Mechanism of rib cage inspiratory muscle recruitment in diaphragmatic paralysis. 1989

V Ninane, and G A Farkas, and R Baer, and A de Troyer
Respiratory Research Unit, Erasme University Hospital, Brussels, Belgium.

Paralysis of the diaphragm promotes an increase in the activation of the rib cage inspiratory muscles, and previous studies have suggested that this compensation is primarily due to vagal mechanisms (6). To test this hypothesis, we have assessed the effect of diaphragmatic paralysis on the electrical response of 19 parasternal intercostal muscles in eight anesthetized, vagotomized, spontaneously breathing dogs in the supine posture. Complete diaphragmatic paralysis was induced by section of the C5, C6, and C7 phrenic nerve roots in the neck. With the animals breathing room air, diaphragmatic paralysis resulted in a mean 94% increase in the peak height of integrated parasternal activity (p less than 0.001) associated with a 14 mm Hg decrease in arterial PO2 (p less than 0.05) and an 8 mm Hg increase in arterial PCO2 (p less than 0.001). The augmented parasternal activity was unrelated to the duration of inspiration and persisted when the animals were given a hyperoxic gas mixture. Thus the rib cage inspiratory muscles still compensate for diaphragmatic paralysis in the absence of vagal signals and of hypoxemia. This compensation probably results from the considerably augmented CO2 load placed on the extradiaphragmatic muscles.

UI MeSH Term Description Entries
D007366 Intercostal Muscles Respiratory muscles that arise from the lower border of one rib and insert into the upper border of the adjoining rib, and contract during inspiration or respiration. (From Stedman, 25th ed) Intercostal Muscle,Muscle, Intercostal,Muscles, Intercostal
D009431 Neural Conduction The propagation of the NERVE IMPULSE along the nerve away from the site of an excitation stimulus. Nerve Conduction,Conduction, Nerve,Conduction, Neural,Conductions, Nerve,Conductions, Neural,Nerve Conductions,Neural Conductions
D010791 Phrenic Nerve The motor nerve of the diaphragm. The phrenic nerve fibers originate in the cervical spinal column (mostly C4) and travel through the cervical plexus to the diaphragm. Nerve, Phrenic,Nerves, Phrenic,Phrenic Nerves
D011999 Recruitment, Neurophysiological The spread of response if stimulation is prolonged. (Campbell's Psychiatric Dictionary, 8th ed.) Recruitment, Motor Unit,Motor Unit Recruitment,Neurophysiological Recruitment
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D012133 Respiratory Paralysis Complete or severe weakness of the muscles of respiration. This condition may be associated with MOTOR NEURON DISEASES; PERIPHERAL NERVE DISEASES; NEUROMUSCULAR JUNCTION DISEASES; SPINAL CORD DISEASES; injury to the PHRENIC NERVE; and other disorders. Diaphragmatic Paralysis,Paralysis, Respiratory Muscle,Muscle Paralyses, Respiratory,Muscle Paralysis, Respiratory,Paralysis, Diaphragmatic,Paralysis, Respiratory,Respiratory Muscle Paralysis
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D014628 Vagotomy The interruption or removal of any part of the vagus (10th cranial) nerve. Vagotomy may be performed for research or for therapeutic purposes. Vagotomies

Related Publications

V Ninane, and G A Farkas, and R Baer, and A de Troyer
October 1985, The American review of respiratory disease,
V Ninane, and G A Farkas, and R Baer, and A de Troyer
September 1986, The American review of respiratory disease,
V Ninane, and G A Farkas, and R Baer, and A de Troyer
March 1988, Journal of applied physiology (Bethesda, Md. : 1985),
V Ninane, and G A Farkas, and R Baer, and A de Troyer
August 1989, The Journal of laboratory and clinical medicine,
V Ninane, and G A Farkas, and R Baer, and A de Troyer
February 2009, Respiratory physiology & neurobiology,
V Ninane, and G A Farkas, and R Baer, and A de Troyer
September 1988, Journal of applied physiology (Bethesda, Md. : 1985),
V Ninane, and G A Farkas, and R Baer, and A de Troyer
May 1993, Journal of applied physiology (Bethesda, Md. : 1985),
V Ninane, and G A Farkas, and R Baer, and A de Troyer
June 1979, Journal of applied physiology: respiratory, environmental and exercise physiology,
V Ninane, and G A Farkas, and R Baer, and A de Troyer
July 1994, Respiration physiology,
V Ninane, and G A Farkas, and R Baer, and A de Troyer
May 1981, Respiration physiology,
Copied contents to your clipboard!