• Dr. Karma Patel, D.C. B.Sc.

Do you breathe with your chest?


Breathing should be looked at as a MOVEMENT PATTERN.

We take breathing for granted. On average, we breathe 14 times every minute, more than 20,000 times a day which totals to over 500 million times during the course of an average lifetime.1 Given those numbers, we should all be great at it right? FALSE, most of us are terrible at it.

Proper Breathing Biomechanics1

The diaphragm is a muscle that is dome-shaped in a relaxed state. It separates the chest and abdominal cavities.


During INHALATION, the diaphragm contracts, increasing space in the chest cavity, causing the lungs to expand and air to enter. In other words, the diaphragm acts a plunger, drawing air into your lungs. The intercostals (accessory breathing muscles between your ribs) create more space by pulling your ribs up and out. Don’t focus on pushing out the abdomen!


During EXHALATION, the diaphragm and intercostalsrelax, forcing the air out.

Say NO to CHEST BREATHING.2,3

Postural habits and chronic stress have caused many of our diaphragms to remain contracted. Consequently, we have started relying on the secondary breathing muscles (interscostals, sternoceidomastoid, scalenes, pectorals, etc.). Over-activation of the neck flexors can lead to cervical spine degeneration. You should have a 2:1 ratio between flexors/extensors. This ratio is reversed in chest breathers. “Chest Breathing” won’t kill you because we only need 20% of the oxygen we breathe in. However, chest breathing elicits a danger (“fight-or-flight”) response.

Constantly utilizing this less efficient breathing pattern will release stress hormones (cortisol, adrenaline), cause hypertension and irritability, etc. Retraining diaphragmatic “slow” breathing can enhance parasympathetic (“rest & digest” response) tone, decrease sympathetic nervous activity, improve respiratory and cardiovascular function, decrease the effects of stress, and improve physical & mental health.

THE 90-SECOND RESET

  • Assume position 1 or 2 (shown on right)

  • Exhale fully, place hands on lower ribs

  • Inhale for a count of 5, exhale for a count of 7, pause for count of 3

  • Repeat for 6 cycles


Not sure if you're a chest breather? COME SEE US!

Is this too easy? COME SEE US!

Not sure if you're doing it right? COME SEE US!

References

  1. “How the Lungs Work.” National Heart Lung and Blood Institute, U.S. Department of Health and Human Services, www.nhlbi.nih.gov/health-topics/how-lungs-work.

  2. Russo, M. A., Santarelli, D. M., & O’Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe, 13(4), 298.

  3. Pal, G. K., & Velkumary, S. (2004). Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian Journal of Medical Research, 120(2), 115.

  4. Vostatek, P., Novak, D., Rychnovský, T., & Rychnovská, Š. (2013). Diaphragm postural function analysis using magnetic resonance imaging. PloS one, 8(3), e56724.

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