
Identify top four ribs of the shoulder girdle, locate the second rib, test rib translations 2–4, decompress nontranslating ribs by lifting, observe breathing changes, and translate to enable arm movement.
Release and mobilize the clavicle and first rib to improve shoulder alignment and breathing mechanics through controlled positioning, breath, and muscle release techniques.
Describe how translating and decompressing the ninth rib, then taping, breathing retraining, and core retraining restored pain-free supine lie, rotation, and daily activity after thoracic trauma.
1. Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.
2. Describe how the diaphragm can alter the thorocolumbar junction.
3. Describe how the dysfunctional breathing can alter incontinence and spine stability.
explain how scoliosis in the elderly affects posture and breathing, emphasizing diaphragmatic breathing, engagement of deep stabilizers, and improved chest expansion via the pop can analogy.
Explore altered breathing patterns and somatic dysfunction, introducing how breathing affects body function and overall well-being.
Explore how breathing pattern disorders drive functional somatic syndromes through hyperventilation, CO2 shifts, and pH changes, linking anxiety, pain, and autonomic nervous system activity to conditions like fibromyalgia and IBS.
Learn to distinguish open mouth breathing causing upper chest rise from nasal breathing triggering diaphragmatic breathing with lower lateral costal expansion, using hands to feel rib movement.
Explore self-report tools for breathing management, including the Nijmegen questionnaire and the self-evaluation breathing questionnaire, to assess symptoms, monitor treatment outcomes, and differentiate breathing dysfunction.
Shift upper chest breathers to a lower breathing pattern by guiding rib-cage expansion with a hand under the thorax to the seventh rib, encouraging nose breathing and lateral costal breathing.
Explore central sleep apnea symptoms like fatigue and morning headaches, how they differ from obstructive sleep apnea, and treatment options such as cpap, two-pressure devices, and servo ventilators.
Obstructive sleep apnea, the common form, involves airway collapse with respiratory effort and arousals, causing drops in oxygen saturation and sleep disruption. Obesity, neck circumference, and nasal obstruction increase risk.
Explore how the airway is a collapsible tube maintained by 20 muscles under the central nervous system, with obesity, enlarged tonsils, and supine lung changes raising obstructive sleep apnea risk.
Explore the diaphragm anatomy, including crura origins from L1–L3, central tendon, and the aortic, esophageal, and vena cava apertures, and learn how the frantic nerve from C3–C5 drives its function.
Explore how neurological and anatomical factors impair the diaphragm, focusing on phrenic nerve function from C3–5, and how injuries, diseases, and congenital hernias disrupt breathing.
Explore acquired diaphragmatic injuries from blunt trauma and vehicle collisions, highlighting left-sided predominance, associated injuries, and surgical repair options like laparoscopy and thoracotomy with favorable outcomes.
Explore the evidence for early mobilization in the ICU and diaphragmatic retraining techniques, including tactile cueing, rib springing, and pursed-lip breathing, to improve breathing management and mobility.
Examine how a dysfunctional respiratory system alters athletic performance, the physiological response to Rubicon exercise on respiration, the effect of running on viscera and the diaphragm, and respiratory muscle fatigue.
Explore pulmonary ventilation, gas exchange, and cardiovascular adjustments that sustain oxygen delivery and carbon dioxide removal during exercise, from aerobic metabolism to the onset of lactic acid and anaerobic thresholds.
Explore how inspiratory muscle fatigue can trigger a metabolic reflex that constricts limb blood flow and increases exertion during maximal exercise, and how inspiratory muscle training improves endurance.
Progesterone rises in the luteal phase, boosting breathing rate about 25 percent and oxygen demand, with up to 16 percent of cardiac output used by respiration, reducing leg muscle oxygen.
Measure chest expansion to track progress, guide exercises, and document outcomes for charting, while illustrating how imagery can influence a patient’s voluntary breathing activity.
Teach lateral costal expansion to improve trunk stability by guiding manual rib mobilization and home breathing cues, emphasizing slow inhalations, diaphragmatic exhalation, and three to five breathing cycles.
Practice overhead breathing reach to promote lateral costal expansion and side flexion, with rib precautions for osteoporosis or rheumatoid arthritis, using paced nasal inhales and full exhales.
Blowing up a balloon trains diaphragmatic breathing and expiratory resistance, strengthening throat muscles to help sleep apnea. Practice nasal breathing with tongue plug or mouth pressure, three times.
Just Breathe 101 provides a comprehensive exploration of the vital role breathing plays in human health, movement, and clinical rehabilitation. This seminar series equips clinicians with essential knowledge and practical tools for identifying, evaluating, and treating Breathing Pattern Disorders (BPD). Restoring healthy breathing patterns is fundamental to spinal health, movement efficiency, and overall patient well-being.
How does breathing influence multiple body systems? What is the relationship between the diaphragm, the core, and functional movement?
These key questions—and more—are addressed throughout this in-depth study of respiration and its far-reaching effects on the body.
The thorax is central to both respiration and spinal function. As the hub for trunk rotation and the anchor for extensive muscular and fascial connections, it directly influences the cervical and lumbopelvic regions. Dysfunction in the respiratory system can compromise thoracic mobility and mechanics, disrupt trunk control and physiology, and diminish efficient movement patterns. The diaphragm plays a crucial dual role in respiration and posture, with strong muscular and neurological links to the lumbar spine, abdominals, and pelvic floor. Together, these structures regulate intra-abdominal pressure—a key contributor to spinal stability.
Altered breathing patterns—often driven by stress, pain, injury, lifestyle, or illness—can create systemic biochemical changes that negatively impact health. Breathing dysfunction is frequently overlooked as a root contributor to spinal issues and persistent pain patterns including fibromyalgia, chronic pelvic and chest pain, gastrointestinal discomfort, and chronic fatigue. Sleep apnea is increasingly recognized for its role in mood disorders, cardiovascular disease, and preventable accidents. In acute care settings, diaphragm dysfunction associated with mechanical ventilation is now a growing area of clinical focus.
A solid understanding of the respiratory system, thoracic anatomy, and biomechanics—and their integration with functional core stability—allows clinicians to appreciate how the thorax influences whole-body movement and performance.
This seminar includes demonstration videos covering rib mechanics, rib decompression, breathing retraining programs, clinical assessment, and treatment techniques. These strategies are applicable across a wide range of patient populations—from orthopedic and sports performance to chronic pain and critically ill patients.
Respiratory dysfunction, muscular imbalance, myofascial restrictions, chronic hyperventilation, impaired trunk control, and limited axial rotation can all significantly affect posture, stability, pain, and limb function. By the end of this course, participants will understand how to link breathing dysfunction with specific pathologies and apply targeted interventions to address them.
Learning Outcomes
Participants will learn to:
• Evaluate patients for Breathing Pattern Disorders
• Understand the widespread impact of dysfunctional breathing on multiple systems
• Treat Breathing Pattern Disorders using evidence-informed techniques and guided demonstrations
• Teach simple and effective exercises that patients can easily integrate into daily life