A multi-dimensional approach to assessing and treating dysfunctional breathing

This course is suitable for practitioners such as osteopaths, chiropractors, physiotherapists, exercise physiologists, speech therapists, orofacial mycologists, naturopaths, dentists, psychologists, breathing therapists and others who want to include a systematic, comprehensive and evidence based approach to breathing assessment and breathing retraining in their clinical work.

It gives participants a deep and thorough understanding of breathing and the multiple ways it interacts with the function of the mind and body and affects structural development and health.

Practitioners will learn how breathing training can be used to improve therapy and training outcomes across many disciplines.

The genesis of this course

The course is a synthesis of Dr. Courtney’s many years of academic research and her broad clinical practical experience as an osteopath, breathing therapist and practitioner of integrative health. She is a world leader in this field and has published several text book chapters and many journal articles on this topic. She is one of the few people in the world to complete a PhD research on the topic of breathing therapy and dysfunctional breathing.

Much of the material presented in this course is unavailable elsewhere.

Practical and effective

Level 1 (3 days)

Level 1 provides an comprehensive overview of the anatomy, psychology, functions and dysfunctions of breathing. Participants then receive in-depth training in relevance, assessment and treatment of the neuromuscular and biomechanical dimensions of breathing functionality.

Level 2 (3 days)

Level 2 builds on material covered in Level 1 and further develops theoretical understanding and the practical skills needed to assess and treat the psychophysiological and biochemical dimensions of breathing.

Evidence based, practical assessment tools

The course will give participants hands-on and practical training in the use of a number of evidence based assessment tools developed by Dir. Courtney such as the Self-Evaluation of Breathing Questionnaire (SEBQ), the Manual Assessment of Respiratory Motion (MARM) and other validated and evidence based assessment tools and protocols.

Breathing therapies covered in the 2 levels of this course include:

  • Breathing basics protocol
  • Respiratory muscle resistance training
  • Buteyko method
  • Mind-body breathing techniques
  • Capnometry assisted biofeedback
  • Intermittent hypoxic training
  • Resonance frequency breathing

Integrative and multi-disciplinary solutions

Breathing dysfunction can caused be caused by structural-anatomical factors, various disease processes or psychological factors.  Optimal outcomes for breathing therapy depend on understanding how to address causal factors and work with other health professionals.

Dr Rosalba Courtney lecture on breathing disorders

Level 1 – The Neuromuscular and Biomechanical Dimension

Overview

This course provides an overview of the physiology, psychology, anatomy and biomechanics of breathing and of Dr. Courtney’s multi-dimensional model of dysfunctional breathing.  It gives participants a deep understanding of the functional and structural impacts of breathing and the multi-disciplinary applications of breathing therapy.

This level of the course then focuses on the assessment and treatment of biomechanical and neuromuscular aspects of breathing dysfunction. These include breathing pattern disorders, mouth breathing, diaphragm dysfunction and their significance for disorders of posture, motor control, vocalization, muscular-skeletal pain (e.g. pelvic, spinal, shoulder, TMJ), malocclusion as well as for the function of the respiratory, cardiovascular, lymphatic, digestive and autonomic nervous system.

+ Key learning outcomes and topics

Key learning outcomes

  • Gain a sound understanding of the multi-dimensional model of dysfunctional breathing and its applications.
  • Gain in-depth understanding of the functions and dysfunction of breathing muscles, rib cage function, breathing patterns.
  • Understand causes, consequence and significance of biomechanical and neuromuscular breathing dysfunctions.
  • Understand how muscular-skeletal factors contribute to symptoms of dysfunctional breathing.
  • Understand how biomechanical breathing dysfunctions influence back, neck and pelvic pain, core stability, sports performance and movement patterns.
  • Understand the connections between breathing dysfunction and disorders of vocalisation and speech.
  • Understand the connections between breathing and malocclusion, TMJ dysfunction and posture.
  • Understand how breathing patterns and habits influence the function and structure of the airway.
  • Understand how breathing rhythms and patterns affect the brain and the body.
  • Comprehensively assess breathing pattern disorders and abnormal breathing behaviors, including mouth breathing.
  • Learn basic, advanced and modified applications of the Manual Assessment of Respiratory Motion (MARM).
  • Learn about multi-disciplinary approaches to establish the causes of neuromuscular and biomechanical breathing dysfunction.
  • Learn the “breathing basics protocol” for retraining motor control of breathing.
  • Learn how to assess and correct mouth breathing in adults, children and babies.

Key topics

Theory and practical applications of Multi-dimensional Model of Dysfunctional Breathing

  • Evolution and evidence base of multi-dimensional model of dysfunctional breathing
  • Key characteristics biomechanical, biochemical and psychophysiological breathing dysfunctions
  • Inter-relationships between dimensions
  • Practical applications of a multi-dimensional approaches to assessing and treating with this model.
  • Understanding the causes of breathing dysfunction

Understand the Biomechanical Dimension of Breathing

  • Structures and functions of the biomechanical dimension of breathing
  • Review the EARRs model for breathing patterns and mouth breathing
  • Functional anatomy of breathing-muscles, joints and breathing movements
  • Functional and dysfunctional breathing habits e.g mouth breathing and breathing patterns

Causes of Biomechanical Breathing Dysfunctions

  • Risk factors for development of breathing pattern disorders
  • Viscious cycles that perpetuate breathing pattern disorder

Consequences of Biomechanical Breathing Dysfunctions on Structure

  • How breathing impacts on the structural development of the face, skeleton and posture

Consequences of Biomechanical Breathing Dysfunction on Function

  • Role of breathing dysfunction in spinal stablisation, neck and lower back pain
  • Role of breathing dysfunction in pelvic floor pain and dysfunction
  • Neuro-muscular influences on breathlessness and lung function
  • Breathing, voice and disorders of vocalisation
  • Influence of breathing patterns, rhythms and habits on cardiac function, lymphatic function, gut function and motility

Evaluating Breathing Patterns

  • Observing key signs of breathing dysfunction.
  • Review the Hi Lo
  • Learn and practice the basic and advanced MARM
  • Recording the MARM with graphic and simplified notation

Correcting Breathing Pattern Disorders and Dysfunctional Breathing Habits

  • Keys to improving diaphragm function-role of volume, motor learning, ventilatory drive and posture
  • Dr. Courtney’s breathing basics protocol
  • Manual therapy approaches to improving diaphragm, rib cage and respiratory muscle function
  • Buteyko Method and other approaches to correcting mouth breathing

Level 2 – The Biochemical and Psychophysiological Dimension

Overview

Level 2 focuses on the biochemical and psychophysiological functions and dysfunctions of breathing. Participants will understand and be able to assess hyper and hypoventilation disorders using evidence based methods including capnometry and validated questionnaires.

This course also teaches various breathing therapy approaches (including capnometry biofeedback, the Buteyko method, Intermittent Hypoxic Training and mind-body breathing approaches) for normalizing ventilation and improving the biochemical aspects of breathing homeostasis. It trains participants in key concepts of respiratory psychophysiology including the relationships between breathing, conditioned responses and cognitive and emotional processes. This understanding is then applied to skilfully applying breathing therapy strategies for patients with anxiety and stress related disorders.

+ Key learning outcomes and topics

Key learning outcomes

  • Understand the physiology of hyperventilation disorders, their causes and perpetuating factors
  • History of hyperventilation syndrome and controversies surrounding it
  • Understand the biochemical and psychophysiological mechanisms of respiratory and non-respiratory symptoms of dysfunctional breathing
  • Learn to use capnography to evaluate chronic and episodic hyperventilation
  • Recognize two way psychophysiological interactions between mind, emotions and breathing
  • Optimizing breathing techniques for individuals with hyperventilation and stress related breathing disorders
  • Understand how to use psychophysiological principles to correct dysfunctional breathing
  • Learn to use breathing and mind-body techniques to improve function of the autonomic nervous system and raise vagal tone

Key topics

Understanding Hyperventilation

  • The biochemistry of breathing and its regulation
  • History of hyperventilation and controversies surrounding it
  • Symptoms of hyperventilation-respiratory and non respiratory

Understanding Respiratory Psychophysiology

  • Neuroanatomy of breathing
  • How cortex, limbic system and brain stem work together to regulate (and dysregulate breathing)
  • Breathing , the vagus and the autonomic nervous system
  • Thinking, feeling and breathing-bidirectional influences

Causes of Hyperventilaton and its symptoms

  • Psychophysiological causes – Hyperarousal, allostatic load, limbic activation, conditioning
  • Hypoxia, pH and hyperventilation
  • Pathologies that lead to hyperventilation- Inflammation, infection, brain injury, mitochondrial dysfunction

Consequences of Hyperventilation

  • Physiological consequences of hyperventilation
  • Dysregulation of breathing control
  • Impact on the brain and nervous system
  • Hyperventilation symptoms- respiratory and non respiratory

Evaluating hyperventilation

  • Differentiating acute, chronic and episodic hyperventilation.
  • Capnometry protocols
  • Breath holding times and their role in evaluating hyperventilation

Evaluating the Psychophysiological Dimension of Dysfunctional Breathing

  • Recognising key events and life history events that may have triggered maladaptive neuroplasticity of breathing control.
  • Personality and psychological characteristics of dysfunctional breathing
  • Breathing pattern characteristics of psychophysiological breathing dysfunction
  • Symptom assessment
  • Referral strategies

Breathing Retraining for Hyperventilation and the Psychophysiological Dimension

  • Van Dixhoorn indirect approaches
  • Capnometry assisted biofeedback
  • HRV biofeedback
  • Buteyko method
  • Mindfulness and breathing training

Intermittent Hypoxic Training (IHT)

  • Hormesis and adapative medicine
  • History of IHT in Russia for sport and medicine
  • Conditions that respond to IHT
  • Protocols and equipment
+ Level 1 course outline

Level 1 – The Neuromuscular and Biomechanical Dimension

Overview

This course provides an overview of the physiology, psychology, anatomy and biomechanics of breathing and of Dr. Courtney’s multi-dimensional model of dysfunctional breathing.  It gives participants a deep understanding of the functional and structural impacts of breathing and the multi-disciplinary applications of breathing therapy.

This level of the course then focuses on the assessment and treatment of biomechanical and neuromuscular aspects of breathing dysfunction. These include breathing pattern disorders, mouth breathing, diaphragm dysfunction and their significance for disorders of posture, motor control, vocalization, muscular-skeletal pain (e.g. pelvic, spinal, shoulder, TMJ), malocclusion as well as for the function of the respiratory, cardiovascular, lymphatic, digestive and autonomic nervous system.

+ Key learning outcomes and topics

Key learning outcomes

  • Gain a sound understanding of the multi-dimensional model of dysfunctional breathing and its applications.
  • Gain in-depth understanding of the functions and dysfunction of breathing muscles, rib cage function, breathing patterns.
  • Understand causes, consequence and significance of biomechanical and neuromuscular breathing dysfunctions.
  • Understand how muscular-skeletal factors contribute to symptoms of dysfunctional breathing.
  • Understand how biomechanical breathing dysfunctions influence back, neck and pelvic pain, core stability, sports performance and movement patterns.
  • Understand the connections between breathing dysfunction and disorders of vocalisation and speech.
  • Understand the connections between breathing and malocclusion, TMJ dysfunction and posture.
  • Understand how breathing patterns and habits influence the function and structure of the airway.
  • Understand how breathing rhythms and patterns affect the brain and the body.
  • Comprehensively assess breathing pattern disorders and abnormal breathing behaviors, including mouth breathing.
  • Learn basic, advanced and modified applications of the Manual Assessment of Respiratory Motion (MARM).
  • Learn about multi-disciplinary approaches to establish the causes of neuromuscular and biomechanical breathing dysfunction.
  • Learn the “breathing basics protocol” for retraining motor control of breathing.
  • Learn how to assess and correct mouth breathing in adults, children and babies.

Key topics

Theory and practical applications of Multi-dimensional Model of Dysfunctional Breathing

  • Evolution and evidence base of multi-dimensional model of dysfunctional breathing
  • Key characteristics biomechanical, biochemical and psychophysiological breathing dysfunctions
  • Inter-relationships between dimensions
  • Practical applications of a multi-dimensional approaches to assessing and treating with this model.
  • Understanding the causes of breathing dysfunction

Understand the Biomechanical Dimension of Breathing

  • Structures and functions of the biomechanical dimension of breathing
  • Review the EARRs model for breathing patterns and mouth breathing
  • Functional anatomy of breathing-muscles, joints and breathing movements
  • Functional and dysfunctional breathing habits e.g mouth breathing and breathing patterns

Causes of Biomechanical Breathing Dysfunctions

  • Risk factors for development of breathing pattern disorders
  • Viscious cycles that perpetuate breathing pattern disorder

Consequences of Biomechanical Breathing Dysfunctions on Structure

  • How breathing impacts on the structural development of the face, skeleton and posture

Consequences of Biomechanical Breathing Dysfunction on Function

  • Role of breathing dysfunction in spinal stablisation, neck and lower back pain
  • Role of breathing dysfunction in pelvic floor pain and dysfunction
  • Neuro-muscular influences on breathlessness and lung function
  • Breathing, voice and disorders of vocalisation
  • Influence of breathing patterns, rhythms and habits on cardiac function, lymphatic function, gut function and motility

Evaluating Breathing Patterns

  • Observing key signs of breathing dysfunction.
  • Review the Hi Lo
  • Learn and practice the basic and advanced MARM
  • Recording the MARM with graphic and simplified notation

Correcting Breathing Pattern Disorders and Dysfunctional Breathing Habits

  • Keys to improving diaphragm function-role of volume, motor learning, ventilatory drive and posture
  • Dr. Courtney’s breathing basics protocol
  • Manual therapy approaches to improving diaphragm, rib cage and respiratory muscle function
  • Buteyko Method and other approaches to correcting mouth breathing
+ Level 2 course outline

Level 2 – The Biochemical and Psychophysiological Dimension

Overview

Level 2 focuses on the biochemical and psychophysiological functions and dysfunctions of breathing. Participants will understand and be able to assess hyper and hypoventilation disorders using evidence based methods including capnometry and validated questionnaires.

This course also teaches various breathing therapy approaches (including capnometry biofeedback, the Buteyko method, Intermittent Hypoxic Training and mind-body breathing approaches) for normalizing ventilation and improving the biochemical aspects of breathing homeostasis. It trains participants in key concepts of respiratory psychophysiology including the relationships between breathing, conditioned responses and cognitive and emotional processes. This understanding is then applied to skilfully applying breathing therapy strategies for patients with anxiety and stress related disorders.

+ Key learning outcomes and topics

Key learning outcomes

  • Understand the physiology of hyperventilation disorders, their causes and perpetuating factors
  • History of hyperventilation syndrome and controversies surrounding it
  • Understand the biochemical and psychophysiological mechanisms of respiratory and non-respiratory symptoms of dysfunctional breathing
  • Learn to use capnography to evaluate chronic and episodic hyperventilation
  • Recognize two way psychophysiological interactions between mind, emotions and breathing
  • Optimizing breathing techniques for individuals with hyperventilation and stress related breathing disorders
  • Understand how to use psychophysiological principles to correct dysfunctional breathing
  • Learn to use breathing and mind-body techniques to improve function of the autonomic nervous system and raise vagal tone

Key topics

Understanding Hyperventilation

  • The biochemistry of breathing and its regulation
  • History of hyperventilation and controversies surrounding it
  • Symptoms of hyperventilation-respiratory and non respiratory

Understanding Respiratory Psychophysiology

  • Neuroanatomy of breathing
  • How cortex, limbic system and brain stem work together to regulate (and dysregulate breathing)
  • Breathing , the vagus and the autonomic nervous system
  • Thinking, feeling and breathing-bidirectional influences

Causes of Hyperventilaton and its symptoms

  • Psychophysiological causes – Hyperarousal, allostatic load, limbic activation, conditioning
  • Hypoxia, pH and hyperventilation
  • Pathologies that lead to hyperventilation- Inflammation, infection, brain injury, mitochondrial dysfunction

Consequences of Hyperventilation

  • Physiological consequences of hyperventilation
  • Dysregulation of breathing control
  • Impact on the brain and nervous system
  • Hyperventilation symptoms- respiratory and non respiratory

Evaluating hyperventilation

  • Differentiating acute, chronic and episodic hyperventilation.
  • Capnometry protocols
  • Breath holding times and their role in evaluating hyperventilation

Evaluating the Psychophysiological Dimension of Dysfunctional Breathing

  • Recognising key events and life history events that may have triggered maladaptive neuroplasticity of breathing control.
  • Personality and psychological characteristics of dysfunctional breathing
  • Breathing pattern characteristics of psychophysiological breathing dysfunction
  • Symptom assessment
  • Referral strategies

Breathing Retraining for Hyperventilation and the Psychophysiological Dimension

  • Van Dixhoorn indirect approaches
  • Capnometry assisted biofeedback
  • HRV biofeedback
  • Buteyko method
  • Mindfulness and breathing training

Intermittent Hypoxic Training (IHT)

  • Hormesis and adapative medicine
  • History of IHT in Russia for sport and medicine
  • Conditions that respond to IHT
  • Protocols and equipment

Level 1 course details

Fri 1st – Sun 3rd September 2017

Cost: $1950

Early bird registrations before 28 July 2017: $1750

REFRESHER discount

If you have completed one of Rosalba’s courses since 2011, we have a special discount.

Early bird before 28 July 2017: $950
After 28 July: $1480

Please email using the form below to confirm your refresher booking and we will send you a special payment link.

Venue:

International College of Management

151 Darley St, Manly, Sydney – Australia

For more information or to confirm your refresher booking contact Dr Courtney on 02 9918 3460 or by email:



Level 1 course details

Fri 1st – Sun 3rd September 2017

Cost: $1950

Early bird registrations before 28 July 2017: $1750

REFRESHER discount

If you have completed one of Rosalba’s courses since 2011, we have a special discount.

Early bird before 28 July 2017: $950
After 28 July: $1480

Please email using the form below to confirm your refresher booking and we will send you a special payment link.

+ Venue details and map

Venue:

International College of Management

151 Darley St, Manly, Sydney – Australia

For more information or to confirm your refresher booking contact Dr Courtney on 02 9918 3460 or by email:



Level 2 course

Dates and location to be confirmed.

For information or to express interest please email Dr Courtney: