Respiration

problèmes respiratoires d'Alexander étant enfant puis à l'état adulte alors qu'il récitait. Aspiration de l'air

I also became free from the throat and vocal trouble and from the respiratory and nasal difficulties with which I had been beset from birth.

Alexander a travaillé avec des acteurs qui souffraient de fatigue vocale, d'asthme et de respiration superficielle

 I see at last that if I don't breathe... I breathe.



asthme dans les livres d'Alexander

Universal constant of living
C. Asthma. p30
I shall now refer to a typical case of asthma in which the manner of use was what may be described as particularly harmful. One of its results was the misdirection of the musculature of the chest and throat so that the ordinary breathing act was more or less impeded, particularly in expiration; and during an attack of asthma the ill effect of this misdirection was noticeably increased. Misdirection of this kind, no matter in what type of case, always has its source in interference with the working of the primary control, and in the case under consideration this was manifested in an undue and harmful pulling back and down of the head, and in the fixation of the bony structure of the neck in the region of the occipital muscles, while the lower part of the back of the head was pulled down on to the ordinary collar worn by the sufferer. There was an extreme lordosis curve, the chest was raised unduly (pigeon chest), and the pelvis thrown too far forward -- all of which conditions tended to decrease the stature and unduly widen the front of the chest, resulting in harmful tension and the minimum of mobility. The act of breathing, even during the slightest attack, led to an exaggeration of the harmful manner of use with increased tension and, as a consequence, the severity of the attack was accentuated. The effect of undue tension can readily be understood when it is remembered that muscular tension tends to induce chest rigidity and breathlessness.

Alexander technique for chronic asthma

During an asthma attack, the airways narrow, causing breathing problems, wheezing and coughing. Asthma can be caused by allergies, pollens, stress or air pollution and can be fatal. The Alexander Technique is a form of physical therapy involving a series of movements designed to correct posture and bring the body into natural alignment and aid relaxation. The Alexander technique has been used by people with asthma, to try and improve breathing. The review of trials found there was not enough evidence to show the effects of the Alexander Technique in reducing the need to use medication for asthma. More research is needed.

Background

'The Alexander technique' is a taught form of physical therapy involving a series of movements designed to correct posture and bring the body into natural alignment with the object of helping it to function efficiently, and is reported to aid relaxation. Some practitioners claim benefits for those who desire greater ease and efficiency of breathing, including asthmatics.


En quoi l'étude peut elle intéresser les asthmatiques et les personnes atteintes de la BPCO? Pour améliorer la partie comportementale de la maladie. L'efficacité ou le rendement respiratoire deviennent critiques dans le cas d'un affection. De plus, En général, les asthmatiques ne réagissent pas dans le bon sens à la crise ce qui rajoute au problème. 

chest tightness in COPD ans Asthma. Neck tensed

correlation between asthma and altered posture (voir la publication)

Poor posture increases the difficulty (of breathing experienced by COPD people)

The present study reinforces the statement that people with COPD have worse balance in comparison with healthy individuals, which was demonstrated by analyzing static and functional balance (Static and Functional Balance in Individuals With COPD: Comparison With Healthy Controls and Differences According to Sex and Disease Severity)

When you have COPD, your body is already working harder than normal to get enough oxygen – poor posture amplifies this.


Etude attestant de l'amélioration du fonctionnement respiratoire avec la Technique Alexander  
Une étude1 scientifique publiée dans Chest Journal a montré que la Technique Alexander permet d'améliorer le fonctionnement respiratoire. 20 personnes ont été réparries en 2 groupes.
- un premier groupe de 10 personnes qui ont eu 20 cours individuels de Technique Alexander (1 à 3 cours par semaine, un cours durant 35 à 45 minutes).Des mesures du fonctionnement respiratoire ont été effectuée avant et après les 20 cours de Technique Alexander (à 7 mois d'intervalle en moyenne)
- un deuxième groupe de contrôle de 10 personnes qui n'ont pas eu de cours de Technique Alexander. Des mesures du fonctionnement respiratoire ont également été effectuées avec ce groupe à 2 reprises à 7 mois d'intervalle en moyenne

Mesures du fonctionnement respiratoire :



FRC functional residual capacity; Capacité résiduelle fonctionnelle (CRF) : Volume d'air restant dans les poumons à la fin d'une expiration normale et tranquille

FEV Forced Expiratory Volume : VEF volume expiratoire forcé = Capacité vitale forcée (CVF)

MEP= maximal expiratory mouth pressure; PEmax : Pression expiratoire maximale

MIP maximal inspiratory mouth pressure; PImax :Pression inspiratoire maximale

MVV maximal voluntary ventilation; Ventilation Volontaire Maximale (VVM) Volume maximum pouvant être expiré et inspiré par minute

PEF = peak expiratory flow; débit expiratoire de pointe (DEP)

PIF peak inspiratory flow; débit inspiratoire de pointe (DIP)

RV = residual volume


The major finding of the present study is a strongassociation between a course of AT instruction inhealthy young and middle-aged adults and an increase

in measures of respiratory muscular strength (MIP,

MEP, PEF) and endurance (MW).


In summary, the results show that a course of

instruction in proprloceptive musduboskeletal educa

tion (AT), without exercises, was associated with in

creased PEF, MW, MIP, and MEP in healthy adults.

Possible clinical applications and clarification of mech

anisn1s await future study.

    

1. Enhanced respiratory muscular function in normal adults after lessons in proprioceptive musculoskeletal education without exercises, J H Austin and P Ausubel, Chest. 1992 Aug;102(2):486-490. 
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