Understanding and Treating Breathing Pattern Disorders (BPD) – including thoracic and pelvic biomechanical influences
NOTE: Course includes MET, Positional Release and Myofascial pain management elements
Dates: February 24/25th 2018
By the end of the course the participant should have:
• An understanding of the widespread influences of unbalanced breathing patterns on physical and emotional health in general, and the musculoskeletal system in particular, based on current clinical and research evidence
• An understanding of the connection between unbalanced breathing and changes involving circulatory, neurological, psychological and metabolic processes, based on clinical and research evidence
• An awareness of the connection between BPD and pelvic floor (and sacro-iliac) dysfunction
• The ability to recognize signs and symptoms of functional breathing pattern disorders.
• The ability to utilize a validated instrument (Nijmegen questionnaire) in assessing BPD
• An awareness of a variety of evidence based, clinically useful, approaches to breathing rehabilitation, including the use of appropriate soft tissue and articular mobilization methods.
• An increased ability to explain to clients the value of regularly applied rehabilitation (breathing exercises and mobilization methods) in the management of breathing pattern disorders
• Greater awareness of various complementary approaches to rehabilitation of
respiratory function – including nutritional.
This course will explain the presentation and symptoms of, as well as rehabilitation strategies for, the widespread habit (mainly affecting females) of unbalanced respiration (breathing pattern disorder/BPD).
New evidence will be offered linking BPD with disturbed autonomic balance, musculoskeletal and circulatory function, affecting pain thresholds, motor control, core stability and balance, as well as emotional lability. Safe rehabilitation methods will be demonstrated, taught and practised.
1. Introduction to breathing pattern disorders (BPD): definitions, gender issues, range, symptoms, triggers. (lecture/powerpoint demonstration)
2. The patho-physiology of BPDs – effects of BPD on circulatory, neurological, psychological and metabolic processes. (lecture/powerpoint demonstration)
3. Recognizing BPD. Signs and symptoms; tests – including Nijmegen questionnaire as well as other validated methods, including capnography (if available), plus evaluation of accessory respiratory muscles and myofascial changes, ribs and other
thoracic structures. (lecture, demonstration + class interaction working in small
4. Evaluation (and where appropriate, treatment) of pelvic influences on respiratory
5. Biomechanical rehabilitation methods – description and demonstration of soft tissue
and articular manipulation and mobilisation methods, using a combination of muscle energy techniques and positional release methods, combined with rehabilitation protocols. (demonstration + class interaction working in small groups)
6. Thoracic cage mobilization methods – using validated osteopathic methods (demonstration + class interaction working in small groups)
7. Rehabilitation exercises : pursed lip breathing, anti-arousal breathing, Brugger’s methods etc. (practical demonstrations using volunteers + class practice of self- application of methods)
8. Nutritional strategies – for example in situations where low blood sugar levels exacerbate BPD
9. Review and questions
Suggested reading :
Chaitow L, Bradley D, Gilbert 2014 Recognizing and Treating Breathing Disorders. Churchill Livingstone, Edinburgh
Chaitow L, Bradley D, Gilbert 2002 Multidisciplinary Approaches to Breathing Pattern Disorders. Churchill Livingstone, Edinburgh
Chaitow L 2004 Breathing pattern disorders, motor control, and low back pain
Journal of Osteopathic Medicine 7(1): 34-41