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Published on: November 3, 2023
Symptoms Arising From the Diaphragm Muscle: Function and Dysfunction
Bruno Bordoni1, Rohini Kotha2, Allan R Escher3
1Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA.
Diaphragmatic dysfunction can impair breathing and cause non-respiratory symptoms like pain and pelvic floor issues. Early identification of these diverse symptoms is crucial for patient health and preventing further complications.
Area of Science:
- Medical Physiology
- Pulmonology
Background:
- The diaphragm, primarily known for respiration, plays a role in various bodily functions.
- Diaphragmatic dysfunction can arise from diverse causes, leading to transient or permanent impairment.
- Patients may be unaware of diaphragmatic dysfunction and its non-respiratory manifestations.
Purpose of the Study:
- To review and highlight the non-respiratory symptoms associated with diaphragmatic dysfunction.
- To increase awareness among healthcare professionals regarding the varied clinical presentations of diaphragmatic impairment.
- To underscore the importance of recognizing diaphragmatic dysfunction beyond its impact on breathing.
Main Methods:
- Literature review of studies on diaphragmatic function and dysfunction.
- Analysis of reported non-respiratory symptoms linked to reduced diaphragmatic contractility.
- Synthesis of information on the clinical implications of diaphragmatic impairment.
Main Results:
- Diaphragmatic dysfunction can manifest with symptoms unrelated to lung function, such as pseudoanginal pain, night sweats, memory difficulties, and pelvic floor disorders.
- Reduced diaphragmatic contractility is associated with a range of non-respiratory conditions.
- These symptoms are often not immediately recognized as stemming from diaphragmatic issues.
Conclusions:
- Diaphragmatic dysfunction presents with a spectrum of symptoms, many of which are non-respiratory.
- Recognizing these diverse symptoms is vital for accurate diagnosis and timely intervention.
- Addressing diaphragmatic dysfunction can potentially mitigate risks of increased mortality and morbidity associated with related pathological conditions.
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