Activation of the human diaphragm during a repetitive postural task
Open accessAbstract
The co‐ordination between respiratory and postural functions of the diaphragm was investigated during repetitive upper limb movement. It was hypothesised that diaphragm activity would occur either tonically or phasically in association with the forces from each movement and that this activity would combine with phasic respiratory activity. Movements of the upper limb and ribcage were measured while standing subjects performed repetitive upper limb movements ‘as fast as possible’. Electromyographic (EMG) recordings of the costal diaphragm were made using intramuscular electrodes in four subjects. Surface electrodes were placed over the deltoid and erector spinae muscles. In contrast to standing at rest, diaphragm activity was present throughout expiration at 78 ± 17% (mean ± s.d.) of its peak inspiratory magnitude during repeated upper limb movement. Bursts of deltoid and erector spinae EMG activity occurred at the limb movement frequency (≈2.9 Hz). Although the majority of diaphragm EMG power was at the respiratory frequency (≈0.4 Hz), a peak was also present at the movement frequency. This finding was corroborated by averaged EMG activity triggered from upper limb movement. In addition, diaphragm EMG activity was coherent with ribcage motion at the respiratory frequency and with upper limb movement at the movement frequency. The diaphragm response was similar when movement was performed while sitting. In addition, when subjects moved with increasing frequency the peak upper limb acceleration correlated with diaphragm EMG amplitude. These findings support the argument that diaphragm contraction is related to trunk control. The results indicate that activity of human phrenic motoneurones is organised such that it contributes to both posture and respiration during a task which repetitively challenges trunk posture.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The literature suggests that the diaphragm has a dual role in both respiration and mechanical stabilisation of the spine via increased intra-abdominal pressure.
“The literature suggests that the diaphragm has a dual role in both respiration and mechanical stabilisation of the spine via increased intra- abdominal pressure. 36”
From Physiotherapy assessment of breathing pattern disorder: a qualitative evaluation (2023) · cites this paper as [36]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Movement, posture and equilibrium: Interaction and coordination
Massion, J. (1992) · Progress in Neurobiology · doi:10.1016/0301-0082(92)90034-c · Cited by 1,647 · see citing works
Bergmark, A. (1989) · Acta Orthopaedica Scandinavica · doi:10.3109/17453678909154177 · Cited by 1,180 · see citing works
Feedforward contraction of transversus abdominis is not influenced by the direction of arm movement
Hodges, P. W., & Richardson, C. A. (1997) · Experimental Brain Research · doi:10.1007/pl00005644 · Cited by 620 · see citing works
Self-citationA sequence of postural movements precedes voluntary movement
Bouisset, S., & Zattara, M. (1981) · Neuroscience Letters · doi:10.1016/0304-3940(81)90117-8 · Cited by 512 · see citing works
Aruin, A. S., & Latash, M. (1995) · Experimental Brain Research · doi:10.1007/bf00231718 · Cited by 477 · see citing works
Spinal Stability and Intersegmental Muscle Forces
Panjabi, M. M., Abumi, K., DURANCEAU, J., & Oxland, T. R. (1989) · Spine · doi:10.1097/00007632-198902000-00008 · Cited by 388 · see citing works
Cresswell, A. G., Oddsson, L., & Thorstensson, A. (1994) · Experimental Brain Research · doi:10.1007/bf00228421 · Cited by 377 · see citing works
THE ROLE OF ABDOMINAL PRESSURE IN RELIEVING THE PRESSURE ON THE LUMBAR INTERVERTEBRAL DISCS
Bartelink, D. L. (1957) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.39b4.718 · Cited by 316 · see citing works
Preparatory trunk motion accompanies rapid upper limb movement
Hodges, P. W., Cresswell, A. G., & Thorstensson, A. (1999) · Experimental Brain Research · doi:10.1007/s002210050601 · Cited by 312 · see citing works
Self-citationContraction of the human diaphragm during rapid postural adjustments
Hodges, P. W., Butler, J. E., McKenzie, D. K., & Gandevia, S. C. (1997) · The Journal of Physiology · doi:10.1111/j.1469-7793.1997.539bb.x · Cited by 310 · see citing works
Self-citationPostural adjustments associated with rapid voluntary arm movements 1. Electromyographic data.
Friedli, W. G., Hallett, M., & Simon, S. R. (1984) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.47.6.611 · Cited by 265 · see citing works
Activation of the human diaphragm from the motor cortex.
Gandevia, S. C., & Rothwell, J. C. (1987) · The Journal of Physiology · doi:10.1113/jphysiol.1987.sp016445 · Cited by 251 · see citing works
Self-citationNeural Drive to the Diaphragm in Patients With Severe COPD
Troyer, A. D., Leeper, J. B., McKenzie, D. K., & Gandevia, S. C. (1997) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.155.4.9105076 · Cited by 218 · see citing works
Self-citationThe contribution of the intercostal muscles to the effort of respiration in man
Taylor, A. (1960) · The Journal of Physiology · doi:10.1113/jphysiol.1960.sp006446 · Cited by 199 · see citing works
Intra‐abdominal pressure changes during natural movements in man
Grillner, S., Nilsson, J. E., & Thorstensson, A. (1978) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1978.tb06215.x · Cited by 174 · see citing works
Spinal integration of segmental, cortical and breathing inputs to thoracic respiratory motoneurones
Aminoff, M. J., & Sears, T. A. (1971) · The Journal of Physiology · doi:10.1113/jphysiol.1971.sp009485 · Cited by 159 · see citing works
Proprioceptive innervation of the diaphragm
Corda, M., von Euler, C., & Lennerstrand, G. (1965) · The Journal of Physiology · doi:10.1113/jphysiol.1965.sp007621 · Cited by 158 · see citing works
Spinal respiratory motoneurons
Monteau, R., & Hilaire, G. (1991) · Progress in Neurobiology · doi:10.1016/0301-0082(91)90024-u · Cited by 137 · see citing works
Hemborg, B., MORITZ, U., & Lowing, H. (1985) · Journal of Rehabilitation Medicine · doi:10.2340/1650197785172538 · Cited by 117 · see citing works
The role of intra-abdominal pressure in spinal unloading
Daggfeldt, K., & Thorstensson, A. (1997) · Journal of Biomechanics · doi:10.1016/s0021-9290(97)00096-1 · Cited by 108 · see citing works
Respiratory interneurones in the thoracic spinal cord of the cat.
Kirkwood, P., Munson, J. B., Sears, T. A., & Westgaard, R. H. (1988) · The Journal of Physiology · doi:10.1113/jphysiol.1988.sp016913 · Cited by 104 · see citing works
Extra‐segmental reflexes derived from intercostal afferents: phrenic and laryngeal responses
Remmers, J. E. (1973) · The Journal of Physiology · doi:10.1113/jphysiol.1973.sp010296 · Cited by 98 · see citing works
Excitatory and inhibitory actions on phrenic motoneurones
Gill, P. K., & Kuno, M. (1963) · The Journal of Physiology · doi:10.1113/jphysiol.1963.sp007192 · Cited by 93 · see citing works
Some properties and reflex connexions of respiratory motoneurones of the cat's thoracic spinal cord
Sears, T. A. (1964) · The Journal of Physiology · doi:10.1113/jphysiol.1964.sp007523 · Cited by 92 · see citing works
Respiratory reflexes acting on the diaphragm and inspiratory intercostal muscle of the rabbit.
Sant'Ambrogio, G., & Widdicombe, J. G. (1965) · The Journal of Physiology · doi:10.1113/jphysiol.1965.sp007730 · Cited by 81 · see citing works
Electromyography of the diaphragm in man and transdiaphragmatic pressure
Agostoni, E., Sant'Ambrogio, G., & Carrasco, H. D. P. (1960) · Journal of Applied Physiology · doi:10.1152/jappl.1960.15.6.1093 · Cited by 73 · see citing works
Intercostal and Cerebellar Influences on Efferent Phrenic Activity in the Decerebrate Cat
Décima, E. E., & von Euler, C. (1969) · Acta Physiologica Scandinavica · doi:10.1111/j.1748-1716.1969.tb04459.x · Cited by 67 · see citing works
Changes in outflow to respiratory pump muscles produced by natural vestibular stimulation
Rossiter, C. D., Hayden, N. L., Stocker, S. D., & Yates, B. J. (1996) · Journal of Neurophysiology · doi:10.1152/jn.1996.76.5.3274 · Cited by 63 · see citing works
Role of airway receptors in the reflex responses of human inspiratory muscles to airway occlusion.
Butler, J. E., McKenzie, D. K., Crawford, M. R., & Gandevia, S. C. (1995) · The Journal of Physiology · doi:10.1113/jphysiol.1995.sp020878 · Cited by 44 · see citing works
Self-citationDiaphragm electrical activity during negative lower torso pressure in quadriplegic men
Banzett, R. B., Inbar, G. F., Brown, R., Goldman, M. D., Rossier, A., & Mead, J. (1981) · Journal of Applied Physiology · doi:10.1152/jappl.1981.51.3.654 · Cited by 44 · see citing works
Grélot, L., & Miller, A. (1994) · Physiology · doi:10.1152/physiologyonline.1994.9.3.142 · Cited by 41 · see citing works
Phasic activity in the human erector spinae during repetitive hand movements
Zedka, M., & Procházka, A. (1997) · The Journal of Physiology · doi:10.1111/j.1469-7793.1997.727bd.x · Cited by 36 · see citing works
Reflex compensation of spontaneous breathing when immersion changes diaphragm length
Reid, M. B., Banzett, R. B., Feldman, H. A., & Mead, J. (1985) · Journal of Applied Physiology · doi:10.1152/jappl.1985.58.4.1136 · Cited by 30 · see citing works
The role of the diaphragm in trunk extension in tetraplegia
Sinderby, C. A., Ingvarsson, P. K., Sullivan, L., Wickström, I., & Lindström, L. (1992) · Spinal Cord · doi:10.1038/sc.1992.88 · Cited by 26 · see citing works
Abdominal muscle reflexes of pelvic nerve origin in cats
Yamamoto, S., Araki, K., & Kikuchi, M. (1961) · Experimental Neurology · doi:10.1016/0014-4886(61)90061-9 · Cited by 25 · see citing works
Role of Joint Receptors in Modulation of Inspiratory Intercostals Activity by Rib Motion in Dogs
Troyer, A. D. (1997) · The Journal of Physiology · doi:10.1111/j.1469-7793.1997.445bh.x · Cited by 22 · see citing works
Leith, D. E., Butler, J. P., Sneddon, S. L., & Brain, J. D. (1986) · Comprehensive Physiology · doi:10.1002/cphy.cp030320
Flagged first, then by citations
Research works printed but not linked: 11
- Agostoni E. Action of the respiratory muscles. In: Fenn WO, Rahn H, editors. Handbook of Physiology. Vol. 1. Washington: American Physiological Society; 1964. pp. 377–386. [Google Scholar]
- Bassal M, Bianchi AL, Dussardier M. Effets de la stimulation des structures nerveuses centrales sur l'activité des neurones respiratoires chez le chat. Journal de Physiologie. 1981;77:779–795. [PubMed] [Google Scholar]
- Belen'kii V, Gurfinkel VS, Palt'sev Y. Elements of control of voluntary movements. Biofizika. 1967;12:135–141. [PubMed] [Google Scholar]
- Bendat JS, Piersol AG. Measurement and Analysis of Random Data. New York: John Wiley and Sons; 1966. [Google Scholar]
- Duron B, Caillol MC. Investigation of afferent activity in the intact phrenic nerve with bipolar electrodes. Acta Neurobiologiae Experimentalis. 1973;33:428–432. [PubMed] [Google Scholar]
- Farfan HF. Mechanical Disorders of the Low Back. Philadelphia: Lea and Febiger; 1973. [Google Scholar]
- Hodges PW, Gandevia SC. Activation of the human diaphragm during a prolonged postural task. Proceedings of Australian Neuroscience Society. 1999;10:197. [Google Scholar]
- Massion J. Postural function of respiratory muscles. In: Duron B, editor. Respiratory Centres and Afferent Systems. Vol. 59. Paris: Colloques de l'INSERM; 1976. pp. 175–181. [Google Scholar]
- Miller FR. Viscero-motor reflexes. II. American Journal of Physiology. 1924;71:84–89. [Google Scholar]
- Shannon R. Reflexes from respiratory muscles and costovertebral joints. In: Fishman AP, Cherniack NS, Widdicombe JG, Geiger SR, editors. Handbook of Physiology, section 3, The Respiratory System, Control of Breathing, sect. part 1. II. Baltimore: American Physiological Society, Waverly Press; 1986. pp. 431–447. exec. [Google Scholar]
- Wedin S, Leanderson R, Knutsson E. The effect of voluntary diaphragmatic activation on back lifting. Scandinavian Journal of Rehabilitation Medicine. 1987;20:129–132. [PubMed] [Google Scholar]
Cited by
Sorted by citations
Pain and motor control of the lumbopelvic region: effect and possible mechanisms
Hodges, P. W., & Moseley, G. L. (2003) · Journal of Electromyography and Kinesiology · doi:10.1016/s1050-6411(03)00042-7 · Cited by 649 · see citing works
Self-citationHodges, P. W., & Gandevia, S. C. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.89.3.967 · Cited by 493 · see citing works
Self-citationPostural and respiratory functions of the pelvic floor muscles
Hodges, P. W., Sapsford, R., & Pengel, L. H. M. (2007) · Neurourology and Urodynamics · doi:10.1002/nau.20232 · Cited by 421 · see citing works
Self-citationDiaphragm postural function analysis using magnetic resonance imaging
Vostatek, P., Novák, D., Rychnovský, T., & Rychnovská, Š. (2013) · PLoS ONE · doi:10.1371/journal.pone.0056724 · Cited by 81 · see citing works
Physiotherapy assessment of breathing pattern disorder: a qualitative evaluation
Grillo, L., Russell, A.-M., Shannon, H., & Lewis, A. (2023) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2022-001395 · Cited by 27 · see citing works
“The themes in this study could help to direct future education, training and guidance for this condition and will help underpin the development of future research into BPD. Twitter Lizzie Grillo @GrilloLizzie Contributors LG: main author and garantor of the work, survey design, focus group…”
- Authors
- Hodges, P. W., & Gandevia, S. C.
- Affiliations
- Neuroscience Research Australia (AU)
- Corresponding author
- Hodges, Paul W.
- Venue
- The Journal of Physiology
- Publisher
- Wiley
- Published
- 2000-01
- Volume
- 522
- Issue
- 1
- Pages
- 165-175
- ISSN
- 0022-3751 (ISSN-L)
- 1469-7793
- PMC
- PMC2269747
- OpenAlex
- W2140207838
- Cited by
- 363
- References
- 37
- Citations by year
- 2026: 33 · 2025: 35 · 2024: 17 · 2023: 21 · 2022: 21 · 2021: 16 · 2020: 15 · 2019: 19 · 2018: 19 · 2017: 13 · 2016: 14 · 2015: 17 · 2014: 15 · 2013: 13 · 2012: 7
- FWCI
- 4.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Physiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- diaphragm, repetitive upper limb movements, costal diaphragm, trunk control, deltoid muscle, erector spinae
- MeSH terms
- Adult, Arm, Diaphragm, Electromyography, Humans, Male, Movement, Posture, Respiratory Physiological Phenomena, Ribs
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review