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In addition, the circumstances in which each muscle is called upon to assist ventilation are discussed. The number of \u201crespiratory\u201d muscles is large, and the coordination of respiratory muscles with \u201cnonrespiratory\u201d muscles and in nonrespiratory activities is complex\u2014commensurate with the diversity of activities that humans pursue, including sleep (8.27). The capacity for speech and adoption of the bipedal posture in human evolution has resulted in patterns of respiratory muscle activation that differ significantly from most other animals. A disproportionate number of respiratory muscles affect the nose, mouth, pharynx, and larynx, reflecting the vital importance of coordinated muscle activity to control upper airway patency during both wakefulness and sleep. The upright posture has freed the hands from locomotor functions, but the evolutionary history and ontogeny of forelimb muscles pervades the patterns of activation and the forces generated by these muscles during breathing. The distinction between respiratory and nonrespiratory muscles is artificial, as many \u201cnonrespiratory\u201d muscles can augment breathing under conditions of high ventilator demand. Understanding the ontogeny, innervation, activation patterns, and functions of respiratory muscles is clinically useful, particularly in sleep medicine. Detailed explorations of how the nervous system controls the multiple muscles required for successful completion of respiratory behaviors will continue to be a fruitful area of investigation. \u00a9 2019 American Physiological Society.<jats:italic>Compr Physiol<\/jats:italic>9:1025\u20101080, 2019.<\/jats:p>","DOI":"10.1002\/cphy.c180008","type":"other","created":{"date-parts":[[2019,6,12]],"date-time":"2019-06-12T12:04:50Z","timestamp":1560341090000},"page":"1025-1080","source":"Crossref","is-referenced-by-count":22,"title":["Muscles of Breathing: Development, Function, and Patterns of Activation"],"prefix":"10.1002","author":[{"given":"Jason Q.","family":"Pilarski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C.","family":"Leiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph 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