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Thought provoking and beautiful in many ways, the “Real Bodies” exhibit that I visited in Las Vegas this month, explores perfectly preserved human bodies and helps me connect in a deeper sense, to what it means to be alive. With so many intricate and vital organs packed into our bodies and all the conscious and unconscious actions that occur, it’s a wonder to me how we live, breathe and move every single day, seemingly effortlessly.
As a PT I have a nerdy interest in anatomy and understanding our inner workings. Something that really resonated for me in this exhibit, and that has a direct impact on you, is the diaphragm and its vital function in our lives.
It’s well known that breathing is an activity that crosses cultural, racial and gender lines. We are all required to breathe in order to survive. “Without oxygen, brain cells begin to die within five minutes.” (Body – the Complete Human ~National Geographic)
This longitudinal section of a body was on display at the exhibit. The diaphragm-that I’m pointing out here-looks like a thin layer of muscle which sits below the lungs and heart and separates the thoracic cavity from the abdominal cavity. It’s sitting just above the liver and is the major muscle of respiration. In its resting state, it looks like the shape of a mushroom or parachute and when it contracts, if flattens out moving downward creating more space for the lungs to fill on an inhalation. During exhalation, the diaphragm passively relaxes and returns to its original dome shape.
Mindful controlled breathing can be used as a tool to calm our nervous system and control our blood pressure. If we are stressed, our sympathetic nervous system (think fight or flight) is triggered causing our respiratory rate, blood pressure and heart rate to go up. Our breathing becomes shallow expelling more carbon dioxide and inhaling less oxygen. If we’re continually stressed for long periods, our body adapts to this faulty breathing pattern thinking this is the new normal. It causes our diaphragm to weaken resulting in overuse of our breathing accessory muscles (scalenes) and our shoulder muscles. This will, over time lead to neck and shoulder pain.
Research shows that improving our diaphragmatic breathing can help decrease our stress and conditions related to stress such as high blood pressure, headaches, neck pain and anxiety (Ehrer et al 2012).
Pilates and Breathing
Of course I can’t help but draw parallels between the use of the diaphragm and Pilates.
Did you know the primary breathing muscle, the diaphragm, is also a key core muscle providing spine stability along with several layers of abdominals, the multifidi in our backs close to our spine, pelvic floor muscles and fascia? Anatomically, the diaphragm has origins on the xiphoid process (bottom of sternum), the upper lumbar vertebra and the lower 6 ribs with their costal cartilage (which by the way interdigitate with Transverus abdominus (TA). The insertion is the central tendon that has no bony attachment. The diaphragm is primarily a muscle of inspiration, contracting to get air in and the abdominals and intercostals (muscles between the ribs) assist primarily with exhalation. (Kendall, F. Muscles Testing and Function 1993)
As the diaphragm contracts, it also helps to stiffen and stabilize the thoracolumbar junction by pulling on the tendon that attaches to the upper lumbar vertebrae. In addition as the diaphragm contracts and lowers, the increase in intra-abdominal pressure is met by an increase in TA and pelvic floor or “core” muscle activation to allow trunk stability during breathing and movement. From this we can ascertain that the diaphragm is integral to core stability. Also important to note is when the aforementioned muscle groups work out of sync, it can lead to low back pain and problems of lumbopelvic instability
Joseph Pilates is quoted as saying, “Above all, learn to breathe correctly!” He highlighted the importance of breath in his system, inventing exercises like “the Hundred” to create an internal shower for the body, heating the body up from the inside out and improving circulation. (Pilates, Return to Life 1945)
When we apply diaphragmatic breathing and adapt it for Pilates-otherwise known as “Pilates breathing”, we maintain focus on the 3 dimensional expansion of our lungs/ribcage seen in diaphragmatic breathing, however, instead of expanding the belly, we maintain abdominal control and do not puff the belly. This provides safety and stability for the spine when doing exercises like “bird dog” on all fours, where we lift opposite arm and leg in the air and need to keep a stable spine. It’s also important in many other exercises including “the Hundred” to keep the spine from arching or the pelvis from rocking. Similar to diaphragmatic breathing, we encourage a multi dimensional expansion of our ribs allowing for greater lung capacity and rib cage mobility. Does this mean we hold the stomach in taut in at all times in Pilates? No, there are times when relaxed expansion is fine, it’s all specific to the exercise and what your goal is at the moment.
Try this exercise with me to feel your own rib cage expansion
When do we exhale and inhale during an exercise in Pilates?
I get this question a lot and according to what I believe, there are suggested ways of breathing for particular exercises that support the movement. For instance, when you do extension-think the “Swan” exercise (lying on your belly and lifting your head and chest), an inhalation will help and support extension. If you are lying on your back and doing a chest lift (curl up of the head and shoulders) the exhalation supports this movement and triggers the activation of your core muscles to assist in the rise.
With that said, there are many exercises, like footwork on the Pilates Reformer, where different breathing cues are taught by different schools of thought. Instead of adhering to one school of thought, I look at the person in front of me to see which breath pattern best supports their movement, promotes a neutral spine position and is most organic to them. That is the breath pattern we choose.
If you find that you’re stressed about which way to breath for every exercise, you may find yourself holding your breath and that will work against you. Bottom line, when in doubt, just breathe!
Allow me to share with you, an excerpt from an inspiring quote featured in the Real Bodies exhibit.
Life begins with a gasp, a sudden rush of air into the lungs followed by the harsh cry of a newborn “I am ready”. And so it begins, a lifetime of breaths.
Inhale, exhale, repeat
…Beyond culture, beyond race, beyond religion breathing is an undeniable need shared by all. This is inspiration, an invitation to the spirit of life to fill the empty sponges within us, yet again. A willful defiant act of our unconscious, it declares I AM, again and again through the cycle of minutes and years. With each breath comes a new beginning making all things possible.
Inhale, exhale, repeat
My blog that inspired this article is here!
Osteoporosis Awareness Month is in May and I wanted to give you plenty of notice for my workshops in the area. I provide ongoing support as an educator for American Bone Health to increase community awareness of strategies that promote safety and improve bone health
Freedom from Fractures Presentation in Mountain View, CA
When: Wed. May 2 at 7pm
Where: 2500 Grant Rd at El Camino Hospital
Main Conference Room F/G
Freedom from Fractures Presentation in Palo Alto, CA
When: Friday, May 4, 1 to 2:30pm
Where: “Avenidas” at Cubberley Community Center
4000 Middlefield Road Building I, 2nd floor
To register call 650-289-5400 visit us online at the Avenidas website. Here is a direct link to registration: Class number 5808 – Register here
I’ve recently had an interesting observation. The notion, by typically younger people, that Aging Strong Pilates® is for the elderly, an unchallenging gentle workout.
Yesterday I substitute taught a Pilates class for a fellow teacher at Stanford and after class, one of the participants, in his 30’s, asked if I teach other classes there because he really liked the class. When I mentioned that I teach “Aging Strong Pilates” at Stanford, his reaction was a mix of “is that a senior class and “is that an easy class”? I clarified that it’s exactly what he just experienced and enjoyed in the class I just taught.
Here’s what 2 reviewers have said about of my Aging Strong DVD’s:
“I am in my 40s and I love these exercises. They are gentle but they can really be killers! ”
“The teacher is very thorough in her explanations however, some of the exercises are much more difficult than I expected. Since it is called Aging Strong, I erroneously assumed it was for older people at more of a beginner level.”
I want to paint a clear picture of exactly WHO Aging Strong Pilates is for (both in my group classes and on my DVD’s) and how it’s unique.
Let’s start with “Who is aging?”
Is it people over 40?, over 60?, over 80?
It’s none of those answers…we are ALL aging. Aging is integral to human development yet society fears it, even dreads it. There comes a point in our development where we lose that false sense of omnipotence. Perhaps we’re the victim of repetitive stress injuries, back pain, joint stiffness, chronic illness…you name it. At that point when you realize you’re not invincible, that you need to “train” to get older, that’s the time to try Aging Strong Pilates®. That actual age will be different for everyone as we are all genetically and biomechanically unique. That’s why people in my classes range from their 30’s through 80’s and they all get a challenging yet safe movement experience.
How is Aging Strong Pilates different from other Pilates DVDs?
Aging Strong Pilates targets the areas of our body susceptible to decline as we age including but not limited to, the hips and legs, the spine and balance. I’ve designed the program in a way that is modified for those with bone density issues and other conditions commonly associated with aging, to keep you safe yet challenged.
Pilates classes have an abundance of flexion based (rounded spine) exercises that are ill advised for those with low bone mass and many other diagnoses. These workouts keep you in a safe range of motion that will still have you trembling but keep you out of pain. There’s also a focus on standing weight-bearing functional training. The workouts are by no means easy but you’re guided with clear demonstrations and verbal cues.
As I reflect on my own aging, perched at the threshold of entering my 6th decade next month, I notice the changes in my body, I’ve got more grays in my hair (that I still color), more wrinkles on my face and my neck is starting to look like a Shar Pei…but you know what…I don’t FEEL old and really, isn’t that what matters? I actually feel strong and flexible with abundant energy, a passion for teaching and a purpose in life. I’m grateful for my health, family, friends and you!
Studies show that the second half of life brings more happiness, fulfillment and satisfaction then the days of youth. I’m passionate about helping you meet those years head on with strength, vigor and health!
If you purchase a Quest Vest using this link — you’ll get a free 15 minute skype session with me, and I’ll show you how to customize the vest with a unique postural prop to improve the health of your spine and posture! I’ll also guide you through a simple spine sparing core exercise. Just shoot me an email after your purchase at firstname.lastname@example.org.
Easy action items to get started right away!
With the start of the New Year, it’s typically a time to reassess ourselves and our habits. Do you have a healthy habit you’d like to adopt? Most of us do. The tough part is getting started. That’s why I’ve pulled together these simple action items to help you jump start your way to a healthier you–eating breakfast, drinking more water, moving, connecting, and getting a better night’s sleep.
Remember knowledge is NOT power…execution IS. Choose one to get started. And when you’re ready, put them all together to give your everyday health an amazing boost.
Say Yes to Breakfast
The payoff: Eating breakfast fuels your body and brain for a truly good morning. It also helps jump-start your metabolism, which may be one reason that breakfast eaters tend to weigh less than those who skip it. Your best start: Choose foods you’ll look forward to–there are many more choices beyond plain-old cereal. Try plain or vanilla yoghurt with fresh berries. I start my mornings with fruit and veggie smoothies-my Vitamix is my workhorse for providing a healthy start for the whole family.
Just Add Water
The payoff: Every cell in your body contains water. Staying well hydrated can prevent headaches, moodiness, loss of focus, and muscle fatigue. Your best start: Carry a refillable bottle of water with you at all times–in your bag, in your car, on the job, and at the gym. If it’s handy, you’ll sip it. (I must admit I’m terrible in this area but will try to do better this year) Also, eat more fruits and vegetables, which contain lots of water. (Did you know that 91 percent of the weight of broccoli comes from water?) Remember that other water-based beverages count too.
The payoff: Regular and meaningful connection with friends, family, volunteering all improve your levels of stress, and release feel good hormones.
Your best start: Write a letter, make a phone call. Enjoy a walk in the park or a hike in the woods with a buddy. Volunteering and focusing on helping others helps you as well.
Sleep Better Tonight
The payoff: Getting a good night’s rest boosts energy and improves immunity. It’s also been associated with heart health and a longer life span.
Your best start: Create a calming routine. At the end of the workday, write in a journal or create a to-do list for tomorrow, so you won’t worry you’ll forget something. Reading a few pages in a book or playing Words with Friends usually knocks me out pretty quickly. As you prepare for bed, dim the lights and quiet any loud noises. Following the same pre-bedtime routine each night can help you drift off more easily.
“One of the cornerstones of Teresa’s Aging Strong Pilates classes is balance. She drills us with fun balance exercises every week and last Thursday it paid off for me, in a big way.
I was leaving Safeway with two grocery bags (similar weight, evenly balanced, carrying properly) when I spied a very attractive man walking from the parking lot toward the store. A VERY attractive man! Instead of watching where my feet were going, I was watching him; making quick calculations in my head, would our paths cross close enough for a smile or nod or … dare I say, a wink? Sad to say, in my inattention, I tripped over the curb.
This story could have had a number of unhappy endings. I could have fallen and been seriously hurt, or at least scraped my knees; perhaps I’d have broken my foot – that did happen several years ago under similar circumstances (curb, not cute guy). He wasn’t close enough to have caught me, so no “meet cute” story. But, I was able to stop myself from falling because my body remembered Teresa’s “clock” exercises where we stand on one foot and move the other foot in and out to different points around our bodies. Tick tock. ”
“I didn’t get to meet the guy, but also my face didn’t get to meet the sidewalk. That is a definite win, I’d say!”
~ Rose Morgan (Aging Strong Pilates® class participant since inception)
150 Wortham Court
Mountain View, CA 94040
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