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Diaphragmatic excursion is the movement of the thoracic diaphragm during breathing. Normal diaphragmatic excursion should be 3–5 cm, but can be increased in well-conditioned persons to 7–8 cm. This measures the contraction of the diaphragm. It is performed by asking the patient to exhale and hold it.
The diaphragm is the major muscle responsible for breathing.It is a thin, dome-shaped muscle that separates the abdominal cavity from the thoracic cavity. During inhalation, the diaphragm contracts, so that its center moves caudally (downward) and its edges move cranially (upward).
Structure of diaphragm shown using a 3D medical animation still shot. The thoracic diaphragm, or simply the diaphragm (/ ˈ d aɪ ə f r æ m /; [1] Ancient Greek: διάφραγμα, romanized: diáphragma, lit. 'partition'), is a sheet of internal skeletal muscle [2] in humans and other mammals that extends across the bottom of the thoracic ...
Hypaxial muscles include some vertebral muscles, the diaphragm, the abdominal muscles, and all limb muscles. The serratus posterior inferior and serratus posterior superior are innervated by the ventral primary ramus and are hypaxial muscles. Epaxial muscles include other (dorsal) muscles associated with the vertebrae, ribs, and base of the skull.
The crus of diaphragm (pl.: crura), refers to one of two tendinous structures that extends below the diaphragm to the vertebral column. There is a right crus and a left crus, which together form a tether for muscular contraction. They take their name from their leg-shaped appearance – crus meaning leg in Latin.
The sternocostal triangle (foramina of Morgagni, Larrey's space, sternocostal hiatus, etc. [1]) are small zones lying between the costal and sternal attachments of the thoracic diaphragm. No vascular elements are present within this space. [2] The borders of this space are: Medial: the lateral border of the sternal part of the diaphragm
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During breathing, the diaphragm contracts and flattens, displacing the viscera and producing an outward movement of the upper abdominal wall (epigastric region). It is a convergence of the diaphragm and the abdominals, so that "when both sets of muscles (diaphragm and abdominals) tense, the epigastrium pushes forward". [ 1 ]