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A muscle becomes stronger in accordance with a more favourable length-to-tension ratio when it works with the same neural "input" over a greater length. The diaphragm can be stretched in this sense by a variety of methods: 1. By means of contraction of the abdominal muscles during expiration. 2. By assuming certain physical positions (in particular leaning forwards in the "coach driver" position, which increases intra-abdominal pressure).

Physiotherapie mit oszillierenden PEP-Systemen (RC-Cornet®, VRP1®) bei COPD1