GUSTAV J. BECK, M.D.; GEORGE C. GRAHAM, M.D.; ALVAN L. BARACH, M.D., F.A.C.P.
The 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,1 the 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
BECK GJ, GRAHAM GC, BARACH AL. EFFECT OF PHYSICAL METHODS ON THE MECHANICS OF BREATHING IN POLIOMYELITIS12. Ann Intern Med. ;43:549–566. doi: 10.7326/0003-4819-43-3-549
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Published: Ann Intern Med. 1955;43(3):549-566.
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