Abstract
Although the effects of hyperinflation on the expiratory muscle are still poorly understood, it is generally accepted that it adversely affects the function of inspiratory muscle,1–2 due to shortening of these muscles which places them at a disadvantageous portion of their force-length relationship. Moreover, changes in diaphragmatic geometry,3 changes in the mechanical arrangement between the two parts of diaphragm,4 and changes in diaphragm-rib cage interaction occur.5 Much less, however, is presently known about the effects of hyperinflation on the extradiaphragmatic musculature, which contributes significantly to respiratory acts, even to quiet breathing in man,6–7 as well as in experimental animals.8–9
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Decramer M., Demedts M., Rochette F., Billiet L.: Maximal transrespiratory pressures in obstructive lung disease. Bull. Eur. Physiopathol. Respir. 1980; 16:479–490
Rochester D.F., Braun N.M.T.: Determinants of maximal inspiratory pressure in chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1985; 132:42–47
Roussos C., Macklem P.T.: The respiratory muscles. New Engl. J. Med. 1982; 307:786–797.
Decramer M., De Troyer A., Kelly S., Macklem P.T.: Mechanical arrangement of costal and crural diaphragms in dogs. J. Appl. Physiol. 1984; 56:1484–1490
Zocchi L., Garzaniti N., Newman S., Macklem PT.: Effect of hyperinflation and equalization of abdominal pressure on diaphragmatic action. J. Appl. Physiol. 1987; 62:1655–1664
De Troyer A., Sampson M.: Activation of the parasternal intercostals during breathing efforts in human subjects. J. Appl. Physiol. 1982; 52:524–529
De Troyer A., Estenne M.: Coordination between rib cage muscles and diaphragm during quiet breathing in humans. J. Appl. Physiol. 1984; 57:899–906
Decramer M., De Troyer A. Respiratory changes in parasternal intercostal length. J. Appl. Physiol. 1984;57:1254–1260
De Troyer A., Ninane V.: The triangularis sterni: a primary muscle of breathing in the dog. J. Appl. Physiol. 1986;60:14–21
Supinsky G.S., Kelsen S.G.: Effect of elastase-induced emphysema on the force generating of the diaphragm. J. Clin. Invest. 1982; 70:978–988
Farkas G.A., Roussos C: Adaptability of the hamster diaphragm to exercise and/or emphysema. J. Appl. Physiol. 1982; 53:1263–1272
Farkas G.A., Roussos C: Diaphragm in emphysematous hamsters: sarcomere adaptability. J. Appl. Physiol. 1983; 54:1635–1640
Oliven A., Supinsky G.S., Kelsen S.G.: Functional adaptation of diaphragm to chronic hyperinflation in emphysematous hamsters. J. Appl. Physiol. 1986; 60:225–231
Arora N.S., Rochester D.F.: COPD and human diaphragm muscle dimensions. Chest 1987; 91:719–724
Decramer M., Jiang T.X., Reid M.B., Kelly S., Macklem P.T., Demedts M.: Relationship between diaphragm length and abdominal dimensions. J. Appl. Physiol. 1986; 61:1815–1820
Decramer M., Jiang T.X., Demedts M.: Effects of acute hyperinflation on inspiratory muscle. J. Appl. Physiol. 1987; 63:1493–1498
Jiang T.X., De Schepper K., Demedts M., Decramer M.: Effects of acute hyperinflation on the mechanical effectiveness of the parasternal intercostals. Am. Rev. Respir. Dis. 1989; 139 (2): 522–528
Farkas G.A., Decramer M., Rochester D.F., De Troyer A.: Contractile properties of intercostal muscles and their functional significance. J. Appl. Physiol. 1985; 59:528–535
Leenaerts P., Demedts M., Decramer M.: Respiratory changes in parasternal intercostal intramuscular pressure. (abstract). Fed. Proc. 1987; 46:819
Farkas G.A., Rochester D.F.: Contractile characteristics and operating lengths of canine neck inspiratory muscles. J. Appl. Physiol. 1986; 61:220–226
Goldman M.D., Loh L., Sears T.A.: The respiratory activity of human levator costae muscles and its modification by posture. J. Physiol. (Lond.) 1985; 362:189–204
Gilmartin J., Ninane V., De Troyer A. : Abdominal muscle use during breathing in the anesthetized dog. Respir. Physiol. 1987; 70:159–171
Rinqvist T.: The ventilatory capacity in healthy subjects. Scand. J. Clin. Lab. Invest. 1966; 18(Supplement 88):1–113
Rahn H., Otis A.B., Chadwick C.A, Fenn W.: The pressure volume diagram of the thorax and the lung. Am. J. Physiol. 1946; 146:161–178
Camus P., Desmeules M. J.: Chest wall movements and breathing pattern at different lung volumes (abstract). Chest 1982; 243
Wolfson D.A., Strohl K.P., Dimarco A.F., Altose M.D.: Effects of an increase in end-expiratory volume on the pattern of thoracoabdominal movement. Respir. Physiol. 1983; 53:273–283
Sharp J.T., Goldberg N.B., Druz W.S., Fishman H.C, Danon J.: Thoracoabdominal motion in chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1977; 115:47–56
Gilmartin J.J., Gibson G.J.: Abnormalities of chest wall motion in patients with chronic airflow obstruction. Thorax 1984; 39:264–271
Gilmartin J.J., Gibson G.J.: Mechanisms of paradoxical rib cage motion in patients with obstructive pulmonary disease. Am. Rev. Respir. Dis. 1986; 134: 683–687
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Italia
About this paper
Cite this paper
Decramer, M. (1991). Effects of Hyperinflation on Respiratory Muscle Function. 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_11
Download citation
DOI: https://doi.org/10.1007/978-1-4471-3782-5_11
Publisher Name: Springer, London
Print ISBN: 978-1-4471-3784-9
Online ISBN: 978-1-4471-3782-5
eBook Packages: Springer Book Archive