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Respiratory pattern changes during costovertebral joint movement

R Shannon

    Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology
    |May 1, 1980
    PubMed
    Summary
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    Costovertebral joint manipulation (CVJM) can alter respiratory patterns by stimulating joint mechanoreceptors. This stimulation influences phrenic nerve activity and respiratory rate, potentially via the brainstem

    Area of Science:

    • Respiratory Physiology
    • Neuroscience
    • Musculoskeletal Research

    Background:

    • The influence of costovertebral joint manipulation (CVJM) on respiratory control is not fully understood.
    • Investigating the neural pathways involved in respiratory pattern generation is crucial for understanding respiratory control mechanisms.

    Purpose of the Study:

    • To determine if costovertebral joint manipulation (CVJM) can influence respiratory patterns.
    • To investigate the role of joint mechanoreceptors in respiratory control.

    Main Methods:

    • Phrenic efferent activity (PA) was monitored in anesthetized, vagotomized, paralyzed, and artificially ventilated dogs.
    • Specific surgical procedures isolated the costovertebral joint nerve supply.
    • Manual joint movements and chest compressions were applied to stimulate joint receptors.

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    Main Results:

    • Manual costovertebral joint movement inhibited phrenic efferent activity (PA).
    • Sustained joint displacement prolonged the inhibition of PA.
    • CVJM synchronized with PA increased respiratory rate.
    • Inspiratory inhibition was observed with manual chest compression in spontaneously breathing dogs.

    Conclusions:

    • Costovertebral joint manipulation influences respiratory patterns through the stimulation of joint mechanoreceptors.
    • These mechanoreceptors exert their influence on the medullary-pontine rhythm generator.
    • Findings suggest a neural connection between costovertebral joints and respiratory control centers.