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Breathing Anatomy Skeletal Thoracic Spine, ribs, sternum, clavicle, scapula Muscles of Inspiration Diaphragm, External Intercostals Accessory Muscles - Sternocleidomastoid & scalenes Muscles of Expiration Abdominals, internal intercostals, pelvic floor muscles Physiology Lung Function - Chemical Exchange O2 diffuses from alveoli into the blood and CO2 from the blood into the alveoli More pressure on the inhalation when diaphram goes down into abdominal cavity Biomechanics & Kinesiology Joints Costovertebral - head of rib to costal fovea of 2 vertebral bodies & disc. Sternocostal, sternal ,costochondral, interchodral, Costotransverse - Tubercle of rib to transverse process of vertebra Joints of the Head of the Ribs - 1-7 Rotate - 8-10 Glide - 11 & 12 Float Inspiration movement of Thoracic wall Diaphragmatic Vertical Diameter Movement accessory muscle breathing -- sternocleidomastoid, scalenes Bucket Handle - Transverse Diameter Movement movement Ribs 2-10 -- ribs out and up Pump Handle Movement - Anterior Posterior Diameter Movement Ribs 2-6, sternal end of ribs rise w/ movement at costovertebral joint Sternal end of ribs rise with movement at costovertebral joint Types of Breathing Diaphragmatic Breathing primary source of air exchange; inhale diaphragm muscles contract & pull down, ribs flare slightly, bottom of lungs downward to bring in air exhalation is passive as diaphragm returns to normal lungs shrink back to size, air is compressed into small space, air pressure in lungs higher than outside pressure equalized by passively pushing out air Forced Inspiration Muscles work in combination & increase movement & facilitate breath i.e. Diameter of thorax in all 3 directions, Thoracic extension -anterior inhale (dart/swan) Lateral flexion - unilateral breath (mermaid/w/ rotation) Spine flexion - posterior breath (roll down), Rotation and flexion/rotation - combination breath Forced Expiration Muscles work in combination & decrease diameter of thorax in all 3 directions Abdominals (particularly obliques), Pelvic Floor Muscles, quadratus Lumborum Latissimus Dorsi and serratus posterior superior and inferior Accessory Breathing Often considered Faulty breathing patterns using: anterior cervical muscles, scalenes, SCM, upper traps Purpose of Breathing in Pilates -Sustained posture w/ dynamic breath. Example - 100's and swimming Force Couples Breathing Muscles 1. pelvic floor, transverse abdominus, diaphragm, lumbar multifidus 2. Serratus Posterior Superior & Inferior, flared rib cage Motor Control Optimal Normal Breathing should match the demand of the activity either resting, sedentary or advanced movement with increased demand for stability and or complex organization Faulty Movement Organization that breath can challenge Structural Flared Rib Cage can be associated w/ poor diaphragmatic breath, rigid thorax, hypermobility of cervical or lumbar spine Excessive Thoracic Kyphosis can be assocated w/ poor posture & breathing habits and pathology Strategic 1. Accessory Breathing can be associated w/ cervical spine or brachial plexus dysfunction 2. Inefficient Diaphragmatic Breathing can be associated w/ pain inhibition from low back pain 3. Excessive Breathing 4. Over-recruitment of muscles of forced expiration 5. Lack of connection between ribs and pelvis Practical Applications of Movement Principle (breath facilitates movement) Inhalation facilitates when hips move into flexion, when shoulders move into extension, & generally helps if you breathe into your chest more to extend the spine preventing spinal flexion during hip flexion (femur arcs etc.) and shoulder extension (arm arcs). Inhalation generally facilitates scapular elevation (gliding) and internal rotation of humerus Exhalation generally facilitates spinal stability during hip extension or shoulder flexion thereby preventing the spinal extension. facilitates scapular depression (gliding) and external rotation of the humerus Breath helps Core Control & Axial Elongation Hydraulic amplifier effect helps spinal stability with hip flexion and shoulder extension "Cylinder of support' force couple Diaphragmatic breath organizes the mover This provides a connection that transmits forces efficiently through entire body. Force couple or synergy between plevic floor abdominal region & thorax allows for connectedness essential for Pilates Sequencing Bio-Energetics Teach your clients to maintain what you give. Prana, Breath and Mind are equally and naturally related. If we learn to control one then the others will follow. Prana according to Robert Svoboda, is the energy that drives life, the power that animates the body, enlivens the mind, spurs the soul, is life's inspiration, its foundation, its tenacity; it is the sure hand on the tiller, the wise voice of good counsel, the urge for health and harmony, that craves to transform our bodies into temples where we can take shelter from the karma of the world. It is at work every minute, every hour, every second and in every cell of every living organism. Cueing Verbal inhale - widen lower lobes of back of lungs, widen sides of ribs deep to mat, expand back into the mat exhale - slide sternum towards pubic bone, slide shoulder blades towards pelvis, funnel rib cage 3 dimensionally to pelvis, let gravity soften around the sternum Imagery as you inhale put up the sails of your back smile across the forehead, face, chest and rib cage inhale a fountain of water/energy wells up from the base of your pelvis out through the top of your head. Exhale the water rains down around you, softening your face, jaw, shoulders, sternum and ribs Tactile hands on sternum and belly to assess breathing style hands on lateral aspect of ribcage to help thoracic movement in trasverse plane hands on posterior inferior ribcage to help lower lobe breathing