Søernes Fysioterapi Facebookpage:
1. SøernesFysioterapi.dk. 2. Physioblog Andreas Bjerregaard 3.Søernesfysioterapi
Breating major function.
- Charges hemoglobin with O2
- Removes CO2
- preserves the acid-base relationship-pH
What are the purpose with breating
- Inhalation allows the air through the airway, to the lungs for absorption of oxygen into the blood
- Exhalation allows the delivery of oxygen to the tissues and most importantly the brain
- Exhalation removes waste products
- Nasal respiration sinuses produces nitric oxide (NO)
- Inhalation NO = ↑ oxygen efficiency
- ↑ blood oxygen by 18%
- Improves oxygen
Sympathetic Vs Parasympathetic
Sympathetic dominance
↑ Breathing rate
↑ Bronchospasm
↑ Heart rate
↑ Blood pressure
↑ Blood flow to organs and muscles
Parasympathetic dominance
↓ Breathing rate
↓ Bronchial tension
↓ Heart rate
↓ Blood pressure
↑ Blood flow to organs and muscle
What optimal breathing mechanicsEyes are level with the floor- Lips are together at rest, without strain
- Nasal breathing is established in all body positions
- Breathing is silent
- Exhalation is longer than inhalation
- Breathing is rhythmical
- Neck and shoulder muscles are at rest
Dysfunktionel åndedræt
- Eyes are not level with the floor
- Lips are apart during rest and movement
- Mouth breathing is present
- Breathing is noisy
- Breathing is irregular, sighs, gasps, holding
- Breathing requires neck or shoulder motion
Hyperventilation
- Lowering of carbon dioxide in blood, causes ↑ in pH
- Physiological changes in the MSK
- Short term ↑ pH improves mm function
- Long term = over-stimulation, fatigue, sensitisation
- Smooth mms cells in collagen constrict when pH rises (Restini & Bendhack 2006)
Breathing assessment
- Timed breathing rate
- Breath hold-test
- Hi/Lo (scalenes)
- First rib
- Lateral rib expansion
- Rib palpation
Benefits from optimal breathing?
- Improved core stability & loco-motor function
- Muscle relaxation
- Release of stress & tension
- Improved pain management
- Enhanced physical performance
- Increased energy & endurance
- Improves respiratory health and function
- Improves metabolism and digestion
- Optimises full body function
Spørgsskema om åndedræt.
- En score over 20 indikere hyperventilation
- En score mellem 10 og 20 indikere en mild hyperventilation
- Hvis scoren er under 10 dit åndedræt vil højst sandsynlig ikke forvalte dig nogen alvorlige sundhedsproblemer. Dog skal alle score over 0 give anledning til et tjek af åndedræt
Tjek dit åndedræt:
Pretest
- Timed breathing rate (60 seconds)
- Breath hold test
- Hi/Lo
- First rib
- Lateal rib expension
Post breathing retraining:
- Timed breathing rate (60 seconds)
- Breath hold test
- Hi/Lo
- First rib
- Lateral rib expension
Note: pursed breating i forskellige positioner. LOIS-breating, Crocodule breating (dybevejrtrækning med arme over hovedet)
