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July 1, 2001Journal of Applied PhysiologyOpen Access

Respiratory abdominal muscle recruitment and chest wall motion in myotonic muscular dystrophy

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Key result

Myotonic muscular dystrophy was associated with twice the abdominal muscle EMG activity compared to controls at the same inspiratory pressure, alongside asynchronous chest wall motion.

Why the study?

How does abdominal muscle recruitment and chest wall motion during inspiratory resistance breathing differ between subjects with myotonic muscular dystrophy and normal controls?

Population

20 subjects: 10 with myotonic muscular dystrophy (MMD) and 10 normal control subjects.

Comparison

Increasing levels of inspiratory resistance… vs Normal control subjects

Design

Case-control

Authors

VUViviane UgaldeBrain Injury Association of AmericaSWSandra A. WalshBeaumont HospitalRARichard T. AbreschCarter Center

Discussion

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Implication

May indicate compensatory mechanisms in myotonic dystrophy; hypothesis-generating for respiratory outcomes, with no practice change warranted.

Study Design

Type

Case-Control (n=20)

Structured PICO

How does abdominal muscle recruitment and chest wall motion during inspiratory resistance breathing differ between subjects with myotonic muscular dystrophy and normal controls?

P
Population
20 subjects (10 with myotonic muscular dystrophy and 10 healthy controls) evaluated for respiratory abdominal muscle recruitment and chest wall motion.
E
Exposure
Increasing levels of inspiratory resistance breathing
C
Comparator
Normal control subjects
O
Outcome
Abdominal muscle recruitment (EMG activity), chest wall motion, and end-expiratory lung volume (EELV)surrogate

Subjects with myotonic muscular dystrophy exhibit altered abdominal muscle recruitment and chest wall motion during inspiratory resistance breathing compared to normal controls.

Cite This Study

Ugalde et al. (2001) conducted a case-control in Myotonic muscular dystrophy (n=20). Myotonic muscular dystrophy vs. Healthy controls was evaluated on Abdominal muscle recruitment (EMG activity) and chest wall motion. Myotonic muscular dystrophy was associated with twice the abdominal muscle EMG activity compared to controls at the same inspiratory pressure, alongside asynchronous chest wall motion.

synapsesocial.com/papers/6a9c488157420109d4cb06aehttps://doi.org/10.1152/jappl.2001.91.1.395
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Regulation of end-expiratory lung volume during exercise1988 · 257 citations
  2. 2Regional differences in abdominal muscle activity during various maneuvers in humans1981 · 115 citations