Neural Control of Ventilation

Current author - Chloe Hill

Last updated: 7th October 2025 •
17 Revisions •

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Neural Control of Ventilation
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Ventilation is the movement of air in and out of the lungs which facilitates gas exchange. It occurs via the respiratory muscles, which contract and relax rhythmically to fill the lungs with air during inspiration and empty them in expiration. This article will discuss the neural control of ventilation and its clinical relevance.

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Involuntary control

Involuntary respiration is under subconscious control. The diaphragm and intercostal muscles are the primary respiratory muscles. They are stimulated by groups of neurons located in the pons and medulla.  These neurons form the respiratory control centre. They send impulses to the primary respiratory muscles, via the phrenic and intercostal nerves, which stimulate their contraction. There are three main groups of neurons involved in respiration:

  • The dorsal respiratory group (DRG) controls inspiration
  • The pontine respiratory group controls the rate and depth of breathing
  • The ventral respiratory group (VRG) can control both inspiration and expiration, and is particularly important when increased respiratory drive is needed

Once the inspiratory neurons from the DRG stop firing, the inspiratory muscles relax and expiration begins.

Further information on the mechanics of breathing can be found here.

Diagram of the brain’s respiratory centres and their neural connections to the accessory, internal and external intercostal muscles, and diaphragm.

Fig 1
Diagram showing the respiratory centres of the brain.

Voluntary Control

Voluntary respiration is under conscious control. It is controlled via the motor cortex in the cerebrum, which receives inputs from the limbic system and hypothalamus. The mechanisms involved aren’t completely understood, but signals are thought to be sent to the spinal cord from the motor cortex, which are then passed onto the respiratory muscles.

Diagram of the brain showing labeled regions, including the motor cortex, frontal, parietal, temporal and occipital lobes, somatosensory cortex, olfactory bulb, brainstem, cerebellum and spinal cord.

Fig 2
Regions of the brain, neurons in the motor cortex are responsible for voluntary control of respiration.

Clinical Relevance

Phrenic nerve paralysis

Phrenic nerve paralysis is where damage to the phrenic nerve results in its dysfunction. This can cause paralysis of the diaphragm, therefore causing breathing problems. Patients may lose the ability to regulate their own breathing.

Common causes include: spinal cord injury, neck injury and surgical complications.

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