Question:
Pain associated with chronic coughing often presents as an overuse syndrome in these muscles...
a. Upper Trapezius, Diaphragm
b. Latissimus Dorsi, Iliocostalis Thoracis
c. Serratus Posterior Inferior, Iliocostalis Lumborum
d. External Intercostals, Serratus Anterior
Answer C. is correct. Coughing is an action of forced exhalation. When it is chronic, the respiratory muscles of exhalation are most likely to become hypertoned, ischemic and painful. The Serratus Posterior Inferior and Iliocostalis Lumborum are both accessory muscles of exhalation. The muscles listed in A, B and D are primary or accessory muscles of inhalation.
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