Respiratory System Disorders and Therapy From a New - Louis Bolk ...

movements and there is little direction and form in the movement pattern.
The hypotonic musculature indicates an increased dissolving tendency.
Involuntary Movements
Often, during periods with rising temperature, there are involuntary cold chills and
chattering teeth. Shivering is a temporary motor hyperactivity which supports production of
the necessary extra warmth. Shivering is what the organism does physiologically to raise its
temperature. The rise in temperature is achieved through involuntary muscular movements
that lack coordination and coherence. There are, at the same time, few voluntary movements.
It is not unusual that patients, while awake, lie restlessly tossing and turning because they
cannot seem to get comfortable in any position. The motoric restlessness is also part of
the involuntary movement pattern. There is a loss of form in the movement pattern, which
could be described as an increased dissolving tendency in the sense of fig.2.4.
Reaction to Motor Stimuli
The tossing and turning indicates that the patient does experience motor stimuli from his
body; however, there is a general lack of movement and the stimuli that are present do not
result in a focused movement. The reaction to motor stimuli is diminished.
Table 3.7. Characteristic muscular changes in pneumonia
Breathing Muscle tension Metabolic
changes
Reaction to
Decreased Diminished Decreased
stimuli
reaction reaction to appetite
to cough
stimulus
motor stimuli
Consolidating
Abrogated Hypotonic The typical
tendency
inhalation movements lung shape
disappears
with exudate
Dissolving
Tachypnea Involuntary Infection and
tendency
and
tachycardia
musculature fever
Bolk’s Companions RespiRatoRy system DisoRDeRs anD theRapy - 43