ERS statement on respiratory muscle testing at rest and during exercise

Pierantonio Laveneziana, Andre Albuquerque, Andrea Aliverti, Tony Babb, Esther Barreiro, Martin Dres, Bruno Pierre Dubé, Brigitte Fauroux, Joaquim Gea, Jordan A. Guenette, Anna L. Hudson, Hans Joachim Kabitz, Franco Laghi, Daniel Langer, Yuan Ming Luo, J. Alberto Neder, Denis O'Donnell, Michael I. Polkey, Roberto A. Rabinovich, Andrea RossiFrédéric Series, Thomas Similowski, Christina Spengler, Ioannis Vogiatzis, Samuel Verges

Research output: Contribution to journalReview articlepeer-review

311 Scopus citations


Assessing respiratory mechanics and muscle function is critical for both clinical practice and research purposes. Several methodological developments over the past two decades have enhanced our understanding of respiratory muscle function and responses to interventions across the spectrum of health and disease. They are especially useful in diagnosing, phenotyping and assessing treatment efficacy in patients with respiratory symptoms and neuromuscular diseases. Considerable research has been undertaken over the past 17 years, since the publication of the previous American Thoracic Society (ATS)/ European Respiratory Society (ERS) statement on respiratory muscle testing in 2002. Key advances have been made in the field of mechanics of breathing, respiratory muscle neurophysiology (electromyography, electroencephalography and transcranial magnetic stimulation) and on respiratory muscle imaging (ultrasound, optoelectronic plethysmography and structured light plethysmography). Accordingly, this ERS task force reviewed the field of respiratory muscle testing in health and disease, with particular reference to data obtained since the previous ATS/ERS statement. It summarises the most recent scientific and methodological developments regarding respiratory mechanics and respiratory muscle assessment by addressing the validity, precision, reproducibility, prognostic value and responsiveness to interventions of various methods. A particular emphasis is placed on assessment during exercise, which is a useful condition to stress the respiratory system.

Original languageEnglish (US)
Article number1801214
JournalEuropean Respiratory Journal
Issue number6
StatePublished - Jun 1 2019
Externally publishedYes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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