BPD Flashcards
What is the significance of holding breath for 30s?
People who can’t hold their breath 30s are more likely to develop a breathing pattern disorder
- for non-pathos pts
What does Jason mean by “the great mimic”?
Breathing pattern disorders look like something (musculoskeletal problem like tight SCMs causing neck pain), but the root cause is a BPD
What symptoms are seen with BPD that are confused with respiratory problems?
- Air hunger
- Pseudo-asthma
- dry cough
- sighing
What symptoms are seen with BPD that are confused with MSK problems?
- pain/fatigue
- increased lactate
- myalgia
- incr m tone
What symptoms are seen with BPD that are confused with neurological problems?
- dizziness
- headaches
- fainting
- tingling/ paresthesia
What symptoms are seen with BPD that are confused with cardiac problems?
- ST wave changes
- Chest pain
- Arrythmias
- Labile BP (POTS)
What symptoms are seen with BPD that are confused with mental problems?
- Panic
- Sweating
- Fogginess
- Sleep disorders
What changes are seen with BPD?
- Pain
- Breathing dysfunction
- Tightness (short and strong)
- Shortness (long and weak bc of the tightness)
- postural changes
- dyssychrony - tell pt to breathe with diaphragm, unable to
- Hormonal changes - long term changes due to stress disorders
What are precipitating factors for BPD?
children who are mouth breathers, sinus hx, sleep position/ apnea
- mouth breathers = chest breathers
What is the Nijmegen questionnaire?
people who experience air hunger
what is the SEBQ?
objective measure and gives subjective issue
What is included in an assessment of BPD?
- hold breath (10-12s, 30s)
- Hi-lo breath, wave
- MARM
- Nijmegen questionnaire
- Self eval of breathing Q
- Posture
- rib mobility, thoracic, cervical
- pec, QL, iliopsoas, Scalenes, upper trap
- MFR TrP’s travell - map out TrP’s
- 1st rib
- Bradlicff angle check - incr angle = decr diaphragmatic excursion
- sniff test
What are KEYS interventions that can be used for treatment of BPD?
- strengthen m’s that are long to inhibit m’s that are short
- inhibit m’s that are short to allow long m’s a chance to do its job
- realize the kinetic chain (upper cross, lower cross, posterior cinch, goldilocks and 3 bears)
- integrate it into daily activities (planks, lock in the core, typing, sports)
What are the collateral channels of the alveoli?
deepest- pores of kohn (inter alveolar)
middle - Lambert - alveolar bronchiole
superficial - Martin - (3rd) inter bronchiole, but not good for clearing deep mucus
What are specific techniques for treatment?
- MET’s
- SCS
- Mobs/ manips
- PNF
- Buteyko breathing
- Yoga
- Pilates
- Postural restoration
- Sleep consultation
- Exercise
- Total body relaxation
- Feldenkrais (neurology with graded motor imagry)
- Tai chi, quigong
- Nasal saline
