Breathlessness — The Sense of Respiratory Muscle Effort

  • Kieran J. Killian
Part of the Wenner-Gren Center International Symposium Series book series (WGS)

Abstract

The sensation of breathlessness is so commonly linked to disorders of the heart, lungs and neuromuscular systems that its occurence in normal people is neglected. Meakins (27, 28) reasoned that breathlessness was the perception of respiratory muscle effort and as such was quantitative “occurring in normal subjects and athletes”. Despite: (1) the simplicity of this hypothesis; (2) its ability to explain the occurence of breathlessness in both health and disease; (3) its ability to explain all the circumstances in which breathlessness occurs; there have been few attempts to establish its validity.

Keywords

Fatigue 

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References

  1. 1.
    Borg, G. (1982). Psychophysical bases of perceived exertion. Med. Sci. Sports Exercise, 14, 377–381.Google Scholar
  2. 2.
    Borg, G., and Noble, B. (1974). Perceived Exertion. In Exercise and Sports Sciences Reviews. (ed. J.H. Wilmore). Academic Press, New York. 2, 131–153.Google Scholar
  3. 3.
    Burdon, J.G.W., Killian, K.J., and Campbell, E.J.M. (1982). The effect of ventilatory drive on the perceived magnitude of added loads to breathing. J. Appl. Physiol., 53, 901–907.PubMedGoogle Scholar
  4. 4.
    Burdon, J.G.W., Juniper, E.F., Killian, K.J., Hargreave, F.E. and Campbell, E.J.M. (1982). Perception of breathlessness in asthma. Am. Rev. Resp. Dis., 126, 825–828.PubMedGoogle Scholar
  5. 5.
    Burki, N.K. (1979). Breathlessness and mouth occlusion pressure in patients with chronic obstruction of the airways. Chest, 76., 527–531.PubMedCrossRefGoogle Scholar
  6. 6.
    Campbell, E.J.M., Godfrey, S., Clark, T.J.H., Freedman, S., and Norman, J. (1969). The effect of muscular paralysis induced by tubocurarine on the duration and sensation of breath-holding during hypercapnia. Clin. Sci., 36, 323–328.PubMedGoogle Scholar
  7. 7.
    Campbell, E.J.M., Gandevia, S.C., Killian, K.J., Mahutte, C.K. and Rigg, J.R.A. (1980). Changes in the perception of inspiratory resistive load during partial curarization. J. Physiol., 309, 93–100.PubMedPubMedCentralCrossRefGoogle Scholar
  8. 8.
    El-Manshawi, A., Killian, K.J., Summers, E. and Jones, N.L. (1984). Breathlessness during exercise with and without respiratory loading. Clinical and Investigative Medicine, 7, Supp.2:81.Google Scholar
  9. 9.
    Galanter, E. Contemporary Psychophysics. (1962). In New Directions in Psychology. Holt, New York.Google Scholar
  10. 10.
    Gandevia, S.C., Killian, K.J. and Campbell, E.J.M. (1981). The effect of respiratory muscle fatigue on respiratory sensations. Clin. Sci., 60, 463–466.PubMedCrossRefGoogle Scholar
  11. 11.
    Gandevia, S.C., McCloskey, D.I. (1977). Changes in motor commands, as shown by changes in perceived heaviness, during partial curarization and peripheral muscle anaesthesia in man. J. Physiol., London. 272, 673–689.CrossRefGoogle Scholar
  12. 12.
    Jones, G.L., Killian, K.J., Summers E., Jones, N.L. (1985). Inspiratory muscle forces and endurance in maximum resistive loading. J. Appl. Physiol., 58, 1608–1615.PubMedGoogle Scholar
  13. 13.
    Killian, K.J., Gandevia, S.C., Summers, E. and Campbell, E.J.M. (1984). Effect of increased lung volume on perception of breathlessness, effort and tension. J. Appl. Physiol., 57 686–691.PubMedGoogle Scholar
  14. 14.
    Killian, K.J., Bucens, D.D. and Campbell, E.J.M. (1982). The effect of patterns of breathing on the perceived magnitude of added loads to breathing. J. Appl. Physiol., 52, 578–584.PubMedGoogle Scholar
  15. 15.
    Killian, K.J., Campbell, E.J.M. (1983). Dyspnea and Exercise. Ann. Rev. Physiol., 45, 465–479.CrossRefGoogle Scholar
  16. 16.
    Killian, K.J., and Jones, N.L. (1984). The use of exercise testing and other methods in the investigation of dyspnea. Clinics in Chest Medicine, 5, 1, 99–108.PubMedGoogle Scholar
  17. 17.
    Killian, K.J., Summers, E., Basalygo, M. and Campbell E.J.M. (1985). Effect of frequency on the perceived magnitude of added loads to breathing. J. Appl. Physiol. 58, 1616–1621.PubMedGoogle Scholar
  18. Leblanc, P., Bowie, D.M., Summers, E., Jones, N.L. and Killian, K.J. (1985). Breathlessness and exercise in patients with cardiorespiratory disease. Am. Rev. Respir. Dis., In Press.Google Scholar
  19. 19.
    Leblanc, P., Bowie, D.M., Killian, K.J., Summers, E. and Campbell, E.J.M. (1984). Usefulness of determination of esophageal pressure in evaluation of breathlessness in normal subjects. Fed. Proc. 43, 850.Google Scholar
  20. 20.
    Leblanc, P., Liao, Mei-Lin, Jones, N.L. and Killian, K.J. (1985). Relationship between FEV 1 and exercise capacity. Am. Rev. Respir. Dis., 131, 4, A308.Google Scholar
  21. 21.
    Leblanc, P., Bowie, D.M., Killian, K.J. (1985). Breathlessness in normal subjects during exercise. Am. Rev. Respir. Dis., 131, 4, A308.Google Scholar
  22. 22.
    Lewes G.H. (1879). Motor feelings and the muscular sense. Brain 1, 14–28.CrossRefGoogle Scholar
  23. 23.
    Marks, L.E. Sensory Processes. The New Psychophysics. (1974). Academic Press, New York, 334.Google Scholar
  24. 24.
    Martin, D.H., Bowie, D.M., Summers, E., Killian, K.J. (1985). Respiratory muscle strength and its relation to breathlessness. Am. Rev. Respir. Dis., 131, 4, A308.Google Scholar
  25. 25.
    Martin, D.H., Summers, E., Killian, K.J. (1985). The contribution of maximum inspiratory pressure (MIP) to exercise performance in patients referred for exercise testing. Am. Rev. Respir. Dis., 131, 4, A347.Google Scholar
  26. 26.
    Matthews, P.B.C. (1982). Where does Sherrington’s ‘Muscular Sense’ originate? Muscles, joints, corollary discharge? Ann. Rev. Neurosci. 5, 189–218.PubMedCrossRefGoogle Scholar
  27. 27.
    Meakins J.M. (1923). The cause and treatment of dyspnea in cardio-vascular disease. B. Med. J., 1, 1043–1055.CrossRefGoogle Scholar
  28. 28.
    Meakins, J.M. (1934). Dyspnea. J. Am. Med. Assn., 103, 1442–1445.CrossRefGoogle Scholar
  29. 29.
    McCloskey, D.I. (1978). Kinesthetic sensibility. Physiol. Rev., 58, 763–820.PubMedGoogle Scholar
  30. 30.
    O’Connell, J.M. and Campbell, A.H. (1976). Respiratory mechanics in airway obstruction associated with inspiratory dyspnea. Thorax, 31, 669–677.PubMedPubMedCentralCrossRefGoogle Scholar
  31. 31.
    Roland, P.E. and Ladegaard-Pederson, H. (1977). A quantitative analysis of sensations of tension and kinaesthesia in man. Evidence for peripherally originating muscular sense and for a sense of effort. Brain, 100, 671–692.PubMedGoogle Scholar
  32. 32.
    Roland, P.E. (1978). Sensory feedback to the cerebral cortex during voluntary movement in man. Behavioural and Brain Sciences, 1, 129–171.CrossRefGoogle Scholar
  33. 33.
    Schmidt, Robert F. (1981). Fundamentals of Sensory Physiology. Springer-Verlag, New York.CrossRefGoogle Scholar
  34. 34.
    Sherrington, C.S. (1900). The muscular sense. In Textbook Physiology. 2, (ed. E.A. Shafer). Edinburgh. 1002–1025.Google Scholar

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© The Wenner-Gren Center 1986

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  • Kieran J. Killian

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