Full diaphragm breathing with your lower ribcage | The MSK Physio скачать в хорошем качестве

Full diaphragm breathing with your lower ribcage | The MSK Physio

Actual diaphragm breathing with your lower ribcage | The MSK Physio An essential component of physical rehabilitation is to restore a patient’s normal range of motion (ROM). This includes the ribcage and spine. To achieve this we need to consider what muscles move that region. What are the primary movers of the ribcage? Muscles of respiration. With the ribcage attaching directly to the spine we also need to consider muscles that attach and act on the spine. In this case, normal breathing flexibility of the lower ribcage is a bucket handle type movement where the lower ribs come out and up in a sideways direction when you breath in, and down and in during breathing out (1). This movement happens in that way due to the shape of the lower ribcage joints with the spine. The upper ribcage and spinal joints have a different shape which results in a pump handle motion which can be visualised as the sternum moving up and forward during inhalation and vice versa during exhalation. I’ll discuss upper ribcage breathing mechanics, along with contributions to thoracic outlet syndrome in next week’s video. Back to the lower ribcage! Muscles important to consider here are: the diaphragm, internal oblique, transverse abdominis and lower erector spinae. You could also consider the psoas, rectus abdominis and quadratus lumborum; however their breadth of attachment points + lever arms aren’t as advantageous here. The tricky thing here is how do we learn, or relearn, new ROM, or skills. Generally one must feel optimistic about the outcome and benefit, be able to change variables autonomously, and have an external focus (2). Two out of the three here are fairly straightforward. The third, external focus, is more challenging as the movement of breathing doesn’t directly act on the environment. This is a unique situation when comparing other body regions. What is the solution? We need the ribcage to act on something. Ideally, something not of your body. Specific interventions in supine and prone can help create awareness of the ribcage acting on the ground, or surface you are on. I cover these in other videos on the channel. However, a simple cue one can use is to put their hands on their lower ribcage and look to move your hands by breathing in and out. This is a straightforward loop between when you touch an area of your body you can localise it better i.e. you’re more aware of that region. In theory this cue improves your attention to use that area.    • Full diaphragm breathing with your lower r...   Read more here: https://themusculoskeletalclinic.co.n... 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 #breathingexercises #breathingflexibility References: 1. Marieb EN, Hoehn K. Human Anatomy & Physiology. 9 edition. Boston: Pearson; 2012. 1264 p. 2. Wulf G, Lewthwaite R. Optimizing performance through intrinsic motivation and attention for learning: The OPTIMAL theory of motor learning. Psychon Bull Rev. 2016 Oct 1;23(5):1382–414.