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CHAPTER 17
intercostal space as compared with the left but definitely increased activity 20 days later
during recovery of the right diaphragm (Fig. 92b). Fig. 93 shows reduced activity in 7
R.I.S. as compared with L.I.S. ij months after complete lesion below 05. There was
greatly reduced function of the right diaphragm.
3
Patients studied in later stages only—i.e. 3 months or more after injury. In Fig. 94 of
case R.H. (complete lesion below C6
lol
months after injury) the electromyogram shows
marked activity of the sternomastoid and also of the 3rd, 6th and 8th intercostal spaces,
and Fig. 95 case J.H. (10 months after complete lesion below C6) shows activity during
inspiration over the 3rd and 5th interspaces as well as the abdominal muscles but much
more marked expiratory rhythm in the intercostal spaces.
•100pv
sees.
FIG. 913. A.P.J. I day after complete lesion below C4(r), 05(1). S.M.: Sternomastoid;
6/1S: 6th intercostal space; 7/1S: yth intercostal space. Little irregular activity in all three
leads during inspiration. Figs. 91-97 from Guttmann and Silver, 1965
(Paraplegia,
3,1-22).
A HELD BREATH
LITRES
SM
, CORRECTION 2cm
7/S
FIG. 9ib. A.P.J. 10 days after injury. Increase in the activity in 6th and especially yth
interspaces.
