Respiratory muscle testing, modern possibilities. Сlinical cases
https://doi.org/10.33667/2078-5631-2025-31-32-36
Abstract
The respiratory muscles are a vital component of the respiratory system. The most available diagnostic tools in clinical practice for the functional examination of the respiratory muscles are measurement of pulmonary volumes, assessment of the maximum inspiratory and expiratory pressures, phrenic nerve conduction studies, as well as radiographic and ultrasound methods. The ability to carry out gas exchange mainly depends on a «breathing pump» that moves air into and out of the lungs. The respiratory muscles, an integral and vital component of the respiratory process, serve as an important link between the various components of the «respiratory pump», which consists of the respiratory center, peripheral nerves, chest wall and lungs. To ensure effective breathing, all these links must be well coordinated. The most common methods for assessing the function of the respiratory muscles in various diseases and injuries are discussed in the article. The authors consider a number of widely used functional tests that can be applied in clinical practice or scientific research, pay special attention to the assessment of the respiratory muscles strength, as well as phrenic nerve conduction studies, provide clinical cases.
About the Authors
O. I. Savushkina
Main Military Clinical Hospital named after academician N.N. Burdenko; Pulmonology Scientific Research Institute
Russian Federation
Russian Federation
Olga I. Savushkina – PhD, Head of the Department of External Respiratory Function Research, Center for Functional Diagnostic Research, Senior Researcher, Laboratory of Clinical Pulmonology, Federal Pulmonology Researcher
Moscow
E. V. Kuzmina
Main Military Clinical Hospital named after academician N.N. Burdenko
Russian Federation
Russian Federation
Ekaterina R. Kuzmina – PhD, Doctor of External Respiratory Function Research, Center for Functional Diagnostic Research
Moscow
L. U. Komolova
Main Military Clinical Hospital named after academician N.N. Burdenko
Russian Federation
Russian Federation
Liudmila U. Komolova – Head of the Office of intraoperative neurophysiological monitoring of the Neurosurgical Center
Moscow
O. V. Fesenko
Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation; Main Military Clinical Hospital named after academician N.N. Burdenko
Russian Federation
Russian Federation
Oxana V. Fesenko – MD, Chair professor of the Pulmonology Department; Pulmonologist-consultan
Moscow
M. M. Malashenko
Main Military Clinical Hospital named after academician N.N. Burdenko
Russian Federation
Russian Federation
Maria M. Malashenko – PhD, Head of the Physiotherapy Department
Moscow
E. V. Kryukov
Kirov Military Medical Academy
Russian Federation
Russian Federation
Evgeniy V. Kryukov – MD, Professor, Аcademician of the RAS, Chief
Saint Petersburg
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Review
For citations:
Savushkina O.I., Kuzmina E.V., Komolova L.U., Fesenko O.V., Malashenko M.M., Kryukov E.V. Respiratory muscle testing, modern possibilities. Сlinical cases. Medical alphabet. 2025;(31):32-36. (In Russ.) https://doi.org/10.33667/2078-5631-2025-31-32-36
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