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Clinical Research on Dyspnea
Author Bios
What is Dyspnea?
What Provokes Dyspnea?
The Nature of Dyspnea
Currently selected section: Language of Dyspnea
Clinical Application
Research Application
Variability in Sensations
Currently selected section: Challenges in Study
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: Challenges in the Study of Dyspnea Physiology
        

You Answered:

Selection AThe same sensations

 

Incorrect

Table 8.1: Values represent the percentage of trials (n=72 for external resistors, n=26 for bronchoconstriction) under the conditions of external resistive loading and bronchoconstriction
External Resistors Methacholine Bronchoconstriction
Chest tightness or constriction
3%
92%
Work or effort
92%
54%
Official journal of the American Thoracic Society. © American Lung Association. Reprinted with permission.

With the external loads, subjects describe primarily a sense of increased work or effort (Moy et al., 2000). During methacholine inhalation trials, a sequence of sensations was noted ranging from chest tightness to a sense of increased effort of breathing, to a sense of air hunger. Although the sense of effort was present under both conditions, the sense of chest tightness clearly distinguished bronchoconstriction from the experimental model. Furthermore, as previously noted, patients with asthma typically associate their breathing discomfort with the inspiratory phase of the breathing cycle despite the fact that airway resistance is increased both during inspiration and expiration.

 

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