RT Journal Article SR Electronic T1 ERS Statement on Respiratory Muscle Testing at Rest and during Exercise JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1801214 DO 10.1183/13993003.01214-2018 A1 Pierantonio Laveneziana A1 Andre Albuquerque A1 Andrea Aliverti A1 Tony Babb A1 Esther Barreiro A1 Martin Dres A1 Bruno-Pierre Dubé A1 Brigitte Fauroux A1 Joaquim Gea A1 Jordan A. Guenette A1 Anna L. Hudson A1 Hans-Joachim Kabitz A1 Franco Laghi A1 Daniel Langer A1 Yuan-Ming Luo A1 J. Alberto Neder A1 Denis O'Donnell A1 Michael I Polkey A1 Roberto A. Rabinovich A1 Andrea Rossi A1 Frédéric Series A1 Thomas Similowski A1 Christina Spengler A1 Ioannis Vogiatzis A1 Samuel Verges YR 2019 UL http://erj.ersjournals.com/content/early/2019/03/15/13993003.01214-2018.abstract AB 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 sixteen years since publication of the previous ATS/ERS statement on respiratory muscle testing in 2002. Key advances were made in the field of mechanics of breathing, respiratory muscle neurophysiology (electromyography, electroencephalography, transcranial magnetic stimulation) and on respiratory muscle imaging (ultrasound, optoelectronic plethysmography, 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 sums up 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.FootnotesThis manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.Conflict of interest: Dr. Laveneziana reports personal fees from NOVARTIS France, personal fees from BOEHRINGER France, outside the submitted work.Conflict of interest: Dr. Albuquerque has nothing to disclose.Conflict of interest: Dr. Aliverti reports In addition, Dr. Aliverti has a patent Optoelectronic plethysmography licensed to BTS Bioengineering.Conflict of interest: Dr. Babb has nothing to disclose.Conflict of interest: Dr. Barreiro has nothing to disclose.Conflict of interest: Dr. Dres reports personal fees from Lungpacer, non-financial support from Pulsion Medical System, Maquet, outside the submitted work.Conflict of interest: Dr. Dubé reports grants and personal fees from Novartis, personal fees from Boehringer Ingelheim, grants and personal fees from Roche, personal fees from GSK, outside the submitted work.Conflict of interest: Dr. FAUROUX has nothing to disclose.Conflict of interest: Dr. Gea has nothing to disclose.Conflict of interest: Dr. Guenette has nothing to disclose.Conflict of interest: Dr. Hudson reports grants from Lung Foundation Australia, grants from Boehringer Ingelheim, during the conduct of the study; grants from Rebecca L. Cooper Foundation, grants from Lung Foundation Australia, grants from Boehringer Ingelheim, grants from National Health and Medical Research Council (Australia), grants fromConflict of interest: Joachim KabitzConflict of interest: Dr. Laghi reports grants from National Institutes of Health, grants from VA Research Service, grants from Liberate Medical LLC, grants from National Science Foundation, outside the submitted work.Conflict of interest: Dr. Langer has nothing to disclose.Conflict of interest: Dr. Luo has nothing to disclose.Conflict of interest: Dr. Polkey reports personal fees and other from Amicus, personal fees and other from Genzyme sanofi, personal fees and other from Biomarin, other from Orion, during the conduct of the study.Conflict of interest: Dr. Rabinovich has nothing to disclose.Conflict of interest: Dr. ROSSI has nothing to disclose.Conflict of interest: Dr. Sériès has nothing to disclose.Conflict of interest: Dr. SIMILOWSKI reports personal fees from Pierre Fabre Médicament, during the conduct of the study; personal fees from AstraZeneca, personal fees from Boerhinger Ingelheim France, personal fees from GSK, personal fees and non-financial support from Novartis, personal fees from Lungpacer Inc., personal fees from TEVA, personal fees from Chiesi, personal fees from Invacare, outside the submitted work.Conflict of interest: Dr. Spengler has nothing to disclose.Conflict of interest: Dr. VOGIATZIS has nothing to disclose.Conflict of interest: Dr. Verges has nothing to disclose.Conflict of interest: Dr. Neder has nothing to disclose.Conflict of interest: Dr. O'Donnell reports grants from AstraZeneca, grants from Boehringer Ingelheim, grants from GlaxoSmithKline, personal fees from Almirall, personal fees from AstraZeneca, personal fees from Boehringer Ingelheim, personal fees from GlaxoSmithKline, personal fees from Novartis, personal fees from Pfizer, outside the submitted work.