title: Idiopathic diaphragmatic paralysis--satisfactory improvement of inspiratory muscle function by inspiratory muscle training.
abstract: Daily inspiratory muscle strength and endurance training (IMT) was performed in a 44-year-old patient with idiopathic bilateral diaphragmatic paralysis (BDP) in addition to nocturnal non-invasive ventilation (NIV). After 4 months of training inspiratory muscle function improved satisfactorily whereas phrenic nerve latency remained pathological. Due to the improvement of inspiratory muscle capacity nocturnal NIV could be stopped without inducing nocturnal respiratory insufficiency.
authors.affiliation: Pulmonary Department, Hietzing Hospital, Wolkensbergenstrasse 1, Vienna, Austria. milos.petrovic@wienkav.at
authors.forename: M
authors.initials: M
authors.lastname: Petrovic
authors.forename: H
authors.initials: H
authors.lastname: Lahrmann
authors.forename: W
authors.initials: W
authors.lastname: Pohl
authors.forename: T
authors.initials: T
authors.lastname: Wanke
mesh_terms: D000328:Adult; D001945:Breathing Exercises; D006801:Humans; D001239:Inhalation / Q000502:physiology*; D008297:Male; D010791:Phrenic Nerve / Q000502:physiology; D011175:Positive-Pressure Respiration; D011659:Pulmonary Gas Exchange; D012132:Respiratory Muscles / Q000294:innervation / Q000502:physiology*; D012133:Respiratory Paralysis / Q000503:physiopathology / Q000628:therapy*