chronic airflow limitation. Am. Rev. Resp. Dis. 1981; 123: 426–434.
Pardy R.L., Rivington R.N., Despas P.J., Macklem P.T.: Inspiratory muscle training compared with physiotherapy in patients with chronic airflow limitation. Am. Rev. Resp. Dis. 1981; 123: 421–426.
Andersen J.B., Dragstem L., Kann T., Johansen S.H., Nielsen K.B., Karbo E., Bentzen L.: Respiration. J. Respir. Dis. 1979. 60: 151–156.
Pardy R.L., Reid D.W., Belman M.J. : Respiratory muscle training. In: M.J. Belman (Ed.) Clinics in chest medicine, New York, W.B. Saunders Comp. 1988; pp. 287–296.
Belman M.J., Mittman C: Ventilatory muscle training improves exercise capacity in chronic obstructive pulmonary disease patients. Am. Rev. Resp. Dis. 1980; 121: 273–280.
Belman M.J., Thomas S.G., Lewis M.I.: Resistive breathing training in patients with chronic obstructive pulmonary disease. Chest 1986; 90 (5): 662–669.
Estrup C., Lyager S., Noeraa N., Olsen C: Effect of respiratory muscle training in patients with neuromuscular diseases and in normals. Respiration 1986; 50: 36–43.
Larson M., Kim M.J., Fann D.: Respiratory muscle training with the incentive spirometer resistive breathing device. Heart and Lung 1984; 13(4): 341–345.
Gass D.G., Olsen G.N.: Preoperative pulmonary function to the predict post operative morbidity and mortality. Chest 1986; 89(1): 127–135.
Laszlo G., Archer G.G., Darrell J.H., Dawson J.M., Fletcher C.M. : The diagnosis and prophylaxis of pulmonary complications of surgical operation. Brit. J. Surg. 1973; 602: 129–134.
Stein M., Cassara G.L.: Preoperative pulmonary evaluation and therapy for surgery patients. J. Am. Med. Assoc. 1970; 211: 787–790.
Ford G.T., Whitelaw W.A., Rosenal T.W., Cruse P.J., Gunther CA.: Diaphragm function after abdominal surgery in humans. Am. Rev. Resp. Dis. 1983; 127: 431–436.
Latimer R.G., Dickman M., Day W.C., Cunn M.L., Schmidt D.C: Ventilatory pattern and pulmonary complications after upper abdominal surgery determined by preoperative and postoperative computerized spirometry and blood gas analysis. Am. J. Surg. 1972; 122: 622–623.
Derenne J.P.H., Macklem P.T., Roussos C: The respiratory muscles: mechanics, control and pathophysiology. Am. Rev. Resp. Dis. 1978; 118: 581–601.
Field S., Kelly S.M., Macklem P.T.: The oxygen cost of breathing in patients with cardiorespiratory disease. Am. Rev. Resp. Dis. 1982; 126: 9–13.
Bryant S., Edwards R.H.T., Faulkner J.A., Hughs R.L., Roussos C: Respiratory muscle failure: fatigue or weakness. Chest 1986; 89: 116–124.
Monod H., Scherrer J.: The work capacity of a synergic muscular groups. Ergonomics 1965; 8: 329–337.
Bellemare F., Wight D., Lavigne C., Grassino A.: Effect of tension and timing of contraction on blood flow of the diaphragm. J. Appl. Physiol. 1983; 54: 1597–1606.
Viires N., Silly M., Aubier M., Rassidakis A., Roussos C: Effect of mechanical ventilation on respiratory muscles and regional blood flow distribution during cardiogenic shock. J. Clin. Invest. 1983; 72: 935–947.
Macklem P.T.: Respiratory muscles: The vital pump. Chest 1980; 78: 753.
Roussos C., Macklem P.T.: The respiratory muscle: New Engl. J. Med. 1982. 307: 786.
Gordon E.E.: Anatomical and biochemical adaptation of muscle to different exercise. JAMA 1967; 201: 755.
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© 1991 Springer-Verlag Italia
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Gross, D., Appelbaum, A. (1991). Respiratory Muscle Training in Health and Disease. In: Grassino, A., Rampulla, C., Ambrosino, N., Fracchia, C. (eds) Chronic Pulmonary Hyperinflation. Current Topics in Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-4471-3782-5_21
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DOI: https://doi.org/10.1007/978-1-4471-3782-5_21
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