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    Contraction of the diaphragm
    • Fig. 2.1, Inspiratory muscles. The major inspiratory muscles are the diaphragm, the external intercostals, and to a lesser extent, the strap muscles of the neck, particularly the sternocleidomastoid and three scalenes. Muscles of the shoulder girdle and spinal erectors may play a minor role at the end of a deep inspiration.
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    The elevation of the ribs is caused by the contraction of the diaphragm, which elevates the ribs and expands the thoracic indent upward. The sternocleidomastoid muscles can also elevate the sternum and clavicle, subsequently lifting the ribs during inhalation. However, when the rib moves up and out of its proper alignment, it can cause excruciating pain from the misalignment, which can squash veins, nerves, and arteries located between the first rib and the collarbone.
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