Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it...

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Part 2 Section 2 art 2 Section 2 Copyright Patrick McKeown, 2015 Copyright Patrick McKeown, 2015

Transcript of Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it...

Page 1: Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it difficult to focus on breathing. o Air shortage may generate panic. o If control pause

PPart 2 Section 2art 2 Section 2PPart 2 Section 2art 2 Section 2Copyright Patrick McKeown, 2015Copyright Patrick McKeown, 2015

Page 2: Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it difficult to focus on breathing. o Air shortage may generate panic. o If control pause

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

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PROGRESSPROGRESS

o Lighter breathing

o Final CP 25- 40% higher

Pulse lower by 2-3 secondso Pulse lower by 2-3 seconds

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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

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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

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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

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Exercise 5: STEPSExercise 5: STEPSEXERCISEEXERCISE FOR CHILDREN,TEENAGERS & HEALTHY ADULTSFOR CHILDREN,TEENAGERS & HEALTHY ADULTS

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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

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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!

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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.

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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.

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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

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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

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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

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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

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NUANCESNUANCESNUANCESNUANCES

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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.

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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.

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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).

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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.

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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

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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.

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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.

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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.

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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

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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

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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.

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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

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LIFESTYLELIFESTYLELIFESTYLELIFESTYLE

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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!

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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

Page 32: Breathing Method, Techniques, Exercises... - PPart 2 Section … · 2019-08-06 · o May find it difficult to focus on breathing. o Air shortage may generate panic. o If control pause

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

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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

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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

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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.

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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

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DIFFERENT CATEGORIES OF CLIENTSDIFFERENT CATEGORIES OF CLIENTSDIFFERENT CATEGORIES OF CLIENTSDIFFERENT CATEGORIES OF CLIENTS

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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

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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.

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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.

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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).

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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

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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

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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.)

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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.

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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.

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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!

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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!

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TEACHING CHILDRENTEACHING CHILDREN

What is good breathing?

TEACHING CHILDRENTEACHING CHILDREN

FROM FIVE TO TENFROM FIVE TO TEN YEARSYEARS

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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

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WHAT ISWHAT ISGOOD BREATHING?GOOD BREATHING?

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WHAT ISWHAT ISNOT GOOD BREATHING?NOT GOOD BREATHING?

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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?

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MOTIVATING TEENAGERSMOTIVATING TEENAGERSMOTIVATING TEENAGERSMOTIVATING TEENAGERS

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MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS

One swimmer

swim a few strokes

Another can swim

for a lot longer

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MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS

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MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS

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MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS

o Be careful how youcommunicate facial structuresto children and teenagers!

o Convey the message throughbooks etc.

o Convey the message throughbooks etc.

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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.

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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.

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TEACHING BUTEYKOTEACHING BUTEYKOTEACHING BUTEYKOTEACHING BUTEYKO

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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.

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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!”

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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

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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

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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.

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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.

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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.

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TYPICAL FORMATTYPICAL FORMATTYPICAL FORMATTYPICAL FORMAT

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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

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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)

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First sessionFirst session-- adultsadults

o Homework- practice exercises six times by ten

minutes daily

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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

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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

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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

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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

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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)

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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

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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.

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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

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That’s all folksThat’s all folks!!That’s all folksThat’s all folks!!Copyright Patrick McKeown, 2015Copyright Patrick McKeown, 2015