part 2 section 2 - buteyko clinic...

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 warm

o Face gets pink

o Some people feel sudden calmness,others may feel slight panic

o Eyes go glassy

o Increased saliva in mouth

o Nose may run

o 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

o Pulse lower by 2-3 seconds

o Lighter breathing

o Final CP 25- 40% higher

o 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 sustainnasal breathing

o If you need to open your mouth, slowdown and relax

o Walk for half an hour to one hour daily

o Walk, but don’t talk

o Walk at a pace where you can sustainnasal breathing

o If you need to open your mouth, slowdown 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 oneminute

o Repeat breath hold every minute or so for ten repetitions



o Hold your breath for between ten to twenty paces



Exercise 4Exercise 4WALKING WITH MEDIUM TO STRONG BREATH HOLDWALKING WITH MEDIUM TO STRONG BREATH HOLD



o Hold your breath for between twenty to eighty paces





o Hold your breath for between twenty to eighty paces



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 holdingthe breath

o Count aloud every ten steps

o Repeat steps every half minute or so

o Older kids- will naturally compete with each other

o Measurement of progress

o Request that child tape mouth during all exercises

o Have child walk from one adult to another while holdingthe breath

o Count aloud every ten steps

o Repeat steps every half minute or so

o Older kids- will naturally compete with each other


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 bydoing as many steps as possible - withoutoverdoing it of course!

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 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.

o You should be able to recover from stepswithin one to two breaths. If you cannot,you have held your breath for too long.

Exercise 5: STEPSExercise 5: STEPS

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.

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 gothrough easy phase, to struggle phase.

o Diaphragm will spasm as breath holdbecomes strong.

o Look at child's neck and when you see childgetting stressed, encourage child to let go.

o Some kids are very competitive. Encouragenot to get stressed.


o During breath hold, child/teenager will gothrough easy phase, to struggle phase.

o Diaphragm will spasm as breath holdbecomes strong.

o Look at child's neck and when you see childgetting stressed, encourage child to let go.

o Some kids are very competitive. Encouragenot to get stressed.

o Holding the breath until a medium-to-strongneed for air mobilizes the diaphragm,providing it with a workout and helping tostrengthen it.


Exercise 6Exercise 6

o Do many small breath holds of 3-5 seconds each

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 withinten minutes – take rescue medication

MANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANICMANY SMALL BREATH HOLDS FOR COUGH, WHEEZE, STRESS OR PANIC

o Do many small breath holds of 3-5 seconds each

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 withinten minutes – take rescue medication


Success of stopping asthma attackdepends on two factors:

1) The higher your normal CP, the easier itis to stop symptoms

2) The sooner you commence the breathhold exercise, the easier it is to stopsymptoms


Success of stopping asthma attackdepends on two factors:

1) The higher your normal CP, the easier itis to stop symptoms

2) The sooner you commence the breathhold exercise, the easier it is to stopsymptoms


HyperinflationBreathe in through nose

At top of breath, pause for a fraction of asecond, bring a feeling of relaxation tobreathing and allow a gentle relaxed breathout

Continue bringing a feeling of relaxation tobreathing muscles


HyperinflationBreathe in through nose

At top of breath, pause for a fraction of asecond, bring a feeling of relaxation tobreathing and allow a gentle relaxed breathout

Continue bringing a feeling of relaxation tobreathing 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

five minutes after the breath hold.

o Instead begin with relaxation, light air shortage.

Strong Breath holds not suitable ifStrong Breath holds not suitable if::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

five minutes after the breath hold.

o Instead begin with relaxation, light air shortage.

Strong breath holds are only suitable if theheart rate normalises when measured five toten minutes after completion of the steps orstrong breath hold.

Steps and Heart RateSteps and Heart Rate

Strong breath holds are only suitable if theheart rate normalises when measured five toten minutes after completion of the steps orstrong 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

may occur.

o If necessary practise exercises involving distraction.

(breathing through nose, stop sighing, relaxation, small

breath holds, walking with mouth closed).

AnxietyAnxietyo May find it difficult to focus on breathing.

o Air shortage may generate panic.

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

toward normal.

o Don’t do steps or strong breath holds. Instead relaxation,

reduced breathing, walking with mouth closed, many small

breath holds.

High Blood PressureHigh Blood Pressure

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

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, hightemperatures, stress, mouth breathing etc

o CP should not increase by more than 2 seconds eachweek

o 2nd trimester- go gently with air shortage

PregnancyPregnancyo During first trimester- no reduced breathing exercises

o Prevent hyperventilation- avoid overeating, hightemperatures, stress, mouth breathing etc

o CP should not increase by more than 2 seconds eachweek

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.

o Persons taking asthma and rhinitis medication also need to

have their medication evaluated.

MedicationMedicationo 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.

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 andcausing symptoms.

o Try to achieve as many steps without causing cough,wheeze.

o Do hundreds of small breath holds to make progress.

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 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 reducebreathing if symptoms arepresent or control pause isvery low.

o Do Exercise 6 (many smallbreath holds) until symptomspass, or control pausereaches 12/13 seconds.

o Too difficult to reducebreathing if symptoms arepresent or control pause isvery low.

o Do Exercise 6 (many smallbreath holds) until symptomspass, or control pausereaches 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 breathholds

o Do steps exercise to help reset respiratorycentre quickly

o Breathing will quieten in about half an hour

o Ex 1 or 5: Concentrate on stronger breathholds

o Do steps exercise to help reset respiratorycentre quickly

o 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 noseunblocking exercise and rinse your nose withsaline solution (described in Close Your Mouth).

o Wear paper tape over lips.

o While wearing the tape, your nose will nevercompletely block. Your nose will partially block ifcontrol pause is low. Remember, your nose willonly block completely if you switch to mouthbreathing.

o Nose will continue to block until CP is 20 seconds

o First clear nose by completing the noseunblocking exercise and rinse your nose withsaline solution (described in Close Your Mouth).

o Wear paper tape over lips.

o While wearing the tape, your nose will nevercompletely block. Your nose will partially block ifcontrol pause is low. Remember, your nose willonly block completely if you switch to mouthbreathing.

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 reducedbreathing before bed. (or ten Stepsexercise)

o Rinse your nose with sea salt andwater.

o Wear the tape over your mouth.

o Wear Breathe Right strips on yournose.

o This will help overcome the feeling ofsuffocation during sleep.

o Practice half an hour of reducedbreathing before bed. (or ten Stepsexercise)

o Rinse your nose with sea salt andwater.

o Wear the tape over your mouth.

o Wear Breathe Right strips on yournose.

o This will help overcome the feeling ofsuffocation during sleep.

o Practise six repetitions of Exercise 5 Steps (create astrong air shortage)

o If child or adult can breathe through their nose for oneminute, they can do so for life

o If child or adult is unable to breathe through their nose forone minute, then refer to ENT specialist

KNOW WHENKNOW WHENTO REFER TOTO REFER TO EAR NOSE THROATEAR NOSE THROAT SPECIALISTSPECIALIST

o Practise six repetitions of Exercise 5 Steps (create astrong air shortage)

o If child or adult can breathe through their nose for oneminute, they can do so for life

o If child or adult is unable to breathe through their nose forone minute, then refer to ENT specialist

LIFESTYLELIFESTYLELIFESTYLELIFESTYLE

Lifestyle and breathingLifestyle and breathing

o Processed foodso overeatingo Stresso Excessive talkingo Lack of physical exerciseo High temperatures of houses/stuffy air

Persons working in an office who are under stress and talking allday, eating processed foods with no time to do physicalexercise have more work to do!

o Processed foodso overeatingo Stresso Excessive talkingo Lack of physical exerciseo High temperatures of houses/stuffy air

Persons working in an office who are under stress and talking allday, eating processed foods with no time to do physicalexercise 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 apnoeao Disrupted sleepo Nightmareso Asthma symptoms (3am-5am)o Needing to use the bathroom at about 6amo Children wetting the bed during the nighto Fatigue first thing in morningo Dry mouth upon wakingo Symptoms upon waking- blocked nose, wheezing, coughing or

breathlessness

Low CP and mouth breathing contribute to the following:

o Snoring, Sleep apnoeao Disrupted sleepo Nightmareso Asthma symptoms (3am-5am)o Needing to use the bathroom at about 6amo Children wetting the bed during the nighto Fatigue first thing in morningo Dry mouth upon wakingo Symptoms upon waking- blocked nose, wheezing, coughing or

breathlessness


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 alcohol

o Switch to nasal breathing permanently

o Practise breathing softly for twenty minutes before sleep-parasympathetic NS

o Determine sleeping position

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 alcohol

o Switch to nasal breathing permanently

o Practise breathing softly for twenty minutes before sleep-parasympathetic NS

o Determine sleeping position


• Tape mouth closed- 3M micropore tape

• Provide each student with a roll of tape

• Demonstrate how to apply it

• Wear tape for twenty minutes during the day to becomecomfortable with it

• If mouth naturally moist in the morning, no need for tape

• Tape mouth closed- 3M micropore tape

• Provide each student with a roll of tape

• Demonstrate how to apply it

• Wear tape for twenty minutes during the day to becomecomfortable 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

• Raw food, most fruits and vegetables have less effect onbreathing

• Some people are intolerant to different foods- if so better toremove these foods from the diet

• Don’t talk about diet until session three or four

• Water has no effect on breathing

• Processed foods increase breathing

• Raw food, most fruits and vegetables have less effect onbreathing

• Some people are intolerant to different foods- if so better toremove 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.

o You can have your mouth open during sports for shortperiods of time when the CP is greater than 20 seconds.

o Avoid asthma attack by warming up, and warming down.

o Only two ways to increase CO2 in the human organism.

o Never mouth breathe if the CP is less than 20 seconds.

o You can have your mouth open during sports for shortperiods 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 shortage1. Go faster with your mouth closed2. Breathe less during physical exercise3. Practice breath holds as described in EXERCISE 4

Determine if you are breathing correctly during physicalexercise;

o Measure your CP before exerciseo Perform physical exerciseo Your CP measurement 30 minutes after exercise should be

greater than your CP measurement before exercise

Create an air shortage1. Go faster with your mouth closed2. Breathe less during physical exercise3. Practice breath holds as described in EXERCISE 4

Determine if you are breathing correctly during physicalexercise;

o Measure your CP before exerciseo Perform physical exerciseo 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 clients1) CP of less than 10 seconds, older or not well

2) Panic attack, anxiety, sleep apnea, high bloodpressure and more

3) Children and teenagers

4) Busy adult

1) CP of less than 10 seconds, older or not well

2) Panic attack, anxiety, sleep apnea, high bloodpressure 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 bysix times daily. (Only if it does not disrupt breathing. Otherwisepractice Exercise 6).

oro Practice Exercise 6 (Many Small Breath Holds) for ten minutes by

six times daily.

o Exercise 3: Gentle walking each day with mouth closed.


o Practice Exercise 2 (Gentle reduced breathing) for ten minutes bysix times daily. (Only if it does not disrupt breathing. Otherwisepractice Exercise 6).

oro Practice Exercise 6 (Many Small Breath Holds) for ten minutes by

six times daily.

o Exercise 3: Gentle walking each day with mouth closed.


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 tohelp get your breathing under control. Don’t go to sleep untilbreathing under control.

o Avoid excessive talking or other activities that will increasebreathing.

o Eat food in small quantities.

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 tohelp get your breathing under control. Don’t go to sleep untilbreathing under control.

o Avoid excessive talking or other activities that will increasebreathing.

o Eat food in small quantities.


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. 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 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. 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 Spend six by ten minutes daily doing any of the following:

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

PROGRAM FOR CATEGORY TWOPROGRAM FOR CATEGORY TWOPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSUREPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSURE


o Spend six by ten minutes daily doing any of the following:

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

o Concentrate on relaxation without air shortage

o Then practise relaxation with air shortage

o Cardio issues may be present

PROGRAM FOR CATEGORY TWOPROGRAM FOR CATEGORY TWOPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSUREPANIC ATTACK, ANXIETY, SLEEP APNEA, HIGH BLOOD PRESSURE

o Sleep apnea; may show unusually high control pause

o Lost sensitivity of chemoreceptors

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 andensure that breathing is quiet 24/7

o Exercise 3: physical exercise with mouth closed

o Exercise 4: breath holds during exercise

o Exercise 5: when you have no symptoms, practice 12 -18repetitions of Steps each day. (Ideally 6 before breakfast, 6during the day and 6 before bed.)

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 andensure that breathing is quiet 24/7

o Exercise 3: physical exercise with mouth closed

o Exercise 4: breath holds during exercise

o Exercise 5: when you have no symptoms, practice 12 -18repetitions of Steps each day. (Ideally 6 before breakfast, 6during 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, doenough repetitions to maintain this figure. Forexample, after a few weeks they might be able tomaintain 100 steps by just doing 3 repetitions of Stepseach day.

o Exercise 6: when wheezy or coughing

o When child or teenager can do 80 - 100 Steps, doenough repetitions to maintain this figure. Forexample, after a few weeks they might be able tomaintain 100 steps by just doing 3 repetitions of Stepseach day.

SETSETEXACT GOALSEXACT GOALS

o Know how many steps the child isable to do.

o Set a goal for the child to increase byten extra steps each week.

o If steps are above sixty- nosymptoms present but a trigger couldproduce symptoms

o Overall goal is to reach 80-100 steps

o When child returns to the nextsession, check that they haveachieved their goal.

o Rewards may be good incentive.

o Know how many steps the child isable to do.

o Set a goal for the child to increase byten extra steps each week.

o If steps are above sixty- nosymptoms present but a trigger couldproduce symptoms

o Overall goal is to reach 80-100 steps

o When child returns to the nextsession, check that they haveachieved 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 airinto mouth

o Make size of steps smaller

o Sneak air at turns

o If child has 80 steps in first week-call a Stewarts enquiry!

o Hold hand over face and sneak airinto mouth

o Make size of steps smaller

o 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 mouthcan 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 thatface is visible at all times

o Pay special attention to 10 year old boys!

o Child holds their nose with hand above face so mouthcan 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 thatface is visible at all times

o Pay special attention to 10 year old boys!

TEACHING CHILDRENTEACHING CHILDREN

What is good breathing?

TEACHING CHILDRENTEACHING CHILDRENFROM 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 walkingaround with his mouth open?

o What are your eyes for, what isyour mouth for, what are yourears for? What is your nose for?

o Do you ever see your cat walkingaround with his mouth open?

o What are your eyes for, what isyour mouth for, what are yourears for? What is your nose for?

MOTIVATING TEENAGERSMOTIVATING TEENAGERSMOTIVATING TEENAGERSMOTIVATING TEENAGERS

MOTIVATINGMOTIVATINGTEENAGERSTEENAGERS

One swimmerswim a few strokes

Another can swimfor a lot longer


o Be careful how youcommunicate facial structuresto children and teenagers!

o Convey the message throughbooks etc.

o Be careful how youcommunicate facial structuresto children and teenagers!

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 during

your lunch break.

o Exercise 4: Do five to ten breath holds

throughout the walk.

o Exercise 2: Reduce your breathing for

ten minutes by three times daily

o 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.

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.

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.


o Observe clients throughout each session- get asense of their breathing. Check if mouth open asthey walk into your clinic etc. Listen for sighs.

o Explain theory as this motivates. “You can improveyour blood circulation by making simple changesto your breathing!”

o Observe clients throughout each session- get asense of their breathing. Check if mouth open asthey walk into your clinic etc. Listen for sighs.

o Explain theory as this motivates. “You can improveyour blood circulation by making simple changesto your breathing!”


o Better breathing

o Better asthma control, less colds, chest infections,

phlegm and post nasal drip

o Better speech

o Significantly less rhinitis

MOTIVATIONMOTIVATION

o Better breathing

o Better asthma control, less colds, chest infections,

phlegm and post nasal drip

o Better speech

o Significantly less rhinitis


o Improved sleep

o Reduced breathlessness during physical exercise

o Calmer mind

o Improved concentration, focus and productivity

o Structural changes to the brain


o Improved sleep

o Reduced breathlessness during physical exercise

o Calmer mind

o Improved concentration, focus and productivity

o Structural changes to the brain


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 regionalbrain gray matter density

Psychiatry Res. 2011 Jan 30; 191(1): 36–43.


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 regionalbrain gray matter density

Psychiatry Res. 2011 Jan 30; 191(1): 36–43.


o Such increases represent enduring changes inbrain structure that could support improved mentalfunctioning.

Britta K. Hölzel et al. Mindfulness practice leads to increases in regionalbrain gray matter density Psychiatry Res. 2011 Jan 30; 191(1): 36–43.


o Such increases represent enduring changes inbrain structure that could support improved mentalfunctioning.

Britta K. Hölzel et al. Mindfulness practice leads to increases in regionalbrain gray matter density Psychiatry Res. 2011 Jan 30; 191(1): 36–43.


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 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.

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 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 feedback

o Exercise1: How to unblock the nose

o Exercise 6: Many small breath holds for stress,

asthma

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 feedback

o Exercise1: How to unblock the nose

o Exercise 6: Many small breath holds for stress,

asthma


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)

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)


o Homework- practice exercises six times by ten

minutes daily


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 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

o Progress on day two is usually mixed.

o Review progress of the group: practice? Mouth

taped? Breathing lighter? Better awarenes?



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


minutes daily

o Exercise 3: Walking with mouth closed- 5 minutes

o Exercise 4: Walking with breath holds- 10 minutes


minutes daily

Third sessionThird session-- adultsadults

o Check progress, observe breathing.

o Recap briefly: importance of nose breathing


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


o Recap briefly: importance of nose breathing


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 exercise

o Talk about diet

o Homework- practice exercises six times by

ten minutes daily



o 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 Ex 1: How to unblock the nose

o Ex 6: Many small breath holds (4 min)




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 5: Steps (10 min)

o Homework- incorporate into your daily life

o Ex 2: Reduced Breathing Advanced (4 by 4 min)

PULSE, CP, RB, CP, RB, CP RB, CP, RB, CP,

PULSE



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 themethod very well and practise what you preach.

o How could you ask a client to tape their mouthwhen you have never done it yourself?

o How could you explain reduced breathing throughrelaxation when you are unable to do it yourself?

o You need to be your first client.

o It is easy to offer Buteyko when you know themethod very well and practise what you preach.

o How could you ask a client to tape their mouthwhen you have never done it yourself?

o How could you explain reduced breathing throughrelaxation 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

o Find ways to reach the general public

o Help comes to you from clients, media and more

o Learn as much as possible

o 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!!Copyright Patrick McKeown, 2015Copyright Patrick McKeown, 2015

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

part 2 section 2 - buteyko clinic...

Documents