CONSUMING AND DIFFICULT AT TIMES, BUT THE REWARDS FOR OUR CLIENTS CAN LITERALLY BE BREATHTAKING!

has been completely released from the pelvis through to the cervical spine, many of the accessory muscles decrease their tone and return to a normal supportive function.

Summary of breath work in sports medicine This article has described multiple body systems in which breathing rate and pattern have a role. Some of the key points to remember are listed in Box 5.

CONCLUSION All the neuro–musculo–skeletal–visceral bases need to be addressed in order for an athlete to achieve his or her maximum capacity for respiration and lung function. It is very is important that this is not marginalised in the long-term care of performing sportsmen and sportswomen of all ages and competitive levels. The process of rehabilitating breathing patterns can be time-consuming and difficult at times, but the rewards for our clients can literally be breathtaking! Among the changes to the athlete’s body that can be achieved through this work are improved cardiovascular function, mental clarity and focus and improved neuromuscular function. However, it seems that treating breath restrictions is not common among therapists, despite the gains to be made, but it is hoped that in the coming years this unique area will emerge strongly in practice.

BOX 5: KEY ASPECTS OF BREATH WORK WITH ATHLETES

n Assessment of every patient’s breath and diaphragm is fundamental. n Examine closely both the inhalation and exhalation phase of breathing. n The breath should start with a contraction at the pelvic floor. n Treat fascial restrictions throughout the torso (and think in 3-D). n Utilise effective rehabilitation exercises with patients.

26 References

1. Schwind P. Form-orientated treatment techniques. In: Fascial and membrane technique, pp. 3–133. 2003 Churchill Livingstone ISBN 0443102198. To order http://bit.ly/Schwind

2. Kendell F, Kendall E, Rodgers E. Muscles of respiration. In: Muscles – Testing and function in posture and pain, pp. 233–241. 2005 Lippincott Williams & Wilkins ISBN 0781747805. To order http://bit.ly/Kendell-Kendell

3. Travell J, Simon D. Scalene muscles. In: Travell and Simon’s Myofascial pain and dysfunction: Upper extremities, pp. 344–367. 1983 Lippincott Williams & Wilkins ISBN 0683083635. To order http://bit.ly/Travel-Simon

4. Halastala M, Berger A. Functional pulmonary anatomy. In: Physiology of respiration, pp. 20–38. 2001 Oxford University Press ISBN 0195138473. To order http://bit.ly/Halastala

5. Heller J. Hellerwork for regaining posture, flexibility and wellbeing. In: Bodywise, pp. 103–118. 1986 North Atlantic Books ISBN 155643524X. To order http://bit.ly/Heller

6. Marcus A. Fibromyalgia and myofascial pain syndrome. In:

Foundations for integrative musculoskeletal medicine, pp. 597–632. 2004 North Atlantic Books ISBN 1556435401. To order http://bit.ly/MarcusA

7. Bishop G. Tuning the athlete. Breathing and lumbar alignment. Massage and Bodywork Magazine 2008;62;62–69

8. Chaitow L, Bradley D, Gilbert C. Multidisciplinary approaches to breathing pattern disorders, pp. 48. 2002 Churchill Livingstone ISBN 0443070539. To order http://bit.ly/Chaitow

9. Turchaninov R. Manual lymphatic drainage. In: Medical massage pp. 115–135. 1998 Aesculapius ISBN 0967586801. To order http://bit.ly/Turchaninov

10. Pert C. The psychosomatic network. In: Molecules of emotion. Why you feel the way you feel, pp. 180–196. 1997 Pocket Books ISBN 0671033972. To order http://bit.ly/MoleculesEmotion

11. Litchfield PM. Good breathing – Bad breathing. Presentation, May 2006

12. Kazumi N. Effects of hypercapnia and hypocapnia on Ca<2+> mobilisation in human respiratory artery endothelial cells. Journal of Applied Physiology 2001;90:2094–2100

13. Chaitow L. Manual and rehabilitation strategies for thoracic and respiratory dysfunctions. Presentation ISST Montreal Canada 2004

14. Myers T. The deep front line. In: Anatomy trains. Myofascial meridians, pp. 178–202. 2009 Churchill Livingstone ISBN 044310283X. To order http://bit.ly/AnatomyTrains

THE AUTHOR

Humphrey Bacchus is a clinical masseur and neuromuscular therapist. He has worked in orthopaedic and neurological rehabilitation as well as sports medicine in both the USA

and the UK. He runs a company called Soma Sports that provides performance healthcare for elite and amateur athletes through bodywork, acupuncture and nutrition. For further information on visit www.humphreybacchus.com

sportEX dynamics 2010;23(Jan):21-26 online

THE PROCESS OF REHABILITATING BREATHING PATTERNS CAN BE TIME-