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. 1981 Mar;36(3):164–168. doi: 10.1136/thx.36.3.164

Contractile properties and fatigue of the diaphragm in man.

J Moxham, A J Morris, S G Spiro, R H Edwards, M Green
PMCID: PMC471468  PMID: 7281080

Abstract

We studied the pressure developed by the diaphragm in response to stimulation of the phrenic nerve in the neck, in three normal men. When the phrenic was electrically stimulated at increasing frequencies the diaphragm responded by increasing transdiaphragmatic pressure to give a frequency-pressure curve similar to the frequency-force curve for other skeletal muscles. The subjects than breathed through an inspiratory resistance for as long as possible and the frequency-pressure curve was repeated. It was found that the diaphragm developed low frequency fatigue, in the same way as previously described for other muscles. We conclude that the diaphragm has contractile properties similar to these of other skeletal muscles. Low frequency fatigue of the diaphragm could contribute to respiratory failure in patients with lung disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. AGOSTONI E., RAHN H. Abdominal and thoracic pressures at different lung volumes. J Appl Physiol. 1960 Nov;15:1087–1092. doi: 10.1152/jappl.1960.15.6.1087. [DOI] [PubMed] [Google Scholar]
  2. Adrian E. D., Bronk D. W. The discharge of impulses in motor nerve fibres: Part I. Impulses in single fibres of the phrenic nerve. J Physiol. 1928 Sep 18;66(1):81–101. doi: 10.1113/jphysiol.1928.sp002509. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Edwards R. H., Hill D. K., Jones D. A., Merton P. A. Fatigue of long duration in human skeletal muscle after exercise. J Physiol. 1977 Nov;272(3):769–778. doi: 10.1113/jphysiol.1977.sp012072. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Edwards R. H. Physiological analysis of skeletal muscle weakness and fatigue. Clin Sci Mol Med. 1978 May;54(5):463–470. doi: 10.1042/cs0540463. [DOI] [PubMed] [Google Scholar]
  5. Edwards R. H., Young A., Hosking G. P., Jones D. A. Human skeletal muscle function: description of tests and normal values. Clin Sci Mol Med. 1977 Mar;52(3):283–290. doi: 10.1042/cs0520283. [DOI] [PubMed] [Google Scholar]
  6. Gross D., Grassino A., Ross W. R., Macklem P. T. Electromyogram pattern of diaphragmatic fatigue. J Appl Physiol Respir Environ Exerc Physiol. 1979 Jan;46(1):1–7. doi: 10.1152/jappl.1979.46.1.1. [DOI] [PubMed] [Google Scholar]
  7. Jones D. A., Bigland-Ritchie B., Edwards R. H. Excitation frequency and muscle fatigue: mechanical responses during voluntary and stimulated contractions. Exp Neurol. 1979 May;64(2):401–413. doi: 10.1016/0014-4886(79)90279-6. [DOI] [PubMed] [Google Scholar]
  8. Lindstrom L., Magnusson R., Petersén I. Muscular fatigue and action potential conduction velocity changes studied with frequency analysis of EMG signals. Electromyography. 1970 Nov-Dec;10(4):341–356. [PubMed] [Google Scholar]
  9. MILIC-EMILI J., MEAD J., TURNER J. M., GLAUSER E. M. IMPROVED TECHNIQUE FOR ESTIMATING PLEURAL PRESSURE FROM ESOPHAGEAL BALLOONS. J Appl Physiol. 1964 Mar;19:207–211. doi: 10.1152/jappl.1964.19.2.207. [DOI] [PubMed] [Google Scholar]
  10. Macklem P. T., Roussos C. S. Respiratory muscle fatigue: a cause of respiratory failure? Clin Sci Mol Med. 1977 Nov;53(5):419–422. doi: 10.1042/cs0530419. [DOI] [PubMed] [Google Scholar]
  11. Moulds R. F., Young A., Jones D. A., Edwards R. H. A study of the contractility, biochemistry and morphology of an isolated preparation of human skeletal muscle. Clin Sci Mol Med. 1977 Mar;52(3):291–297. doi: 10.1042/cs0520291. [DOI] [PubMed] [Google Scholar]
  12. Moxham J., Wiles C. M., Newham D., Edwards R. H. Sternomastoid muscle function and fatigue in man. Clin Sci (Lond) 1980 Dec;59(6):463–468. doi: 10.1042/cs0590463. [DOI] [PubMed] [Google Scholar]
  13. Roussos C. S., Macklem P. T. Diaphragmatic fatigue in man. J Appl Physiol Respir Environ Exerc Physiol. 1977 Aug;43(2):189–197. doi: 10.1152/jappl.1977.43.2.189. [DOI] [PubMed] [Google Scholar]

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