Until recently, western medical research has been inconclusive in determining
whether or not there is
real benefit for an asthmatic to conduct breathing
exercises as part of an overall asthma management program. These exercises have
certainly been popular in many alternative type asthma management programs but
have not yet been embraced by allopathic, or traditional western physicians.
But they are beneficial and will help an asthma sufferer reduce symptoms and
increase strength.
The two most often practiced techniques are Buteyko (named after the Russian
doctor who developed them) and a yoga training technique known as pranayama. In
very simple terms, Buteyko exercises involve breathing through the nose (not
mouth), exhaling for as long as possible and then holding the breath as long as
possible at the end of the exhale. During the inhale, a series of short, but
shallow breaths are practiced. Pranayama is about correct posture, relaxation
and controlled, slow inhalation and exhalation, with a focus on using the
diaphragm muscles to assist with breathing.
While breathing techniques have long been supported by naturopathic
physicians, it is only in the last several years that the allopathic medical
community (traditional doctors) has moved to try and quantify any potential
benefit from these exercises. One study, published in the March 2004 edition of
“Current Opinion in Pulmonary Medicine” concluded there might be some benefit,
although more study was required.
In several patient groups (some using buteyko training and others using
pranayana), there did appear to be reduced asthma symptoms although lung
function did not appreciably change (as measured by PEFR). Nevertheless,
patients felt better and did experience a reduction in need for relief
medications.
How do breathing exercises help asthmatics
Since asthma is related to inflammation of the lungs and constriction of the
smooth involuntary bronchiole muscles, how can doing breathing exercises help
alleviate symptoms?
For starters, it is estimated that some 30% of asthmatics suffer some degree
of breathing dysfunction. Bad habits are easily learned when suffering from
asthma symptoms and it is not uncommon for those habits to continue in between
attacks – breathing through the mouth and short, shallow breaths for example.
This type of breathing deprives the lungs of their full potential to
effectively exchange oxygen with carbon dioxide. Breathing exercises enforce
good habits where the full range of lung function is used. Consequently, the
body gets the oxygen it needs and the chronic asthmatic feels better, with more
energy.
And not only will it make the breathing process more efficient, there is
evidence that breathing muscles (diaphragm and lung muscles) are strengthened.
So even if breath training doesn’t directly improve lung function, eliminating
bad habits will improve overall health and quality of life. And this new energy
level is important in getting stronger and finding the motivation to attack
asthma with a total management plan that results in symptoms being completely
controlled – with very little, if any need for medications.
In addition to increased energy levels and stronger lung muscles, there is
another benefit to breathing exercises –even if it doesn’t directly result in
increased lung function. And that is when actually enduring an asthma attack.
Anyone who has asthma knows what it is like to struggle for breath. You can’t
get enough air into your lungs and just as agonizing, you can’t seem to get any
air out. Asthmatics who practice correct breathing exercises are much more
likely to be able to endure, in a controlled manner, an asthma attack than those
that don’t.
Of course that is not to say that controlled breathing replaces relief
medication – it most certainly doesn’t. But it does contribute, in a real way,
to stabilizing the attack because the asthmatic can fight the temptation to
start breathing in an uncontrolled manner. Indeed, biofeedback, a technique in
which patients are trained to basically will themselves to breath more
efficiently, seems to be getting more and more traction.
Controlling asthma cannot be achieved by only using one tool. Multiple tools
should be used – in addition to the control and relief medications prescribed by
your physician. Diet, exercise, trigger controls are all essential components;
and so is a good and consistent program of breathing exercises. Using all of
these tools will allow an asthmatic to completely control her disease and enjoy
a symptom free lifestyle.

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