The Brain and the Voice in Speech and Song by F. W. Mott
page 70 of 82 (85%)
page 70 of 82 (85%)
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falters, and the face, neck, and chest are animated by strong passion
working from within the breast, language exerts its most commanding influence." In hemiplegia or paralysis of one half of the body, there is a difference between the two sides for ordinary automatic unconscious diaphragmatic breathing and voluntary or costal breathing. Thus in ordinary breathing the movements are increased on the paralysed side, especially in the upper part of the chest, while in voluntary breathing they are increased on the sound side. Hughlings Jackson suggested the following theory to explain these facts: "_Ordinary breathing_ is an automatic act governed by the respiratory centre in the medulla. The respiratory centre is double, each side being controlled or inhibited by higher centres on the opposite side of the brain. Voluntary costal breathing, such as is employed in singing, is of cerebral origin, and controlled by centres on the opposite side of the brain, the impulses being sent down to the respective centres for the associated movements of the muscles of articulation, phonation, and breathing, in the same way as they are sent to the centres for the movements of the arm or leg. With voluntary breathing the respiratory centre in the medulla has nothing to do. It is in fact out of gear or inhibited for the time being, so that the impulses from the brain pass by or evade it. There are thus two sets of respiratory nerve fibres passing from the brain--the one inhibiting or controlling to the opposite half of the respiratory centre in the medulla; the other direct, evading the respiratory centre and running the same course to the spinal centres for the respiratory movements as the ordinary motor fibres do to the centres for other movements. Both sets would be affected by the lesion (or damage) which produced the hemiplegia. The inhibitory fibres being damaged, the opposite half of the respiratory centre would be under diminished control and therefore the movements of ordinary breathing on the paralysed side |
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