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Recog nizingand Treating BreathingDisorders: a multidisciplinary approach Second editon Lecn ei'raiiol|!, !r,.ra ReqsteredOsleopath c Practtionerand Honorary Felow, Schoolof Lfe sci€nces, Univer5ity of West m nstelLondon, UK ! ina[r Eradiey D pFhi!f.]zrprrf,rr:l PrvateConsu ianl,Resp ratoryPhys otherap 5t,Breathing Works,Remuera, Auckand,NewZealand eh,'istoflher Gilbert .,-. Psychologist, Chronic Pan flanagement Program, KaserPerrnanente Medical Centef, SanFrancsco, Caiiornia, UsA With contributions by lnr Batre y PetrBnnar A een Chan Taf r Clito.-5m tlr Ro5ab: C!!rtn.y lan lar Dxhoofn lohf a Hannon Gro K Halqnad Tor s Halgnad Ae.a Kobesova pavelKolr Laure l\]tclrlgh in Ela Au Zvegi. Forewordby DavidPetersN4BChB DRCOG,DM sMed N4FHom FLCOM,Cinica D rector,Facultyof Science and Technology, Un versly ot Westminstef,London,UK Ednblrgh London NewYork Oxford Phladelphia5t touis SydneyToronto 2014 Conributors...... rur*orJ ............... 5. f-etu.. ... .. . .. .\ eU. .dp n. 'tr.. Disdaimer.......... ............ The\^r'ebsir€.................... L o$,r 1. \iri.r.f \ \ \lf.\ Jr o .. \r'i \. 1 \\ihar arcbr€arhingpau€mdisordeB?...... IAm CliditDtuDi ah BTaALL-, Chtis Cilbert 2.1. Llnamic NeuromuscularSrabilizatjon: kinesiolo&v: breathing d€r.elopnren u11 stercoqp€sand postural locornotiorl ....................... ...ll firnclion...................... I'atfti Ptuel Kol,rt AlelutKobesoud, Udloltdtotla, Petr Bitltr irnd€nrotional Int€radon of ps)'chological with d}sftu.rion.......79 \i{iables br€adring Chri. Cilbelt 6.1. Drramic Neuromusclar StabiLization: ........................93 rssessrDenr m€thods.......... Pawl tutlat Aleni Kobesoua, PetraualouchoL,a, I'etr Bitlnt 6.2. osteopafiic assessm€ni of stuftlral ......... 99 r.'lat€d to BPD......... ......... changes kott Chritotr 119 assessment approaches.... 6.3. Ph]'siol\e|ap,v Dit:Ith Branby assessm€nt of br€athing 6.a. Psr,.hological problems........................................ .. 129 Chi.s Gilball 6.5. Qu€srionnai.es and manu.l merhods and irncrion 2.2. th€ strucrure for brcafiing d\tirnction .. ... 137 ass€ssing ...................23 ofbreathin9...................... RosalbaCoutlnef, Ja1 vn Di:choonl lpon Ctutitolu,Dituh Bntdlq', Ch Cilbe,t 2.1. \ddl ,rl .r' r.,orbrpdd,r F.. Ibn Bartley 3. 4. r5 ................... l:17 6.6. Capnograplry assessment. L uie lelcL tshlitl 7.1a. Indireciapproach€s to b.eathing dvstunctionin Paftemsofbreathimg regu]adon................................ .. . ...I55 rypen€ntilarion and br€aL\ingpatten la van Dbhootll ........ .. ................ ..... ............51 disorders.... Dinah Bnt.lley 7.rb. tl,l]amic Neuromustul:rS|abjLzation: 163 f€alrn€ntrllelh.]ds .. . ....................... of bft:adring... ... ...61 Llioch emicalasp€crs P,ltnl Kolir, Ale a Lobesov!,Pethl Ch']ACilbeft 1tobs on food saxin].,ia, U.tlttuchou\Petr Bitnar dnd nutitiolt: kolr Cl itou.,) Contents 7.?. Osteopathic treatmentof ihoracicand rcspidorydtrtundion..... .. .. .. . .....169 Iznt CluitdtJ 7.3. Phlsiotherapyin rehabilitation of breathingpatterndisordels.......-...-.......... 185 Diruh Btunley 8.2. Butrykobrcathingmethod.......................241 P(tsalbaCowtney 8.3. Feldenkrais6, and heathing...................... 249 C. Hdnnon Iohn 8.4. Pilat€sin the rehabilitation of breathingdisorders...........-...-.................... 259 Wad.h McNeilLStzluate Scott Pslriological training and treatment of breathingproblems.............................. 797 8.5. Tai chi,Qigongand breathin&................ 267 Ctui: Gilbeft Aiben Chltn Speech and singing......-...-....-.....................203 8.6. A reviewofthe useofyoga in hnA Znglb heathingdisorden.......... . .. .. .. . .......275 pattem 7.6. Brathirg disorde$ and ShirleyTelles,Nilha al Singh ilre aiilete...-...--................ ........ ... . .. ...2L5 9. SelJ-help apFoach6.........-...-...........-....-.. 283 Tenia AiIton-Smitlr Ipon Ctuitotu, Dinah Bftdlef, 7.7. Capnographyin teatnent of BPD.........225 Chrlt Gilbert Iiutie MdaugfiIin Indel...-............-.-....................... . .. ..........293 8.1. Breathingpattemsin longstandingpain disorders:a sornatocognitiveapproach to e luationand therapy........................ 233 G1oK. Ha gstun,Tor S. Harystad lim Bartley, FRACs,FFPMANZGA A$o.ate Pol.$or, Depdtnreitcl Surqer\', J . ! . iy oi A ! { k a i d , a u .ka l d N e rZ e n n rd Alena Kob€sova, MD, PhD A $ n i i t A . r i e r . D r e . i o f L e . : ! E r ,a r { . l R e h : b l a l . i . n d 5 . . r L l . d . n e 2 'F a . L i y c i r . l e a . n e , a h r r e r L l r ! . t r t ! , t r ! - . E t ! H . s p : d r , 4 o : . ,P r a ! ! e ,a z ? . h R e p d b. Petr Bitnar, DPT "l " " d Po Fa.uiy of M.d. n., Cn.resLlnir?- 1\i,Ll. letr ty Hoipta l/ loio,P r alr e,Cz c .rR .p rbL Pavel Kolar, PaedDr., PhD D r e o o r ,a r . o l R e h a bt . t . n . . d 5 p . r 5 M e a( n e , 2 r r F a . ! 1 , .o, f l l e d . n e , a h a € 5 u n , i e r t \ i , U n ! . t r t y H . s F r l r ,,lcto Fr;qre aze.lr Feplb . A ileen Chan,R N , R M , Bs < ,P G D i p (H tM ), M HA , P hD o\ H,o rq(o n ! ahnc 5.Lr n! . Rt J r.lH .i q K o n q ,5 h a :n Laurie M<laughlin. PT, D5., FCAMPT, CMAG OMer a r. Ire.tot P.oA.t,r! Fd.r.aton,Oa.! E O[], Tania clifton-smith. Nz Dip Phys MNzsP NZMTA ITEC(Lon) ! r-".tor,E,eathng'A'o.ksA!.l.nd, Ne( Zeaa1r warri<k M<Neill, MCSP aha teredPhjrjotlrera.n, Plrvso\{orkjahartered P l r y 5 ! r h e r : p ! ra! . d P a r e sa n . , : . n d o n , L I K Rosalba courtney, ND, Do, PhD Breaihan. B.dt a n., Breath nq Theraryrnd Ost-"opa:h Suzannescott, MA (Cantab),Bsc nie!fai!e l\,led:..e Ava oi N5\',/ A!s]. a 5!zr.re t.ott P .te5 a.d Moreme.tPr..l.., .te s.ott 5tLdo, a.n. c.rn 5.m.tr-"t,JK .,an van Dixhoorn, MD, PhD a lnte . ic. BFathr ! r r r . f aDl Am : 61. . 1,Nelher and 5 N i l kamal si ngh, MD , P hD traGnl ;Fes.ar.h Foundai on, f.l a lohn C, Hannon, DC a .r fcl Fede i[r: s 6i F r . 1. . er 5 ar L u5 Ob jFo C A, il: A Shirl€y T€lles, MBBS, PhD P.t.nl. :esea(. Fo!n.l.1qr,Patafranr!tjeeLlr,H:r:dr'at Utaraliha..l249.145, nda F jr at l Pr a. t . ! , Gro K, Haugstad, MHS, PhD O!o d n'l Ale 6Nu r LliNe6t \ ' ao e! e, . 5t t lt e oi Ph!!o lrera pj'Fa. ! 1yoi H3a|r S. ! n. e, Not uaf Tor 5. Haugstad, MD, PhD 5 un r.3sNalo fd Reh"L t alon Hor Ft r Dec i ot NFlro mh;b t:1ci O : . , Nor wa! Petra Valou(hova, DPT,PhD e.arr.r, a n. oi R .h.b tatonardsFoftrr.]ei l ..e,.2r Fa.!i ./. ,/ed.nr, ah.rer un,r:.j 1jLr. ,, re6l i l .rpta r.l oi o,P f& j Le, aze.hR .prb. Eva Au Zveglic, BAppls.i (Phty), Ms<, MB B A , MC S P st, Le.da.'d othcfa.. Pht5.rh.raf. B JP Aa' omue H .i i rta, (ndon,L(