Diaphragmatic breathing
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Diaphragmatic breathing, abdominal breathing, belly breathing, or deep breathing, is breathing that is done by contracting the diaphragm, a muscle located horizontally between the
thoracic cavity The thoracic cavity (or chest cavity) is the chamber of the body of vertebrates that is protected by the thoracic wall (rib cage and associated skin, muscle, and fascia). The central compartment of the thoracic cavity is the mediastinum. There ...
and abdominal cavity. Air enters the
lungs The lungs are the primary organs of the respiratory system in humans and most other animals, including some snails and a small number of fish. In mammals and most other vertebrates, two lungs are located near the backbone on either side ...
as the diaphragm strongly contracts, but unlike during traditional relaxed breathing ('' eupnea'') the
intercostal muscles Intercostal muscles are many different groups of muscles that run between the ribs, and help form and move the chest wall. The intercostal muscles are mainly involved in the mechanical aspect of breathing by helping expand and shrink the size of ...
of the chest do minimal work in this process. The belly also expands during this type of breathing to make room for the contraction of the diaphragm.


Explanation

According to the
National Center for Complementary and Integrative Health The National Center for Complementary and Integrative Health (NCCIH) is a United States government agency which explores complementary and alternative medicine (CAM). It was initially created in 1991 as the Office of Alternative Medicine (OAM), ...
, "12.7 percent of American adults
ave ''Alta Velocidad Española'' (''AVE'') is a service of high-speed rail in Spain operated by Renfe, the Spanish national railway company, at speeds of up to . As of December 2021, the Spanish high-speed rail network, on part of which the AVE s ...
used deep-breathing exercises... for health purposes," which it describes as follows: "Deep breathing involves slow and deep inhalation through the nose, usually to a count of 10, followed by slow and complete exhalation for a similar count. The process may be repeated 5 to 10 times, several times a day." According to the University of Texas Counseling and Mental Health Center, "Diaphragmatic breathing allows one to take normal breaths while maximizing the amount of oxygen that goes into the bloodstream. It is a way of interrupting the 'Fight or Flight' response and triggering the body's normal relaxation response." They provide a video demonstration. Diaphragmatic breathing has a physiological effect on the body by assisting in blood flow, lowering pulse rate and blood pressure "by improving vagal activity and reducing the sympathetic reaction."


In complementary and alternative medicine

Some practitioners of complementary and alternative medicine believe that particular kinds of breathing they identify as diaphragm breathing can be used to bring about health benefits. Deep breathing exercises are sometimes used as a form of relaxation, that, when practiced regularly, may lead to the relief or prevention of symptoms commonly associated with stress, which may include high blood pressure, headaches, stomach conditions, depression, anxiety, and others. Due to the lung expansion being lower (inferior) on the body as opposed to higher up (superior), it is referred to as 'deep' and the higher lung expansion of rib cage breathing is referred to as 'shallow'. The actual volume of air taken into the lungs with either means varies.


Relation to yoga and meditation

Hatha Yoga,
tai chi Tai chi (), short for Tai chi ch'üan ( zh, s=太极拳, t=太極拳, first=t, p=Tàijíquán, labels=no), sometimes called " shadowboxing", is an internal Chinese martial art practiced for defense training, health benefits and meditation. ...
and
meditation Meditation is a practice in which an individual uses a technique – such as mindfulness, or focusing the mind on a particular object, thought, or activity – to train attention and awareness, and achieve a mentally clear and emotionally calm ...
traditions draw a clear distinction between eupnea and diaphragmatic breathing or belly breathing. The more specific technique of diaphragmatic breathing is said to be more beneficial.


Fitness and wellness

Some claim diaphragmatic breathing could provide a way to combat high stress, but clear evidence is yet to be shown. The
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
(WHO) states: "They should maintain a calm approach, where possible remove sources of anxiety and coach respirations (i.e. encourage normal breathing, not deeper and quicker than usual). ... Acute stress should be managed using psychological first aid as per WHO (2010) mhGAP guidelines." Following up in "Psychological first aid: Guide for field workers", published in 2011, the WHO states "Encourage the person to focus on their breathing, and to breathe slowly." Then although they instruct calming respiration as a response to stress, no instructions regarding diaphragmatic breathing are given. Furthermore, there are those who claim diaphragmatic breathing may reduce the symptoms of irritable bowel syndrome (IBS), and menstrual cramps, but the research presented is lacking. One should note that casual diaphragmatic breathing relies on other muscles used in thoracic breathing (such as the intercostal muscles), and that the diaphragm usually participates in healthy thoracic breathing, suggesting the speculated separation between the two isn't as neat as some would like to believe. Finally, some pathologies, especially those affecting the elasticity or mobility of the chest or rib cage, would spell for an increase reliance or necessity for diaphragmatic activity during respiration.


Benefits

The use of diaphragmatic breathing is commonly practiced, especially in those patients with chronic obstructive pulmonary disease, to improve a variety of factors such as pulmonary function, cardiorespiratory fitness, respiratory muscle length, and respiratory muscle strength. Specifically, diaphragmatic breathing exercise is essential to asthmatics since breathing in these patients is of the thoracic type in association with decreased chest expansion and chest deformity as a result of a deformed sternum like
pectus excavatum Pectus excavatum is a structural deformity of the anterior thoracic wall in which the sternum and rib cage are shaped abnormally. This produces a caved-in or sunken appearance of the chest. It can either be present at birth or develop after pubert ...
(funnel chest); a shortened diaphragm, intercostals and accessory muscles from prolonged spasm causing stenosis of the major airways leading to an abnormal respiratory pattern.


Relation to music

Diaphragmatic breathing is also widely considered essential for best possible singing performance. Diaphragmatic breathing also allows wind instrumentalists to maximise intake of air, minimising the number of breaths required for progressing players.


See also

*
Breath Breathing (or ventilation) is the process of moving air into and from the lungs to facilitate gas exchange with the internal environment, mostly to flush out carbon dioxide and bring in oxygen. All aerobic creatures need oxygen for cell ...
* Buteyko method *
Circular breathing Circular breathing is a technique used by players of some wind instruments to produce a continuous tone without interruption. It is accomplished by breathing through the nose while simultaneously pushing air through the mouth using air stored ...
* Kussmaul breathing * Pranayama – a traditional Yogic practice of slowing and extending the breaths, used during meditation *
Shallow breathing Shallow breathing, thoracic breathing, costal breathing or chest breathing is the drawing of minimal breath into the lungs, usually by drawing air into the chest area using the intercostal muscles rather than throughout the lungs via the diap ...
– a type of breathing that is mutually exclusive to diaphragmatic breathing and is associated with multiple anxiety disorders * Wim Hof method


References

The link in Reference 5 is broken. I was unable to find the video on their website.


Additional Reading

*


External links


YouTube video that explains diaphragmatic breathing for singing.


CAM therapy suggestions



{{Meditation Respiration