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While the deformity in scoliosis is predominantly in the frontal plane, hyperkyphosis is predominantly in the sagittal plane and affects the thoracic spine. Additionally, dyspnoea may be associated with musculoskeletal factors involved in the mechanics of breathing. Phys Sports Med ; Improved differential diagnosis of anemia of chronic disease and iron deficiency anemia: The role of descending modulation in manual therapy and its analgesic implications:

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The latter category suggests that improper management and other conditions besides EIB are often responsible for dyspnoea in athletes. A recent study confirmed there is significant morbidity and economic cost associated with mistaking these conditions for asthma [ 34 ]. General approach to the dyspnoeic athlete Patients may use terms associated with dyspnoea, fatigue and underperformance in an interchangeable manner, and therefore it is often necessary to clarify the chief complaint so that an appropriate diagnostic pathway can be determined. Infectious disease A number of infectious diseases may cause athletes to underperform and feel fatigued [ 52 ], which may ultimately cause an athlete to present with dyspnoea-related complaints. Am J Hematol ; Getting the basics right resolves most cases of uncontrolled and problematic asthma. It is possible that expiratory flow limitation could be overcome through controlled breathing methods or respiratory muscle training, but specific interventions to overcome flow-limited athletes is lacking.

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