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Diaphragmatic Breathing

Breathing is an amazing physiological process that requires no conscious effort. You probably aren’t paying attention to how you were breathing until someone cues you to, or you become consciously aware of it. An average person will take approximately 23,040 breaths per day – this can be taxing on the muscles responsible for breathing if they aren’t functioning optimally. This blog post will aim to expand on the anatomy and mechanics behind the process of breathing, in addition to expanding on the benefits of correct diaphragmatic breathing.

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Anatomy and Mechanics

There is a lot of attention paid to the ‘core’ muscles when participating in rehabilitation and fitness programs. A common analogy is drawn between the core resembling a cylinder, or a can of soft drink. In this analogy, the deep abdominal muscles transverse abdominis, create the cylindrical walls, the pelvic floor resembles the base of the cylinder, and the diaphragm represents the roof.

The diaphragm is a dome shaped muscle that separates the chest from the abdominal contents. It starts from the bottom point of the sternum, and attaches to the surface of the lower six ribs. It is large and powerful and therefore is the primary muscle responsible for breathing. When you breathe in, the diaphragm contracts, and descends towards the abdominal cavity. This is like a piston, and creates a pressure that allows the ribs to expand consequently filling the lungs with air. If you have the opportunity to observe how a baby breathes – then I recommend doing so. A baby will breath correctly using the diaphragm from the moment they were born, as opposed to the majority of adults whom breathe up into the chest.

There are also muscles located around the neck, referred to as ‘accessory muscles of breathing’. These muscles are named the scalenes, and the sternocleidomastoid. Both of these muscles begin in the neck, and then attach to the rib cage, and therefore can contract and be responsible for elevating the ribs. These muscles become heavily involved when you are required to take long and deep breathes in– think at the end of a 100m sprint. The picture below shows the location of both the above mentioned muscles.

If you are failing to use the diaphragm correctly to breathe, then these accessory muscles situated in the neck will take up the slack and become over active. You can continually receive treatment to have manual therapy or dry needling to these muscles, however if you don’t address the potential cause then they will continually become over active again. If you have chronic neck pain, shoulder tension, or suffer from headaches then you may be a candidate for an assessment and treatment of the way you breathe!

The diaphragms role in core stability

Ultimately, the role of the core is to help support and stabilize the spine. An influential study performed in Queensland in 1996 that demonstrated the transverse abdominus (deep stomach core muscle) was delayed in those with chronic low back pain, and therefore it was hypothesized that core muscle training should emphasize correct activation of this muscle. However, in the very same study, results showed that the diaphragm was also required to activate to stabilize the spine prior to any limb movement. It has taken the backseat in fitness programs when targeting the core; instead the transverse abdominus received all the attention. It is the descending action of the diaphragm in the abdominal cavity, which aids in spinal stability by pressuring the core.

Interestingly, a study aimed to evaluate the breathing pattern in those with chronic low back pain compared to those without back pain during tasks that challenged the core musculature. Their results indicated that more than half of people with chronic low back pain exhibit altered breathing patterns during exercises that challenge the trunk stability muscles, highlighting the need for correct function of the diaphragm for core stability

Other benefits of correct diaphragmatic breathing

  • Increased oxygen delivery to muscles
  • Increased sporting and athletic performance
  • Decreased breathlessness
  • Improved mobility
  • Improves headaches
  • Aids anxiety
  • Improves posture
  • Improved sleep
“If you wish to have your breathing mechanics assessed and learn appropriate strategies to ensure you are breathing using your diaphragm, request an appointment with one of our physiotherapists.”

Frequently Asked Questions

What is diaphragmatic breathing?

Diaphragmatic breathing is a breathing technique where the diaphragm (a dome-shaped muscle below your lungs) does most of the work. When you breathe in, the diaphragm contracts and descends toward the abdominal cavity, creating pressure that allows your ribs to expand and fill your lungs with air. Babies naturally breathe this way from birth, but most adults have shifted to chest breathing instead.

How do I know if I'm breathing correctly?

If you’re breathing correctly using your diaphragm, your belly should expand when you breathe in, not your chest. If your shoulders rise or only your chest moves, you’re likely using your accessory muscles (scalenes and sternocleidomastoid) in your neck, which indicates improper breathing patterns.

Can diaphragmatic breathing help with neck pain and headaches?

Yes. When you fail to use your diaphragm correctly, the accessory muscles in your neck become overactive to compensate. This can lead to chronic neck pain, shoulder tension, and headaches. Correcting your breathing mechanics addresses the root cause rather than just treating symptoms.

How does breathing affect core stability?

Your diaphragm plays a crucial role in core stability. It works together with deep abdominal muscles to support and stabilize your spine. Studies show that people with chronic low back pain often exhibit altered breathing patterns. Correct diaphragmatic function is essential for trunk stability.

What are the main benefits of diaphragmatic breathing?

The key benefits include increased oxygen delivery to muscles, improved athletic performance, decreased breathlessness, better mobility, reduced headaches, anxiety relief, improved posture, and better sleep quality.

Do I need professional help to learn proper breathing?

If you have chronic neck pain, shoulder tension, headaches, or breathing difficulties, it’s recommended to seek professional assessment. A physiotherapist can evaluate your breathing mechanics and teach you appropriate strategies to ensure you’re breathing correctly using your diaphragm.

Ready to Improve Your Breathing?

If you have chronic neck pain, shoulder tension, or headaches, your breathing pattern may be the culprit. Our physiotherapists can assess your breathing mechanics and teach you the strategies you need to breathe correctly using your diaphragm. Request an appointment today and take the first step toward better health and performance.

From Prevention to Performance. Start Today!

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