Problems related to breathing in patients with MS can be caused by respiratory muscle weakness, bulbar dysfunction (involving muscles which control speech and swallowing), or abnormalities with breath control. Reduced muscle strength and spasticity can result in lower lung volumes (less air in the lungs) and eventually stiffness of lung tissue and chest wall due to diminished range of motion.
As a musician, the ability to breathe deeply and control my air flow
is vital to accomplishing my job. From the beginning stages, band
students learn to take in a lot of air and move it forcefully through a
narrow instrument to create a beautiful sound. It takes a great deal of
effort and power to do so. But outside of performing on an instrument,
even musicians may breathe shallowly and fail to utilize their full
lung capacity on a regular basis.
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Lung Volume Recruitment in MS