Respiratory System (1).ppt

Respiratory System Goal- Effortless Slow Breathing smooth air flow non-striving slower respiration rate (2000 ml) lateral costal rib widening on inhale longer exhale than inhale (2:1 or more) flexibility in response to demands from Peper, 2003 Respiratory System p.54 Inhale through nose Warms Filter...

Respiratory System Goal- Effortless Slow Breathing smooth air flow non-striving slower respiration rate (2000 ml) lateral costal rib widening on inhale longer exhale than inhale (2:1 or more) flexibility in response to demands from Peper, 2003 Respiratory System p.54 Inhale through nose Warms Filters Moisturizes & Tumbles Exhale through nose or lips When exercising, let air come in/out naturally Nostril Dominance Cycle p.55 One nostril tends to be dominant in a 1 – 3 hour cycle Right nostril dominance is associated with left brain activity and vice versa Some clinicians suggest that more creative brain activities be scheduled during times of dominant left nostril breathing or use forced left nostril breathing Breathing Location and Information Processing V A K p.58 Hyperventilation p.59 = breathing in excess of metabolic demands More counts in than out Signs of Hyperventilation rapid respiration rate thoracic breathing pattern short exhale / long inhale forceful exhalation frequent sighs, gasps, yawns anxiety panic attacks p.59 Results of respiratory alkalosis : vessel vasoconstriction decreased tissue oxygenation (due to Bohr effect) increase in anaerobic work from: Hyperventilation and the Body C. Gilbert, 1998 Journal of Bodywork and Movement Therapies p.61 Incidence of “Functional Cardiac Disorder” associated with 50% - 90% of noncardiac chest pain 50% of all visits to cardiologists 10% of all visits to general internists may be the primary etiological factor in panic disorder Wheatley, C.E. (1975) Hyperventilation Syndrome: A Frequent Cause of Chest Pain. Chest, 68, 195-199. p.60 p.62 Asthma p.62 chronic lung condition with airway inflammation, thickened mucosa, bronchospasms increased resistance to inhale and exhale “gasp and wheeze” pattern can be caused or exacerbated by psychosocial stimuli (Lachman & Knapp) increasing prevalence Results of mastery model of breathing & LSR with asthma : decreased muscular effort increased inhalation volumes feeling “better” – – – – fewer ER visits fewer breathless episodes less medication increased self-control Peper & Tibbetts, 1992 p.64 Emphysema p.63 loss of recoil properties of lung air sacs inability to fully exhale leads to over-effort – accessory muscles worked on inhale and exhale – abdomen often tightly pulled in – “quick gasp” in / “prolonged push” out Innocenti’s work - smoother pattern – initiate inhale earlier – use diaphragm more – de-emphasize exhale Breathing LSR Applications regeneration & relaxation (better sleep) increased performance during exercise increased balance increased peripheral blood flow decreased pain during movement reduced panic/anxiety, depression relapse less emphysema + asthma symptoms 50% reduction of secondary cardiac event hot flash reduction during menopause from Peper, 2003 p.175 THINK ROAD RAGE Thorax LET GO AND RELAX Abdomen Heart Rate Respiration Rate BVP NC 6/12/97 Columbo Therapy for Road Rage (NC 6/12/97) Do imagery and recovery Show physiology (average heart rate during road rage imagery 80 and when he lets go and relax 69 beats per minute) Translate this into how much extra work his heart is doing (11/69=16%) Ask is this worth it? Sample Exercises p.174 Roller coaster or wave Circling of Air into lower abdomen and out air hole in lower back Haaa breath to clear dead air space Counting inhale and exhale Diaphragm pushups Temperature Focused Breathing : feel the air in through nose and out the mouth Resist air out-pursed lips Frequency of Practice Meditation 2 X per day for 20-30 min Strobel 20 min once per day or »1 minute 20 times per day Peper- see slide for medical Wilson tie to normal activity: sport school work home