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Clinical Research on Dyspnea
Author Bios
What is Dyspnea?
What Provokes Dyspnea?
The Nature of Dyspnea
Language of Dyspnea
Clinical Application
Research Application
Variability in Sensations
Challenges in Study
Currently selected section: Mechanical Loads and Sense of Effort
Chemoreceptors
Mechanoreceptors
Neuro-Mechanical Dissociation
Phase of Respiration and Dyspnea
Physiology of Dyspnea
Respiratory System
Cardiovascular System
Measuring Dyspnea
Scaling Issues
Qualitative Aspects
Reliability and Validity Overview
Reliability and Validity
Sensitivity and Specificity
Scales
Sensation vs. Perception vs. Symptom
Treating Dyspnea
Why Measure?
Cluster Analysis
Statistical vs. Clinical Significance
Standard Error of Measurement
Measuring Fatigue
Measuring Depression
Measuring Anxiety and Hyperventilation
Measuring Quality of Life
Conclusion

 

Chapter 23: Dyspnea: Physiology of Dyspnea: Mechanical Loads and Sense of Effort
        

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As subjects became acutely hypercapnic, the sense of effort to maintain the ventilation target diminished while the sensation of breathlessness increased. Breathlessness and effort in this experimental model were dissociated. These results suggest that reflex stimulation of the ventilatory muscles via activation of respiratory neurons in the brainstem does not produce the same "corollary discharge" to the sensory cortex as does voluntary activation of the ventilatory muscles via the cortex; hence, the two conditions are perceived differently.

Figure 9.1: The Mean Change in Effort and Breathlessness Rating for Each Subject for Conditions A (PCO2 = 40) and B (PCO2 = 50)
Graphic depiction of the mean change in effort and breathlessness rating, described in text.
Official Journal of the American Thoracic Society. Copyright American Lung Association. Reprinted with permission.

 

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