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Article1 September 1955EFFECT OF PHYSICAL METHODS ON THE MECHANICS OF BREATHING IN POLIOMYELITISGUSTAV J. BECK, M.D., GEORGE C. GRAHAM, M.D., ALVAN L. BARACH, M.D., F.A.C.P.GUSTAV J. BECK, M.D.Search for more papers by this author, GEORGE C. GRAHAM, M.D.Search for more papers by this author, ALVAN L. BARACH, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-43-3-549 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe use of physical methods in the rehabilitation of patients with bronchopulmonary diseases stimulated our interest in the breathing difficulties of convalescent patients with respiratory involvement due to poliomyelitis. The application of certain physiologically established principles was shown to improve the aeration of the lungs in patients with pulmonary emphysema. Methods of increasing diaphragmatic excursion included the employment of the headward tilt of the thorax,1the application, in the supine position, of a weighted sandbag to the lower abdomen and, in the erect position, of an abdominal belt, of manual compression of the chest to assist expiratory emptying of the...Bibliography1. BarachBeck ALGJ: The effect of the head-down position in patients with pulmonary emphysema, Am. J. Med. 16: 55 (Jan.) 1954. CrossrefMedlineGoogle Scholar2. Schutz K: Muscular exercise in treatment of bronchial asthma, New York State J. Med. 55: 635 (Mar.) 1955. MedlineGoogle Scholar3. BarachBeckSpanier ALGJM: Exsufflation with negative pressure. Physiologic and clinical studies in poliomyelitis, bronchial asthma, pulmonary emphysema, and bronchiectasis, Arch. Int. Med. 93: 825 (June) 1954. CrossrefGoogle Scholar4. BeckBarach GJAL: Value of mechanical aids in the management of a patient with poliomyelitis, Ann. Int. Med. 40: 1081 (June) 1954. LinkGoogle Scholar5. BeckBarachSmith GJALWH: Technic of employing exsufflation with negative pressure: a mechanical method of eliminating retained bronchial secretions, Mod. Hosp. 82: 96 (Jan.) 1954. MedlineGoogle Scholar6. SegalSalomonHerschfus MSAJA: Alternating positive-negative pressures in mechanical respiration: the cycling value device employing air pressures, Dis. of Chest 25: 640 (June) 1954. CrossrefMedlineGoogle Scholar7. WilliamsHoladay EKDA: The use of exsufflation with negative pressure in post-operative patients, Am. J. Surg., to be published. Google Scholar8. Affeldt JE: Recent advances in the treatment of poliomyelitis, J. A. M. A. 156: 12 (Sept. 4) 1954. CrossrefMedlineGoogle Scholar9. Gordon C: Personal communication. Google Scholar10. Levine ER: Personal communication. Google Scholar11. GallowaySeifert TCMH: Bulbar poliomyelitis, J. A. M. A. 141: 1 (Sept. 3) 1949. CrossrefMedlineGoogle Scholar12. GordonFainerIvy ASDCAC: Artificial respiration: report of the Council on Physical Medicine and Rehabilitation, J. A. M. A. 144: 1455 (Dec. 23) 1950. CrossrefMedlineGoogle Scholar13. Barach AL: Treatment of nontuberculous pulmonary disease, J. A. M. A. 156: 1563 (Dec. 15) 1954. CrossrefMedlineGoogle Scholar14. Simpson T: Acute respiratory infections in emphysema, Brit. M. J. 1: 297 (Feb. 6) 1954. CrossrefMedlineGoogle Scholar15. Whittenberger JL: Artificial respiration and its clinical application, Seminar (Sharp and Dohme) 17: 20 (Spring) 1955. MedlineGoogle Scholar16. Bickerman HA: Exsufflation with negative pressure (E.W.N.P.); elimination of radiopaque material and foreign bodies from bronchi of anesthetized dogs, Arch. Int. Med. 93: 698, 1954. CrossrefGoogle Scholar17. BeckScarrone GJLA: Physiological effects of exsufflation with negative pressure, Dis. of Chest, to be published. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication April 20, 1955.From the Department of Medicine, Presbyterian Hospital, New York, and the Meadowbrook Hospital, Nassau County, and the College of Physicians and Surgeons, Columbia University.†Aided by a grant from the National Foundation for Infantile Paralysis.‡With the technical assistance of HARRY J. COSTELLO and WILLIAM H. SMITH, B.S. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Effectiveness of Mechanical Insufflator/Exsufflator in Sputum Discharge Among Intensive Care Unit Admitted PatientsReferencesUpdate And Perspective on Noninvasive Respiratory Muscle AidsARTIFICIAL COUGHING FOR PATIENTS WITH RESPIRATORY PARALYSISEffect of a patient-cycled breathing aid on ventilatory efficiency in pulmonary emphysema and poliomyelitisK�nnen mechanische Hustenger�te die Lungen sch�digen? 1 September 1955Volume 43, Issue 3Page: 549-566KeywordsBreathingDyspneaHospital medicineLungsPoliomyelitisPulmonary diseasesRespirationRespiratory physiologySurgeonsThorax ePublished: 1 December 2008 Issue Published: 1 September 1955 PDF downloadLoading ...

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