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Medical Forum / Diseases and Disorders / Asthma / October 2003

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norman - 24 Oct 2003 07:12 GMT
http://www.smh.com.au/articles/2003/10/22/1066631507745.html
http://www.theage.com.au/articles/2003/10/22/1066631498886.html

Norman
Richard Friedel - 24 Oct 2003 09:33 GMT
> http://www.smh.com.au/articles/2003/10/22/1066631507745.html
> http://www.theage.com.au/articles/2003/10/22/1066631498886.html
>
> Norman

Stripped of the carbon dioxide perspective and stripped down to a method
for keeping breathing under control, B u t e y k o would seem to have
something in favor of it.  However the breath holding techniques would
seem to be unethical, because more effective and much less dangerous
methods are available.

It therefore seems to verge on moral insanity to tout the method in the
usually practiced form. In other words the name B.. would have to
dropped.

If one supposes that loss of control of breathing and drifting into the
"rescue breathing pattern" is an important cause of asthma (see
http://www.ohiou.edu/isarp/conf_00/papr_19.htm), then obviously all
possible techniques, even those which may not have been tried in asthma
treatment so far, should be reviewed.

One promising candidate here seems to be step-synchronized breathing
("breathwalking" or "walking yoga" (Bhraman Pranayama)). This is being
commercialized but the rudiments are widely known - a person walks doing
a certain number of steps per inhale (say four) and a certain number (f.
i. four) for an exhale. There are some RealAudio files on the Net.

There is the scientific effect that breathing is "entrained", i. e.
influenced by walking steps.  It is easier to slow down the breathing
rate (breaths per minute) while walking than while sitting.  The rate of
take up of oxygen is not reduced, at any rate not with practice. Carbon
dioxide is left out of consideration.

The picture I have of breath control methods is that it is like learning
to use a canoe paddle correctly.  Hectic paddle movements are
self-defeating. If you breathe slowly, proper, efficient inflation and
deflation of the lung is forced to take place.  Locomotion (walking)
gives the technique an edge over other techniques.

At any rate this would seem to be a logical recommendation.
Respectfully submitted, Richard Friedel.

CC Ms. Christine Jenkins MD., crj@med.usyd.edu.au,  Targeting Treatment
project at the Co-operative Research Centre for Asthma.
jackmallory@webtv.net - 25 Oct 2003 13:39 GMT
I lift small (three to five pound) weights under the supervision of
pulmonary therapists.  (Eleven to nineteen repetitions)

Lately I've been both lifting and lowering them while exhaling and
resting while inhaling.

I was originally taught to lift while exhaling, lower while inhaling.

Doing all the work while exhaling means I'm exhaling maybe three
quarters of the time and inhaling one quarter...

Neither therapist has see fit to "correct" me.

So far I like this system.

Comments?
Richard Friedel - 25 Oct 2003 16:39 GMT
> I lift small (three to five pound) weights under the supervision of
> pulmonary therapists.  (Eleven to nineteen repetitions)
[quoted text clipped - 12 lines]
>
> Comments?

If you Google up the scientific literature, you'll find that breathing
is specifically influenced, "entrained", by locomotion.  It seems sort
of common sense to think of a racing dog breathing in step with its
strides.  Some people tell us that loads on arm muscles may be different
to those on the legs, although only the same rate of energy expenditure
is inovlved.  This may be relevant for those with weak hearts.

For someone trying to get the best out of their lungs in the sense of
huffing and puffing as little as possible during actual exertion,
something like breathing extremely slowly  by training to reduce the
number of breaths per minute, would seem an option.  Hectic, jittery
breathing would seem less healthy and efficient than relatively slow and
less apparent breathing.  At any rate, such an opinion would be sort of
instinctive.

Doing step-synchronized breathing would therefore have three advantages:

1)    A powerful timing effect (entrainment) and something more than mere
willpower while prolonging breaths when sitting still ,

2)    putting a load on the respiratory system and using it under actual
working conditions and

3)    generally keeping one's breathing under control and avoiding slipping
into hyperventilation likely to herald an attack, for example in the
night.

One Internet poster (Dr. G. W. Cherry of the Massachusetts Institute of
Technology) seems quite enamored with the system for promoting health.
He does not appear to be in it for the money.

See e. g. "My exercise today was breathwalking on Seapoint Beach.
I love this synchonized locomotion and respiration. I dis-
covered the synchronization works best for me when I in-
hale during three steps and exhale during four steps. I also
count the steps subvocally.
Exhale: 1, 2, 3, 4, Inhale: 1, 2, 3, Exhale 1, 2, 3, 4, Inhale: 1, 2,
3...
I become very mindful of the body walking/breathing and
very calm and very happy: Disturbing mentations stop.
My practice is to cultivate this calmness and happiness
in everything I do. Right now, as I think about this calm-
ness and happiness I feel very positive toward you."

I'd guess that a few weeks practice would be necessary.  At any rate it
seems certain that increasing the ability to do 4 plus 4 steps (in and
out) is related to respiratory health.

Prolonging the exhale in relation to the inhale seems to have a very
powerful effect (safety?) for getting mucus in the nose and chest on the
move.  Richard Friedel.
 
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