The Respiratory Pump Structure And Function of Breathing

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The Respiratory Pump Structure And Function of
Breathing

• John W. Morlock, D.O., F.A.C.O.I.
• Associate Clinical Professor MSUCOM

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The Respiratory Pump

• To consider the Respiratory System Without Its
  Pump, is to consider the Cardiovascular system
  Without the Heart.

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Respiratory Pump Heart

• Length/Tension
• Force Generation
• Force/Frequency
• Force/Velocity
• Rhythm
• Compliance

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Muscles of Ventilation
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COPD - Hyperinflation

• Limits Subatmospheric Pressure Generation Resp Mm
• 2. Increases the Load Resp Mm

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If compliance (?V/?P) is ?

• ? Inspiratory Mm Force
• ? Inspiratory Time
• ? Maximal Pressures
• ? Respiratory Frequency
• Improved Interaction/Coordination among muscles
  with Respiratory Function

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High Intermuscular Tension Limits Muscular
Perfusion Leading to Failure
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Pulmonary Osteopathic Evaluation

• Rib Motion
• Ability of Spine to straighten with inspiration
• Diaphragmatic Motion
• Accessory Muscle Status

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Goals of Osteopathic Approach to Obstructive Lung
Disease

• Improve lymphatic venous flow
• Improve Arterial Circulation
• Ease Removal of Bronchial Secretions Phlegm
• Decrease the work of breathing

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Respiratrace
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Impedence Plethysmography
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Emg Accessory Mm (M. Katagiri, et. al.,
Respiratory Medicine 2003, 97)
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Neck Abdominal Muscle Activity During a Sniff
(M. Katagiri, et. al., Respiratory Medicine 2003,
97)
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Treatment for Elevated Right First Rib
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Rib Palpation Test
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Thoracic Pump
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Doming of the Diaphragm Technique
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Rib Raising (Ward)
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MET Treatment of Scalene Anticus
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