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Leon Chaitow ND DO

This unique, highly practical course will explore the presentation, symptoms and rehabilitation of habit of unbalanced respiration breathing pattern disorder/BPD. New evidence will be offered linking BPD with disturbed autonomic balance, musculoskeletal and circulatory function, affecting pain thresholds, motor control, core stability and balance, as well as emotional well being. Safe rehabilitation methods will be demonstrated, taught and practised.

By the end of the course the participant should have:
  • Based on current clinical and research evidence the participants will develop an understanding of the widespread influences of unbalanced breathing patterns on the physical and emotional health in general and the musculoskeletal system.
  • Develop an understanding about the connection between unbalanced breathing and changes involving circulatory, neurological, psychological and metabolic processes.
  • An awareness of the connection between BPD and pelvic floor (and sacro-iliac) dysfunction, and the ability to recognize and assess signs and symptoms of functional breathing pattern disorders.
  • An awareness of a variety of evidence based, clinically useful, approaches to breathing rehabilitation including the use of appropriate soft tissue and articular mobilization methods.


1. Introduction to breathing pattern disorders (BPD): definitions, gender issues, range, symptoms, triggers.

2. The patho-physiology of BPDs - effects of BPD on circulatory, neurological, psychological and metabolic processes.

3. Recognising BPD. Signs and symptoms; tests - including Nijmegen questionnaire as well as other validated methods, including capnography, plus evaluation of accessory respiratory muscles and myofascial changes, ribs and other thoracic structures.

4. Thoracic cage mobilization methods - using validated osteopathic methods, including a combination of muscle energy and positional release methods, combined with rehabilitation protocols.

5. Evaluation and treatment of pelvic influences on respiratory function.

6. Rehabilitation exercises: pursed lip breathing, anti-arousal breathing, Brugger's methods etc.

Suggested reading :

- Chaitow L, Bradley D, Gilbert 2014 Recognizing and Treating Breathing Disorders. Churchill Livingstone, Edinburgh
- Chaitow L, Bradley D, Gilbert 2002 Multidisciplinary Approaches to Breathing Pattern Disorders. Ch.Livingstone
- Chaitow L 2004 Breathing pattern disorders, motor control, and low back pain
- Journal of Osteopathic Medicine 7(1): 34-41

Date: 23 March

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CPD hours: 7 • cost: £165
Leon Chaitow ND DO is a graduate of the BCNO (now BCOM) who has been in practice since 1960. He was until 2004 Senior Lecturer at the University of Westminster. He lectures widely in Europe, USA and Australia on osteopathic and naturopathic topics, to chiropractors, osteopaths, physiotherapists and massage therapists; is author of over 60 books (including Positional Release Techniques, 3rd edition (2007) Churchill Livingstone). He is Editor-in-Chief of the peer reviewed Journal of Bodywork & Movement Therapies, and practises in the UK and Greece.

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