The functions of breathing and its dysfunctions and their relationship to breathing therapy

International Journal of Osteopathic Medicine

Volumn 12, Issue 3, 2009, Pages 78-85

  Courtney, Rosalba ^a  

^a RMIT UNIVERSITY   (Australia)

Author keywords

Breathing therapy; Dysfunctional breathing; Functions of breathing; Hyperventilation

Indexed keywords

ARTICLE; BODY POSTURE; BREATHING DISORDER; BREATHING EXERCISE; HYPERVENTILATION; LUNG VENTILATION; MOTOR CONTROL; MUSCULOSKELETAL DISEASE; NERVE CELL PLASTICITY; RESPIRATION CONTROL;

EID: 68049090820     PISSN: 17460689     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijosm.2009.04.002     Document Type: Article

References (138)

1. McConnell C. The diaphragm. J Am Osteopath Assoc 31 (1928) 87-91
2. Lum L.C. Hyperventilation: the tip and the iceberg. J Psychom Res 19 (1975) 375-383
3. Kerr W.J., Dalton J.A., and Gliebe P.A. Some physical phenomena associated with the anxiety states and their relation to hyperventilation. Ann Int Med 11 (1937) 961
4. Soley M.H., and Shock N.W. The aetiology of effort syndrome. Am J Med Sci 196 (1938) 840
5. Magarian G. Hyperventilation syndromes: infrequently recognized common expressions of anxiety and stress. Medicine 61 (1982) 219-236
6. Lewis B.I. The hyperventilation syndrome. Ann Int Med 38 (1953) 918-927
7. Nixon P.G.F. The grey area of effort syndrome and hyperventilation. J R Coll Physicians of Lond 27 (1993)
8. Hornsveld H.K., and Garsson B. Hyperventilation syndrome: an elegant but scientifically untenable concept. Nether J Med 50 (1997) 13-20
9. Fried R. The hyperventilation syndrome (1987), John Hopkins University Press, Baltimore/London
10. Thomas M., McKinley R.K., Freeman E., and Foy C. Prevalence of dysfunctional breathing in patients treated for asthma in primary care: cross sectional survey. BMJ 322 (2001) 1098-1100
11. Cowley D.S. Hyperventilation and panic disorder. Am J Med 83 (1987) 923-929
12. West J. Respiratory physiology. 3rd ed. (1985), Williams and Wilkins, London
13. Konno K., and Mead J. Measurement of separate volume changes of rib cage and abdomen during breathing. J Appl Physiol 22 (1966) 407-422
14. De Troyer A., and Estenne M. Functional anatomy of the respiratory muscles. Clin Chest Med 9 (1988) 175-193
15. Faulkner W.B. The effect of the emotions upon diaphragm function: observations in 5 patients. Psychosom Med 3 (1941) 187-189
16. Wolf S. Diaphragmatic spasm: a neglected cause of dyspnea and chest pain. Integr Physiol Behav Sci 29 (1994) 74-76
17. Masaoka Y., and Homma I. Anxiety and respiratory patterns: their relationship during mental stress and physical load. Int J Psychophysiol 27 (1997) 153-159
18. Fitting J.W., and Grassino A.E. Diagnosis of diaphragm dysfunction. Clin Chest Med 8 (1987) 91-103
19. Hruska R. Influences of dysfunctional respiratory mechanics on orofacial pain. Dent Clin North Am 41 (1997) 211-227
20. Jubran A., and Tobin M. The effect of hyperinflation on rib cage-abdominal motion. Am Rev Respiratory Diseases 146 (1992) 1378-1382
21. Wolfson D., Strohl K., Dimarco A., and Altose M. Effects of an increase in end-expiratory volume on the pattern of thoracoabdominal movement. Respir Physiol 53 (1983) 273-283
22. De Troyer A. Mechanical role of the abdominal muscles in relation to posture. Respir Physiol 53 (1983) 341-353
23. Verschakelen J.A., and Demedts M.G. Normal thoracoabdominal motions: influence of sex, age, posture, and breath size. Am J Respir Crit Care Med 151 (1995) 399-405
24. De Troyer A., and Estenne M. Coordination between rib cage muscles and diaphragm during quiet breathing in humans. J Appl Physiol 57 (1984) 899-906
25. Pryor J.A., and Prasad S.A. Physiotherapy for respiratory and cardiac problems. 3rd ed. (2002), Churchill Livingstone, Edinburg
26. Finucane K., Panizza J., and Singh B. Efficiency of the normal human diaphragm with hyperinflation. J Appl Physiol 99 (2005) 1402-1411
27. Zocchi L., et al. Effect of hyperinflation and equalization of abdominal pressure on diaphragmatic action. J Appl Physiol 62 (1987) 1655-1664
28. Celli B. Clinical and physiological evaluation of respiratory muscle function. Clin Chest Med 10 (1989)
29. Laghi F., et al. Effect of lung volume reduction surgery on neuromechanical coupling of the diaphragm. Am J Respir Crit Care Med 157 (1998) 475-483
30. Lahrmann H., et al. Neural drive to the diaphragm after lung volume reduction surgery*10.1378/chest.116.6.1593. Chest 116 (1999) 1593-1600
31. Cassart M., et al. Effects of lung volume reduction surgery for emphysema on diaphragm dimensions and configuration. Am J Respir Crit Care Med 163 (2001) 1171-1175
32. Cassart M., et al. Effect of chronic hyperinflation on diaphragm length and surface area. Am J Respir Care Med 156 (1997) 504-508
33. Sharp J.T., et al. Relative contributions of rib cage and abdomen to breathing in normal subjects. J Appl Physiol 39 (1975) 608-618
34. Cahalin L., et al. Efficacy of diaphragmatic breathing in persons with chronic obstructive pulmonary disease: a review of the literature. J Cardiopulm Rehabil 22 (2002) 7-21
35. Tobin M. Respiratory muscles in disease. Clin Chest Med 9 (1988) 263-286
36. Hussain S., et al. Effects of separate rib cage and abdominal restriction on exercise performance in normal humans. J Appl Physiol 58 (1985) 2020-2026
37. Muller J., Bryan A., and Zamel N. Tonic inspiratory muscle activity as a cause of hyperinflation in asthma. J Appl Physiol 50 (1981) 279-282
38. Loveridge B., et al. Breathing pattern in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 130 (1984) 730-733
39. Allen J., et al. Thoracoabdominal asynchrony in infants with airflow obstruction. Am Rev Respir Dis 141 (1990) 337-342
40. Bernardi L., and Gabutti A. Slow breathing reduces chemoreflex response to hypoxia and hypercapnia and increases baroreflex sensitivity. J Hypertens 19 (2001) 2221-2228
41. 2 in ventilated quadriplegics. Respir Physiol (1992) 9019-9030
42. Wientjes C. Respiration in psychophysiology: methods and applications. Biol Psychol 34 (1992) 179-203
43. Boiten F.A. The effects of emotional behavior on components of the respiratory cycle. Biol Psychol 49 (1998) 29-51
44. Homma I., and Masaoka Y. Breathing rhythms and emotions. Exp Physiol 93 (2008) 1011-1021
45. Lewit K. Relationship of faulty respiration to posture with clinical implications. J Am Osteopath Assoc 79 (1980) 525/75-529/79.
46. Hodges P., Gandevia S.C., and Richardson C.A. Contractions of specific abdominal muscles in postural tasks are affected by respiratory maneuvers. J Appl Physiol 83 (1997) 753-760
47. Hodges P., Cresswell A., and Thorstensson A. Preparatory trunk motion accompanies rapid upper limb movement. Exp Brain Res 124 (1999) 69-79
48. Hungerford B., Gilleard W., and Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine 28 (2003) 1593-1600
49. Gandevia S.C., et al. Balancing acts: respiratory sensations, motor control and human posture. Clin Exp Pharmacol Physiol 29 (2002) 118-121
50. Rassler B., and Kohl J. Coordination-related changes in the rhythms of breathing and walking in humans. Eur J Appl Physiol 82 (2000) 280-288
51. Smith M.D., Russell A., and Hodges P.W. Disorders of breathing and continence have a stronger association with back pain than obesity and physical activity. Aust J Physiother 52 (2006) 11-16
52. McGill S., Sharratt M., and Sequin J. Loads on spinal tissues during simultaneous lifting and ventilatory challenge. Ergononomics 38 (1995) 1772-1792
53. Hodges P., Heijnen I., and Gandevia S.C. Postural activity of the diaphragm is reduced in humans when respiratory demand increases. J Physiol 537 (2001) 999-1008
54. Tobin M., et al. Breathing patterns 2. Diseased subjects. Chest 84 (1983) 286-294
55. Perri M.A., and Halford E. Pain and faulty breathing: a pilot study. J Bodyw Mov Ther 8 (2004) 297-306
56. Chaitow L. Breathing pattern disorders, motor control and low back pain. J Osteopath Med 7 (2004) 33-40
57. Dornhorst A.C., Howard P., and Leathart G.L. Respiratory variations in blood pressure. Circulation 6 (1952) 553-558
58. DeBoer R.W., Karemaker J.M., and Strakee J. Hemodynamic fluctuations and baroreflex sensitivity in humans: a beat to beat model. Am J Physiol Heart Circ Physio 253 (1987) 680-689
59. Degenhardt B., and Kuchera M. Update on osteopathic medical concepts and the lymphatic system. J Am Osteopath Assoc 96 (1996) 97-100
60. Chikly B. Manual techniques addressing the lymphatic system: origins and development. J Am Osteopath Assoc 105 (2005) 457-464
61. Miller C. The lymphatic pump, its applications to acute infections. J Am Osteopath Assoc 25 (1926) 443-445
62. Gashev A. Physiological aspects of lymphatic contractile functions: current perspectives. Ann N Y Acad Sci 979 (2002) 178-187
63. Hedenstierna G., and Lattuada M. Lymphatics and lymph in acute lung injury. Curr Opin Crit Care 14 (2008) 31-36
64. Lattuada M., and Hedenstierna G. Abdominal lymph flow in an endotoxin sepsis model: influence of spontaneous breathing and mechanical ventilation. Crit Care Med 34 (2006) 2788-2792
65. Abu-Hijleh M., Habbal O., and Mogattash S. The role of the diaphragm in lymphatic absorption from the periotoneal cavity. J Anat 186 (1995) 453-467
66. Lumb A. Changes in carbon dioxide tension. Nunns applied respiratory physiology (2000), Butterworth Heinemann, Oxford/Auckland/Boston/Johannesburg/Melbourne/New Delhi [chapter 22]
67. Laffey J.G., and Kavanagh B.P. Hypocapnia. N Engl J Med 347 (2002) 43-54
68. Hardonk H.J., and Beumer H.M. Hyperventilation syndrome. In: Vinken P.J., and Bruyn G.W. (Eds). Handbook of clinical neurology: neurological manifestations of systemic disease (1979), North Holand Biomedical Press, Amsterdam
69. Haldane J.S., and Poulton E.P. The effects of want of oxygen on respiration. J Physiol 37 (1908) 390-407
70. Vernon H.M. The production of prolonged apnea in man. J Physiol 38 (1909) 18
71. Han J.N., Stegen K., De Valack C., Clement J., and Van de Woestjine K.P. Influence of breathing therapy on complaints, anxiety and breathing pattern in patients with hyperventilation syndrome and anxiety disorders. J Psychom Res 41 (1995) 481-493
72. Howell J. Behavioural breathlessness. Thorax 45 (1990) 287-292
73. Han J., et al. Unsteadiness of breathing in patients with hyperventilation syndrome & anxiety disorders. Euro Respir J 10 (1996) 167-176
74. Gardner W. The pathophysiology of hyperventilation disorders. Chest 109 (1995) 516-533
75. Vansteenkiste J., Rochette F., and Demedts M. Diagnostic tests of hyperventilation syndrome. Euro Respir J 4 (1991) 393-399
76. Hornsveld H.K., Garsson B., Fiedeldij Dop M.J.C., Van Spiegel P.I., and De Haes J. Double-bind placebo-controlled study of the hyperventilation provocation test and the validity of the hyperventilation syndrome. Lancet 348 (1996) 154-158
77. Bass C. The hyperventilation syndrome. Respir Dis Pract 41 (1989) 13-16
78. Chaitow L., Bradley D., and Gilbert C. Multidiciplinary approaches to breathing pattern disorders (2002), Churchill Livingston, Edinburgh/London/New York/Philadelphia/St. Louis/Sydney/Toronto
79. Meuret A., et al. Changes in respiration mediate changes in fear of bodily sensation in panic disorder. J Psychiatr Res 43 (2009) 634-641
80. Hornsveld H., and Garssen B. The low specificity of the hyperventilation test. J Psychosom Res 41 (1996) 435-449
81. Giardino N.D., Lehrer P., and Feldman J. The role of oscillations in self-regulation. In: McGuigan K.A. (Ed). Stress and health (2000), Harwood
82. Moser M., et al. Why life oscillates-biological rhythms and health. Conf Proc IEEE Eng Med Biol Soc 1 (2006) 424-428
83. Daly M.d.B. Interactions between respiration and circulation. In: Cherniack N.S., and Widdcombe J.G. (Eds). Handbook of physiology: the respiratory system (1986), American Physiological Society, Bethesda, MD. 529-594
84. Grossman P. Respiratory and cardiac rhythms as windows to central and autonomic biobehavioral regulation: selection of window frames, keeping the panes clean and viewing neural topography. Biol Psychol 34 (1992) 131-161
85. Ford M.J., Camilleri M.J., and Hanson R.B. Hyperventilation, central autonomic control and colonic tonus in humans. Gut 37 (1995) 499-504
86. Bharucha A., et al. Alpha 2 adrenergic modulation of colonic tone during hyperventilation. Am J Physiol 273 (1997) G1135-G1140
87. Busek P., and Kemlink D. The influence of the respiratory cycle on the EEG. Physiol Res 54 (2005) 327-333
88. Vern B., et al. Low-frequency oscillations of cortical oxidative metabolism in waking and sleep. J Cereb Blood Flow Metab 8 (1988) 215-226
89. Yasuma F., and Hyano J. Respiratory sinuse arrhythmia. Why does heartbeat syncronize with respiratory rhythm. Chest 125 (2004) 683-690
90. Song S.H., and Lehrer P. The effects of specific respiratory rates on heart rate and heart rate variability. Appl Psychophysiol Biofeedback 28 (2003) 13-23
91. Lehrer P., Vaschillo E., and Vaschillo B. Resonant frequency biofeedback training to increase cardiac variability: rational and manual for training. Appl Psychophysiol Biofeedback 25 (2000) 177-190
92. Vaschillo E., and Lehrer P. Heart rate variability biofeedback as a method for assessing baroreflex function: a preliminary study of resonance in the cardiovascular system. Appl Psychophysiol Biofeedback 27 (2002) 1-27
93. Lehrer P., et al. Biofeedback treatment for asthma. Chest 126 (2004) 352-361
94. Giardino N.D., Chan L., and Borson S. Combined heart rate variability and pulse oximetry biofeedback for chronic obstructive pulmonary disease: a feasibility study. Appl Psychophysiol Biofeedback 29 (2004) 121-133
95. Karavidas M.K., et al. Preliminary results of an open-label study of heart rate variability biofeedback for the treatment of major depression. Appl Psychophysiol Biofeedback 32 (2007) 19-30
96. Gevirtz R. Resonance frequency training to restore autonomic homeostasis for treatment of psychophysiological disorders. Biofeedback 4 (1999) 7-9
97. Sterling P., and Eyer J. Allostasis: a new paradigm to explain arousal pathology. In: Fisher S., and Reason J. (Eds). Handbook of life stress, cognition and health (1988), John Wiley and Sons, New York 629-649
98. Masaoka Y., and Homma I. The effects of anticipatory anxiety on breathing and metabolism in humans. Respir Physiol 128 (2001) 171-177
99. Wilhelm F.H., Gertivz R., and Roth W. Respiratory dysregulation in anxiety, functional, cardiac, and pain disorders: assessment, phenomenology, and treatment. Behav Modif 25 (2001) 513-545
100. Recordati G., and Bellini T.G. A definition of internal constancy and homeostasis in the context of non-equilibrium thermodynamics. Exp Physiol 89 (2004) 27-38
101. McCraty R. The coherent heart: heart-brain interactions, psychophysiological coherence, and the emergence of system-wide order (2006), Institute of Heart Math, Boulder Creek, CA. www.heartmath.org
102. Jerath R., et al. Physiology of long pranayamic breathing: neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Med Hypotheses 67 (2006) 566-571
103. Brown R., and Gerbarg P. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part 1-neurophysiological model. J Altern Complement Med 11 (2005) 189-201
104. Shannahoff-Khalsa D. Selective unilateral autonomic activation: implications for psychiatry. CNS Spectr 12 (2007) 625-634
105. Pal G., Velkumary S., and Madanmohan. Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian J Med Res 120 (2004) 115-122
106. Bhargava R., and Gogate M.G. Autonomic responses to breath holding and its variations following pranayama. Indian J Physiol Pharmacol 32 (1988) 257-264
107. Pramanik T., et al. Immediate effect of slow pace bhastrika pranayama on blood pressure and heart rate. J Altern Complement Med 15 (2009) 293-295
108. Joseph C., et al. Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension 46 (2005) 714-718
109. Raupach T., et al. Slow breathing reduces sympathoexcitation in COPD. Eur Respir J 32 (2008) 387-392
110. Davis A., et al. A simple biofeedback digital data collection instrument to control ventilation during autonomic investigations. J Auton Nerv Syst 77 (1999) 55-59
111. Nagler J., and Krauss B. Capnography: a valuable tool for airway management. Emerg Med Clin North Am 26 (2008) 881-897
112. Holloway E., and West R.J. Integrated breathing and relaxation training (Papworth method) for adults with asthma in primary care: a randomised controlled trial. Thorax 62 (2007) 1039-1042
113. Dixhoorn J.v. Whole-body breathing: a systems perspective on respiratory retraining. In: Lehrer P.M., Woolfolk R.L., and Sime W.E. (Eds). Principles and practice of stress management (2007), Guilford Press, New York 291-332
114. Courtney R. Strengths, weaknesses and possibilities of the Buteyko method. Biofeedback (2008)
115. Peng C., Henry I., Mietus J., Hausdorff J., Khalsa G., Benson H., and Goldberger A. Heart rate dynamics during 3 forms of meditation. Int J Cardiol 95 (2004) 19-27
116. Ramacharaka Y. Science of breath: the oriental breathing philosophy (1904), Yogi Publication Society, Chicago
117. Sovik R. The science of breathing-the yogic view. Prog Brain Res 122 (2000) 491-505
118. Swami Rama B.R., and Hymes A. Science of breath: a practical guide (1976), The Himalayan Institute Press, Honesdale, PA
119. Janakiramaiah N., Gangadhar B.N., Naga Venkatesha Murthy P.J., Harish M.G., Subbakrishna D.K., and Vedamurthachar A. Antidepressant efficacy of Sudarshan Kriya Yoga (SKY) in melancholia: a randomized comparison with electroconvulsive therapy (ECT) and imipramine. J Affect Disord 57 (1999) 255-259
120. Levine B. Intermittent hypoxic training: fact and fancy. High Alt Med Biol 3 (2002) 177-193
121. Meerson F. Essentials of adaptive medicine: protective effects of adaptation (1993), Hypoxia Medical, Geneva
122. Bowler S.D., Green A., and Mitchell A. Buteyko breathing technique in asthma: a blinded randomised controlled trial. Med J Aust 169 (1998) 575-578
123. Cooper S., et al. Effect of two breathing exercises (Buteyko and pranayama) in asthma: a randomised controlled trial. Thorax 58 (2003) 674-679
124. McHugh P., et al. Buteyko breathing technique for asthma: an effective intervention. N Z Med J 116 (2003) U710
125. Slader C., et al. Double blind randomised controlled trial of two different breathing techniques in the management of asthma. Thorax 61 (2006) 651-656
126. Opat A., Cohen M., and Bailey M. A clinical trial of the Buteyko breathing technique in asthma as taught by a video. J Asthma 37 (2000) 557-564
127. Cowie R., Underwood M.F., and Reader P.G. A randomised controlled trial of the Buteyko technique as an adjunct to conventional management of asthma. Respir Med 102 (2008) 726-732
128. Abramson M., et al. A randomised controlled trial of the Buteyko method for asthma. Int J Immunorehabil 6 (2004) 244
129. Marks G., et al. Asthma and complementary therapies: a guide for health professionals (2005), National Asthma Council Australia & Australian Department of Health and Ageing, Canberra
130. 2 symptoms, and lung function of asthma patients during capnometry-assisted breathing training. 2009.
131. Thomas M., et al. Breathing exercises for asthma: a randomised controlled trial. Thorax 64 (2009) 55-61
132. van Dixhoorn J., and Duivenvoorden H. Effect of relaxation therapy on cardiac events after myocardial infarction: a 5-year follow up study. J Cardiopulm Rehabil 19 (1999) 178-185
133. van Dixhoorn J., et al. Physical training and relaxation therapy in cardiac rehabilitation assessed through a composite criterion for training outcome. Am Heart J 118 (1989) 545-552
134. Shannahoff-Khalsa D., et al. Hemodynamic observations on a yogic breathing technique claimed to help eliminate and prevent heart attacks: a pilot study. J Altern Complement Med 10 (2004) 757-766
135. Murthy P.J., Janakiramaiah N., Gangadhar B.N., and Subbakrishna D.K. P300 amplitude & antidepressant response to Sudarshan Kriya Yoga (SKY). J Affect Disord 50 (1998) 45-48
136. Janakiramaiah N., Gangadhar B.N., Naga Venkatesha Murthy P.J., Harish M.G., Subbakrishna D.K., and Vedamurthachar A. Therapeutic efficacy of Sudarshan Kriya Yoga (SKY) in dysthmic disorder. Nimhans J (1998) 21-28
137. 2 as a therapeutic approach for panic disorder. J Psychiatr Res 42 (2008) 560-568
138. Tweedale P.M., Rowbottom I., and McHardy G.I. Breathing training: effect on anxiety and depression scores in behavioural breathlessness. J Psychom Res 38 (1994) 11-21