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British Journal of Sports Medicine 2006;40:554-555; doi:10.1136/bjsm.2005.021246
Copyright © 2006 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

SHORT REPORT

Breathless in the bath

G P Whyte1, M Harries2, J Dickinson1, M I Polkey3

1 English Institute of Sport, Bisham Abbey NSC, Marlow, Bucks SL7 1RT, UK
2 Northwick Park Hospital, Harrow, Middlesex, UK
3 Royal Brompton Hospital, London, UK

Correspondence to:
Correspondence to:
Professor Whyte
English Institute of Sport, Bisham Abbey NSC, Marlow, Bucks, UK; greg.whyte{at}eis2win.co.uk

ABSTRACT

The case is reported of a male track and field athlete with breathing difficulties at rest and during exercise, which were exacerbated in the supine position and during water immersion. Right hemidiaphragmatic paralysis was diagnosed. The cause of this relatively benign disorder is not known and there are no serious clinical implications. There is no treatment, but a continuation of exercise together with interventions to strengthen the subsidiary inspiratory muscles is recommended.

Keywords: diaphragm paralysis; electromagnetic stimulation; phrenic nerve


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