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Learn to use your neck for upper ribcage breathing | The MSK Physio *Excerpt from 'Breathing for activity' - https://themusculoskeletalclinic.co.n... Upper ribcage breathing is an important region to have capability in. Unfortunately, movement here gets a reputation as a ‘dysfunctional’ breathing pattern, or ‘the wrong way to breath’ across a broad spectrum of populations (1). While breathing patterns may be more relevant in respiratory pathologies, in terms of those with musculoskeletal pain, breathing patterns may only be clinically relevant in those with neck pain (2,3). In a sample of 111 people with varying ages and ethnicities, dysfunctional breathing was not found to strongly correlate with other previous or concurrent musculoskeletal pain (2).......... .........During activity, there is a coordinated action of the upper and lower regions which maintains ribcage symmetry. This allows for ideal internal pressure during steady-state exercise (5). It is theorised that lack of homeostasis within regions will lead to stiffening of the ribcage and reduced efficiency of breathing mechanics (5). This has been shown in a small study with an obvious external thoracic restriction of a corset (7). During workloads of 60-70% max heart rate, there were significant increases in respiratory rate, subjective breathing discomfort and the volume of air breathed per minute. So, as always, what is the solution? We must train the skill that a region is capable of, then integrate into the activities that require coordination with other regions. In this context we need to restore upper ribcage breathing and not attempt to isolate it from lower ribcage movement. Ultimately, efficiency of movement is the key here. See article for reference list • Learn to use your neck for upper ribcage b... Intro - 0:00 Rationale for upper chest breathing - 0:47 Intro to upper chest movement - 1:54 neck injury and sternocleidomastoid - 3:09 thoracic outlet syndrome and scalenes - 5:03 Upper ribcage breathing exercise - 7:53 Forward head posture solution - 8:05 Thoracic component to exercise - 8:30 Adding weight to help with learning - 9:12 Exercise progression - 10:12 Exercise summary - 10:50 Further progression ideas - 11:19 Conclusion - 12:00 Outro - 13:10 Find more of our content here: https://www.themusculoskeletalclinic.... / themskclinic / themusculoskeletalclinic Health Disclaimer: These videos are for educative and entertainment purposes only. They are not intended to be a substitute for professional medical advice, diagnosis or treatment. If you have a current injury or are in pain, please seek the advice of your regular health care provider. You are responsible for your own safety and health at all times. Especially, given physical activity is not without risk and can cause harm. By engaging with any content on this website you acknowledge and agree that The Musculoskeletal Clinic is not liable for any direct, indirect, special, consequential, exemplary, or other damages arising therefrom. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this YouTube Channel. #themskphysio #upperribcagebreathing #thoracicoutletsyndrome