Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it...
Transcript of Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it...
PPart 2 Section 2art 2 Section 2PPart 2 Section 2art 2 Section 2Copyright Patrick McKeown, 2015Copyright Patrick McKeown, 2015
SIGNSSIGNSTO LOOK OUT FORTO LOOK OUT FOR
o Eyes go glassy
o Increased saliva in mouth
o Nose may run
o Hands get warmo Hands get warm
o Face gets pink
o Some people feel sudden calmness,
others may feel slight panic
PROGRESSPROGRESS
o Lighter breathing
o Final CP 25- 40% higher
Pulse lower by 2-3 secondso Pulse lower by 2-3 seconds
Exercise 3Exercise 3WALKING WITH THE MOUTH CLOSEDWALKING WITH THE MOUTH CLOSED
o Walk, but don’t talk
o Walk at a pace where you can sustain
nasal breathing
o If you need to open your mouth, slow
down and relax
o Walk for half an hour to one hour daily
Exercise 4Exercise 4WALKING WITH SHORT BREATH HOLDWALKING WITH SHORT BREATH HOLD
o While walking, breathe out through nose
o Pinch nose with fingers
o Hold your breath for between ten to twenty paces
o Resume breathing through nose and continue walking for about one
minute
o Repeat breath hold every minute or so for ten repetitions
Exercise 4Exercise 4WALKING WITH MEDIUM TO STRONG BREATH HOLDWALKING WITH MEDIUM TO STRONG BREATH HOLD
o While walking, breathe out through nose
o Pinch nose with fingers
o Hold your breath for between twenty to eighty paces
o Resume breathing through nose and continue walking for about one
minute
o Repeat breath hold every minute or so for ten repetitions
Exercise 5: STEPSExercise 5: STEPSEXERCISEEXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSFOR CHILDREN,TEENAGERS & HEALTHY ADULTS
Exercise 5: STEPSExercise 5: STEPSEXERCISE FOREXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSCHILDREN,TEENAGERS & HEALTHY ADULTS
o Measurement of progress
o Request that child tape mouth during all exercises
o Have child walk from one adult to another while holding
the breath
oo Count aloud every ten steps
o Repeat steps every half minute or so
o Older kids- will naturally compete with each other
Exercise 5: STEPSExercise 5: STEPSEXERCISE FOREXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSCHILDREN,TEENAGERS & HEALTHY ADULTS
o Exhale gently through nose.
o Hold your breath by pinching your nose.
o Walk as many steps as you can until youfeel a strong need for air.
o Try to build up a large air shortage byo Try to build up a large air shortage bydoing as many steps as possible - withoutoverdoing it of course!
EXERCISE FOREXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSCHILDREN,TEENAGERS & HEALTHY ADULTS
o Resume breathing through your nose
o Your first breath will usually be biggerthan normal. Make sure you calm yourbreathing as soon as possible bysuppressing your second and thirdbreaths.
Exercise 5: STEPSExercise 5: STEPS
breaths.
o You should be able to recover from stepswithin one to two breaths. If you cannot,you have held your breath for too long.
o During breath hold, child/teenager will go
through easy phase, to struggle phase.
o Diaphragm will spasm as breath hold
becomes strong.
o Look at child’s neck and when you see child
Exercise 5: STEPSExercise 5: STEPSEXERCISE FOREXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSCHILDREN,TEENAGERS & HEALTHY ADULTS
o Look at child’s neck and when you see child
getting stressed, encourage child to let go.
o Some kids are very competitive. Encourage
not to get stressed.
o Holding the breath until a medium-to-strong
need for air mobilizes the diaphragm,
providing it with a workout and helping to
strengthen it.
Exercise 5: STEPSExercise 5: STEPSEXERCISE FOREXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSCHILDREN,TEENAGERS & HEALTHY ADULTS
Exercise 6Exercise 6
o Do many small breath holds of 3-5 seconds each
oExhale through nose
MANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANICMANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANIC
oExhale through nose
oPinch nose with fingers and thumb
oHold breath for three to five seconds
oResume breathing for ten seconds
oRepeat until symptoms are passed.
oIf having a severe asthma attack, or if symptoms don’t stop within
ten minutes – take rescue medication
Exercise 6Exercise 6
Success of stopping asthma attack
depends on two factors:
1) The higher your normal CP, the easier it
is to stop symptoms
MANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANICMANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANIC
is to stop symptoms
2) The sooner you commence the breath
hold exercise, the easier it is to stop
symptoms
Exercise 6Exercise 6
Hyperinflation
Breathe in through nose
At top of breath, pause for a fraction of a
MANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANICMANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANIC
At top of breath, pause for a fraction of a
second, bring a feeling of relaxation to
breathing and allow a gentle relaxed breath
out
Continue bringing a feeling of relaxation to
breathing muscles
NUANCESNUANCESNUANCESNUANCES
o Persons with migraine, panic attacks, heart disease (if recent
heart attack- relaxation without air shortage), hypertension may
experience stress from holding the breath. (even if measuring
the CP) Also, if the heart rate remains higher when measured
Strong Breath holds not suitable ifStrong Breath holds not suitable if::
the CP) Also, if the heart rate remains higher when measured
five minutes after the breath hold.
o Instead begin with relaxation, light air shortage.
Strong breath holds are only suitable if the
heart rate normalises when measured five to
Steps and Heart RateSteps and Heart Rate
heart rate normalises when measured five to
ten minutes after completion of the steps or
strong breath hold.
o May find it difficult to focus on breathing.
o Air shortage may generate panic.
o If control pause increases too quickly, cleansing reaction
AnxietyAnxiety
o If control pause increases too quickly, cleansing reaction
may occur.
o If necessary practise exercises involving distraction.
(breathing through nose, stop sighing, relaxation, small
breath holds, walking with mouth closed).
o In first week- feel better with deeper sleep and more energy.
o Blood pressure may increase slightly (10-15mmHg).
o With continued gentle practise, high blood pressure reduces
High Blood PressureHigh Blood Pressure
o With continued gentle practise, high blood pressure reduces
toward normal.
o Don’t do steps or strong breath holds. Instead relaxation,
reduced breathing, walking with mouth closed, many small
breath holds.
o During first trimester- no reduced breathing exercises
o Prevent hyperventilation- avoid overeating, high
temperatures, stress, mouth breathing etc
PregnancyPregnancy
o CP should not increase by more than 2 seconds each
week
o 2nd trimester- go gently with air shortage
o When the morning CP increases to above 20 seconds,
persons taking medication for hypertension, diabetes or
thyroid should visit their medical doctor to have their
medication evaluated.
MedicationMedication
medication evaluated.
o Persons taking asthma and rhinitis medication also need to
have their medication evaluated.
SEVERESEVEREASTHMAASTHMA
o Limit steps to ten- see how he or she does, then increaseto twelve, see how he does. Continue to increase thesteps while observing recovery.
o If child or adult has under twenty steps- breathing is veryintense. Higher chance of disrupting breathing andintense. Higher chance of disrupting breathing andcausing symptoms.
o Try to achieve as many steps without causing cough,wheeze.
o Do hundreds of small breath holds to make progress.
IF HAVEIF HAVESYMPTOMSSYMPTOMS
o Too difficult to reduce
breathing if symptoms are
present or control pause is
very low.
o Do Exercise 6 (many smallo Do Exercise 6 (many small
breath holds) until symptoms
pass, or control pause
reaches 12/13 seconds.
IF FEELING VERY SUFFOCATEDIF FEELING VERY SUFFOCATEDBLOCKED NOSE / STRONG BREATHING DRIVEBLOCKED NOSE / STRONG BREATHING DRIVE
o Ex 1 or 5: Concentrate on stronger breath
holds
o Do steps exercise to help reset respiratory
centre quickly
o Breathing will quieten in about half an houro Breathing will quieten in about half an hour
MILDLY BLOCKED NOSE AT NIGHTMILDLY BLOCKED NOSE AT NIGHT(TAKEN FROM(TAKEN FROM ““CLOSE YOUR MOUTH”)CLOSE YOUR MOUTH”)
o First clear nose by completing the nose
unblocking exercise and rinse your nose with
saline solution (described in Close Your Mouth).
o Wear paper tape over lips.
o While wearing the tape, your nose will nevero While wearing the tape, your nose will never
completely block. Your nose will partially block if
control pause is low. Remember, your nose will
only block completely if you switch to mouth
breathing.
o Nose will continue to block until CP is 20 seconds
UNCOMFORTABLY BLOCKED NOSEUNCOMFORTABLY BLOCKED NOSE(TAKEN FROM(TAKEN FROM ““CLOSE YOUR MOUTH”)CLOSE YOUR MOUTH”)
o Practice half an hour of reduced
breathing before bed. (or ten Steps
exercise)
o Rinse your nose with sea salt and
water.
o Wear the tape over your mouth.
o Wear Breathe Right strips on your
nose.
o This will help overcome the feeling of
suffocation during sleep.
o Practise six repetitions of Exercise 5 Steps (create a
strong air shortage)
o If child or adult can breathe through their nose for one
minute, they can do so for life
KNOW WHENKNOW WHENTO REFER TOTO REFER TO EAR NOSE THROATEAR NOSE THROAT SPECIALISTSPECIALIST
minute, they can do so for life
o If child or adult is unable to breathe through their nose for
one minute, then refer to ENT specialist
LIFESTYLELIFESTYLELIFESTYLELIFESTYLE
Lifestyle and breathingLifestyle and breathing
o Processed foods
o overeating
o Stress
o Excessive talking
Lack of physical exercise
High temperatures of houses/stuffy air
Persons working in an office who are under stress and talking all
day, eating processed foods with no time to do physical
exercise have more work to do!
Processed foods
overeating
Stress
Excessive talking
o Lack of physical exercise
o High temperatures of houses/stuffy air
Persons working in an office who are under stress and talking all
day, eating processed foods with no time to do physical
exercise have more work to do!
Getting a Better Nights SleepGetting a Better Nights Sleep
Low CP and mouth breathing contribute to the following:
o Snoring, Sleep apnoea
o Disrupted sleep
o Nightmares
Asthma symptoms (3am-5am)
Needing to use the bathroom at about 6am
Children wetting the bed during the night
Fatigue first thing in morning
Dry mouth upon waking
Symptoms upon waking- blocked nose, wheezing, coughing or
breathlessness
Low CP and mouth breathing contribute to the following:
Snoring, Sleep apnoea
Disrupted sleep
o Nightmares
o Asthma symptoms (3am-5am)
o Needing to use the bathroom at about 6am
o Children wetting the bed during the night
o Fatigue first thing in morning
o Dry mouth upon waking
o Symptoms upon waking- blocked nose, wheezing, coughing or
breathlessness
Getting a Better Nights SleepGetting a Better Nights Sleep
o Avoid blue light – smart phone and laptop
o Sleep in a cool and airy bedroom
o Don’t eat late at night or drink alcoholo Don’t eat late at night or drink alcohol
o Switch to nasal breathing permanently
o Practise breathing softly for twenty minutes before sleep-
parasympathetic NS
o Determine sleeping position
Getting a Better Nights SleepGetting a Better Nights Sleep
• Tape mouth closed- 3M micropore tape
• Provide each student with a roll of tape
• Demonstrate how to apply it• Demonstrate how to apply it
• Wear tape for twenty minutes during the day to become
comfortable with it
• If mouth naturally moist in the morning, no need for tape
DietDiet
• Don’t talk about diet until session three or four
• Water has no effect on breathing
• Processed foods increase breathing• Processed foods increase breathing
• Raw food, most fruits and vegetables have less effect on
breathing
• Some people are intolerant to different foods- if so better to
remove these foods from the diet
Physical ExercisePhysical Exercise
o Only two ways to increase CO2 in the human organism.
o Never mouth breathe if the CP is less than 20 seconds.
You can have your mouth open during sports for short
periods of time when the CP is greater than 20 seconds.
Avoid asthma attack by warming up, and warming down.
Only two ways to increase CO2 in the human organism.
Never mouth breathe if the CP is less than 20 seconds.
o You can have your mouth open during sports for short
periods of time when the CP is greater than 20 seconds.
o Avoid asthma attack by warming up, and warming down.
Physical ExercisePhysical Exercise
Create an air shortage
1. Go faster with your mouth closed
2. Breathe less during physical exercise
3. Practice breath holds as described in EXERCISE 4
Determine if you are breathing correctly during physical
exercise;
Measure your CP before exercise
Perform physical exercise
Your CP measurement 30 minutes after exercise should be
greater than your CP measurement before exercise
Create an air shortage
1. Go faster with your mouth closed
2. Breathe less during physical exercise
3. Practice breath holds as described in EXERCISE 4
Determine if you are breathing correctly during physical
exercise;
o Measure your CP before exercise
o Perform physical exercise
o Your CP measurement 30 minutes after exercise should be
greater than your CP measurement before exercise
DIFFERENT CATEGORIES OF CLIENTSDIFFERENT CATEGORIES OF CLIENTSDIFFERENT CATEGORIES OF CLIENTSDIFFERENT CATEGORIES OF CLIENTS
Four categories of clientsFour categories of clients
1) CP of less than 10 seconds, older or not well
2) Panic attack, anxiety, sleep apnea, high blood
pressure and morepressure and more
3) Children and teenagers
4) Busy adult
PROGRAM FOR CATEGORY ONEPROGRAM FOR CATEGORY ONEFORFOR LOW CP, OLDER OR NOT WELLLOW CP, OLDER OR NOT WELL
o Breathe through nose both day and night.
o Practice Exercise 2 (Gentle reduced breathing) for ten minutes by
six times daily. (Only if it does not disrupt breathing. Otherwise
practice Exercise 6).practice Exercise 6).
or
o Practice Exercise 6 (Many Small Breath Holds) for ten minutes by
six times daily.
o Exercise 3: Gentle walking each day with mouth closed.
PROGRAM FOR CATEGORY ONEPROGRAM FOR CATEGORY ONEFORFOR LOW CP, OLDER OR NOT WELLLOW CP, OLDER OR NOT WELL
o If having symptoms during sleep, sleep in an upright position only.
o Set alarm to break sleep every two to three hours. If no symptoms,
go back to sleep. If symptoms, practice many small breath holds to
help get your breathing under control. Don’t go to sleep until
breathing under control.breathing under control.
o Avoid excessive talking or other activities that will increase
breathing.
o Eat food in small quantities.
PROGRAM FOR CATEGORY ONEPROGRAM FOR CATEGORY ONEFORFOR LOW CP, OLDER OR NOT WELLLOW CP, OLDER OR NOT WELL
o Never push yourself during physical exercise beyond the
point where you lose control of your breathing. For
example, getting up out of bed, roll over very gently and
slowly walk to the bathroom, or out of the room. Whileslowly walk to the bathroom, or out of the room. While
climbing a stairs, take it one step at a time and rest as
often as necessary. (especially applicable to severe
asthma and COPD).
o Breathe through nose both day and night.
o Spend six by ten minutes daily doing any of the following:
o Exercise 2: Reduced Breathing with relaxation (sleep disordered
PROGRAM FOR CATEGORY TWOPROGRAM FOR CATEGORY TWOPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSUREPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSURE
o Exercise 2: Reduced Breathing with relaxation (sleep disordered
breathing- 15 minutes before sleep)
o Exercise 3: Walking with Mouth Closed
o Exercise 6: Many Small Breath Holds
o Exercise 7: Relaxation without air shortage
o Sleep apnea; may show unusually high control pause
o Lost sensitivity of chemoreceptors
PROGRAM FOR CATEGORY TWOPROGRAM FOR CATEGORY TWOPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSUREPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSURE
o Concentrate on relaxation without air shortage
o Then practise relaxation with air shortage
o Cardio issues may be present
PROGRAMPROGRAM FOR CATEGORY THREEFOR CATEGORY THREECHILDREN / TEENAGERSCHILDREN / TEENAGERS
o Breathe through the nose at all times
o Exercise 1: if nose gets blocked
o Exercise 2: be aware of the concept of reduced breathing and
ensure that breathing is quiet 24/7
oo Exercise 3: physical exercise with mouth closed
o Exercise 4: breath holds during exercise
o Exercise 5: when you have no symptoms, practice 12 -18
repetitions of Steps each day. (Ideally 6 before breakfast, 6
during the day and 6 before bed.)
PROGRAMPROGRAM FOR CATEGORY THREEFOR CATEGORY THREECHILDREN / TEENAGERSCHILDREN / TEENAGERS
o Exercise 6: when wheezy or coughing
o When child or teenager can do 80 - 100 Steps, do
enough repetitions to maintain this figure. For
example, after a few weeks they might be able to
maintain 100 steps by just doing 3 repetitions of Stepsmaintain 100 steps by just doing 3 repetitions of Steps
each day.
SETSETEXACT GOALSEXACT GOALS
o Know how many steps the child is
able to do.
o Set a goal for the child to increase by
ten extra steps each week.
o If steps are above sixty- no
symptoms present but a trigger could
produce symptoms
o If steps are above sixty- no
symptoms present but a trigger could
produce symptoms
o Overall goal is to reach 80-100 steps
o When child returns to the next
session, check that they have
achieved their goal.
o Rewards may be good incentive.
I HAVE BEEN FOOLEDI HAVE BEEN FOOLEDSO MANY TIMES!SO MANY TIMES!
o Hold hand over face and sneak air
into mouth
o Make size of steps smaller
o Sneak air at turnso Sneak air at turns
o If child has 80 steps in first week-
call a Stewarts enquiry!
HOW TO AVOIDHOW TO AVOIDBEING FOOLEDBEING FOOLED
o Child holds their nose with hand above face so mouth
can be seen. (if child’s mouth taped- less of an issue)
o Keep an eye on the size of the steps
o Listen to air sneaking in
o Have child walk from one parent to another so thato Have child walk from one parent to another so that
face is visible at all times
o Pay special attention to 10 year old boys!
TEACHING CHILDRENTEACHING CHILDREN
What is good breathing?
TEACHING CHILDRENTEACHING CHILDREN
FROM FIVE TO TENFROM FIVE TO TEN YEARSYEARS
TEACHING CHILDRENTEACHING CHILDRENFIVE YEARSFIVE YEARS
• Can be shy
• Let kids see other kids doing the exercise
• Try not to “overcrowd” the child
• Ask parents to tape their own mouths, children and
teenagers from early on in the course
Have parents work with the children
Have shorter course time, but more sessions
-(five sessions of one hour is ideal)
Plenty of practical exercises
Can be shy
Let kids see other kids doing the exercise
Try not to “overcrowd” the child
Ask parents to tape their own mouths, children and
teenagers from early on in the course
• Have parents work with the children
• Have shorter course time, but more sessions
-(five sessions of one hour is ideal)
• Plenty of practical exercises
WHAT ISWHAT ISGOOD BREATHING?GOOD BREATHING?
WHAT ISWHAT ISNOT GOOD BREATHING?NOT GOOD BREATHING?
IMPORTANCEIMPORTANCEOF BREATHING THROUGH NOSEOF BREATHING THROUGH NOSE
o Do you ever see your cat walking
around with his mouth open?
o What are your eyes for, what is
your mouth for, what are your
ears for? What is your nose for?ears for? What is your nose for?
MOTIVATING TEENAGERSMOTIVATING TEENAGERSMOTIVATING TEENAGERSMOTIVATING TEENAGERS
MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS
One swimmer
swim a few strokes
Another can swim
for a lot longer
MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS
MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS
MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS
o Be careful how youcommunicate facial structuresto children and teenagers!
o Convey the message throughbooks etc.
o Convey the message throughbooks etc.
PROGRAM FOR CATEGORY FOURPROGRAM FOR CATEGORY FOURFOR BUSY ADULTFOR BUSY ADULT
o Exercise 2: Reduce your breathing for
ten minutes by three times daily
o Exercise 3: Go for 20-minute walk duringo Exercise 3: Go for 20-minute walk during
your lunch break.
o Exercise 4: Do five to ten breath holds
throughout the walk.
PROGRAM FOR CATEGORY FOURPROGRAM FOR CATEGORY FOURFOR BUSY ADULTFOR BUSY ADULT
o Exercise 5: Practice 20 repetitions of
Steps daily if you have no
contraindications.
o Ideally, spend a cumulative 60 minutes
per day reducing your breathing.
o Formally- ten minutes every hour.
TEACHING BUTEYKOTEACHING BUTEYKOTEACHING BUTEYKOTEACHING BUTEYKO
TEACHING BUTEYKOTEACHING BUTEYKO
o Client completes intake form.
o Small groups of 3 to 6 children or adults is
ideal.
o Have separate group for children and adults.
o Arrange to see clients for one hour to one
and half hours over five sessions. Two
sessions on first week, one session a week
apart thereafter.
TEACHING BUTEYKOTEACHING BUTEYKO
o Observe clients throughout each session- get a
sense of their breathing. Check if mouth open as
they walk into your clinic etc. Listen for sighs.
o Explain theory as this motivates. “You can improveo Explain theory as this motivates. “You can improve
your blood circulation by making simple changes
to your breathing!”
TEACHING BUTEYKOTEACHING BUTEYKO
o Better breathing
o Better asthma control, less colds, chest infections,
phlegm and post nasal drip
o Better speech
MOTIVATIONMOTIVATION
o Better speech
o Significantly less rhinitis
TEACHING BUTEYKOTEACHING BUTEYKO
o Improved sleep
o Reduced breathlessness during physical exercise
o Calmer mind
MOTIVATIONMOTIVATION
o Improved concentration, focus and productivity
o Structural changes to the brain
TEACHING BUTEYKOTEACHING BUTEYKO
o The adult nervous system has the capacity for
plasticity, and the structure of the brain can change
in response to training.
o Changes in gray matter concentration in brain
regions involved in learning and memory
processes, emotion regulation, self-referential
processing, and perspective taking.
Britta K. Hölzel et al. Mindfulness practice leads to increases in regional
brain gray matter density
Psychiatry Res. 2011 Jan 30; 191(1): 36–43.
MOTIVATIONMOTIVATION
The adult nervous system has the capacity for
plasticity, and the structure of the brain can change
in response to training.
o Changes in gray matter concentration in brain
regions involved in learning and memory
processes, emotion regulation, self-referential
processing, and perspective taking.
Britta K. Hölzel et al. Mindfulness practice leads to increases in regional
brain gray matter density
Psychiatry Res. 2011 Jan 30; 191(1): 36–43.
TEACHING BUTEYKOTEACHING BUTEYKO
o Such increases represent enduring changes in
brain structure that could support improved mental
functioning.
Britta K. Hölzel et al. Mindfulness practice leads to increases in regional
brain gray matter density Psychiatry Res. 2011 Jan 30; 191(1): 36–
43.
MOTIVATIONMOTIVATION
Such increases represent enduring changes in
brain structure that could support improved mental
functioning.
Britta K. Hölzel et al. Mindfulness practice leads to increases in regional
brain gray matter density Psychiatry Res. 2011 Jan 30; 191(1): 36–
43.
TEACHING BUTEYKOTEACHING BUTEYKO
o Exercise 2: Reduced breathing is the most
important exercise.
o Your client may also be suited to the stronger
breath hold exercises 4 and 5. – CP over 15breath hold exercises 4 and 5. – CP over 15
seconds, no contraindications, relatively good
health.
o Begin each session with more gentle breath holds.
o Ensure that they don’t overdo the strong breath
holds.
TYPICAL FORMATTYPICAL FORMATTYPICAL FORMATTYPICAL FORMAT
First sessionFirst session-- adultsadults
o Goal is to understand the importance of nose
breathing and light breathing
o Traits of dysfunctional breathing
o Measure the Control Pause and give feedbacko Measure the Control Pause and give feedback
o Exercise1: How to unblock the nose
o Exercise 6: Many small breath holds for stress,
asthma
First sessionFirst session-- adultsadults
o Exercise 2: Reduced breathing- all three versions
- 4 minutes: hands on chest and tummy
- 4 minutes: finger blocking one nostril
-- 4 minutes: hands cupping face
o All physical activity with mouth closed
o Tape mouth at night (provide tape)
First sessionFirst session-- adultsadults
o Homework- practice exercises six times by ten
minutes daily
Second sessionSecond session-- adultsadults
o Progress on day two is usually mixed.
o Review progress of the group: practice? Mouth
taped? Breathing lighter? Better awarenes?
o Recap briefly : importance of nose breathingo Recap briefly : importance of nose breathing
o Measure CP after resting for ten minutes
o Exercise 1: How to unblock the nose
o Exercise 6: Many small breath holds - 4 minutes
Second sessionSecond session-- adultsadults
o Exercise 3: Walking with mouth closed- 5 minutes
o Exercise 4: Walking with breath holds- 10 minutes
o Homework- practice exercises six times by ten
minutes dailyminutes daily
Third sessionThird session-- adultsadults
o Check progress, observe breathing.
o Recap briefly: importance of nose breathing
o Measure CP after resting for ten minutes
o Exercise 1: How to unblock the nose (5 min)
o Exercise 6: Many small breath holds (5 min)
o Exercise 2: Reduced breathing (4 by 4 min)
sessions. PULSE, CP, RB, CP, RB, CP RB, CP,
RB, CP, PULSE
Third sessionThird session-- adultsadults
o Ex 3: Walking with mouth closed (5 min)
o Ex 4: Walking with breath holds (10 min)
o Talk about physical exerciseo Talk about physical exercise
o Talk about diet
o Homework- practice exercises six times by
ten minutes daily
Fourth and Fifth sessionFourth and Fifth session-- adultsadults
o Check progress, observe breathing.
o Recap briefly : importance of nose breathing
o Measure CP after resting for ten minuteso Measure CP after resting for ten minutes
o Ex 1: How to unblock the nose
o Ex 6: Many small breath holds (4 min)
Fourth and Fifth sessionFourth and Fifth session-- adultsadults
o Ex 2: Reduced Breathing Advanced (4 by 4 min)
PULSE, CP, RB, CP, RB, CP RB, CP, RB, CP,
PULSE
o Ex 3: Walking with mouth closed (5 min)o Ex 3: Walking with mouth closed (5 min)
o Ex 4: Walking with breath holds (10 min)
o Ex 5: Steps (10 min)
o Homework- incorporate into your daily life
Final WordsFinal Words
o It is easy to offer Buteyko when you know the
method very well and practise what you preach.
o How could you ask a client to tape their mouth
when you have never done it yourself?
How could you explain reduced breathing through
relaxation when you are unable to do it yourself?
You need to be your first client.
It is easy to offer Buteyko when you know the
method very well and practise what you preach.
How could you ask a client to tape their mouth
when you have never done it yourself?
o How could you explain reduced breathing through
relaxation when you are unable to do it yourself?
o You need to be your first client.
If You Are PassionateIf You Are Passionate
o Learn as much as possible
o Become an expert
o Always source information
Find ways to reach the general public
Help comes to you from clients, media and more
Learn as much as possible
Become an expert
o Always source information
o Find ways to reach the general public
o Help comes to you from clients, media and more
That’s all folksThat’s all folks!!That’s all folksThat’s all folks!!Copyright Patrick McKeown, 2015Copyright Patrick McKeown, 2015