Chest wall kinematics in patients with hemiplegia

Barbara Lanini, Roberto Bianchi, Isabella Romagnoli, Claudia Coli, Barbara Binazzi, Francesco Gigliotti, Assunta Pizzi, Antonello Grippo, Giorgio Scano

Research output: Contribution to journalArticlepeer-review


Owing to difficulties in measuring ventilation symmetry, good evidence of different right/left respiratory movements has not yet been provided. We investigated VT differences between paretic and healthy sides during quiet breathing, voluntary hyperventilation, and hypercapnic stimulation in patients with hemiparesis. We studied eight patients with hemiparesis and nine normal sex- and age-matched subjects. Right- and left-sided VT was reconstructed using optoelectronic plethysmography. In control subjects, no asymmetry was found in the study conditions. VTs of paretic and healthy sides were similar during quiet breathing, but paretic VT was lower during voluntary hyperventilation in six patients and higher during hypercapnic stimulation in eight patients (p = 0.02). The ventilatory response to hypercapnic stimulation was higher on the paretic than on the healthy side (p = 0.012). In conclusion, hemiparetic stroke produces asymmetric ventilation with an increase in carbon dioxide sensitivity and a decrease in voluntary ventilation on the paretic side.

Original languageEnglish
Pages (from-to)109-113
Number of pages5
JournalAmerican Journal of Respiratory and Critical Care Medicine
Issue number1
Publication statusPublished - Jul 1 2003


  • Breathing pattern
  • Control of breathing
  • Stroke

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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