Idiopathic diaphragmatic paralysis--satisfactory improvement of inspiratory muscle function by inspiratory muscle training

Respir Physiol Neurobiol. 2009 Feb 28;165(2-3):266-7. doi: 10.1016/j.resp.2008.11.010. Epub 2008 Dec 7.


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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Breathing Exercises*
  • Humans
  • Inhalation / physiology*
  • Male
  • Phrenic Nerve / physiology
  • Positive-Pressure Respiration
  • Pulmonary Gas Exchange
  • Respiratory Muscles / innervation
  • Respiratory Muscles / physiology*
  • Respiratory Paralysis / physiopathology
  • Respiratory Paralysis / therapy*