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Considerations when testing and training the respiratory muscles

W D Reid1, G Dechman

  • 1Division of Physical Therapy, School of Rehabilitation Sciences, University of British Columbia, Vancouver, Canada.

Physical Therapy
|November 1, 1995
PubMed
Summary
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Understanding respiratory muscle dysfunction is key for physical therapists. This review details respiratory muscles, dysfunction causes, and training principles for patients with breathing issues.

Area of Science:

  • Physiology
  • Physical Therapy

Background:

  • Respiratory muscles, including the diaphragm, are vital for breathing.
  • Pathophysiology and systemic issues can lead to inspiratory muscle weakness and fatigue.

Purpose of the Study:

  • To review respiratory muscles, their dysfunction mechanisms, and unique features.
  • To guide the design of testing and training protocols for patients with respiratory compromise.
  • To describe the specificity of training principle for respiratory muscle training.

Main Methods:

  • Literature review focusing on respiratory muscle physiology and training.
  • Analysis of mechanisms causing respiratory muscle dysfunction.
  • Examination of the diaphragm's unique functional determinants.

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Main Results:

  • Respiratory muscle dysfunction can stem from pathophysiology and systemic abnormalities.
  • The diaphragm's unique shape influences its function.
  • Specific training principles are crucial for patients with respiratory compromise.

Conclusions:

  • A deeper understanding of inspiratory muscle dysfunction aids physical therapists in program design.
  • Scientifically-based guidelines for rehabilitation of patients with impaired respiratory function are provided.
  • This review emphasizes the importance of tailored respiratory muscle training protocols.