Assess your breathing fitness! How many of these 25 symptoms and behaviors associated with problematic breathing do you have?
 
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Scientific References

 Asthma Specific:

Buteyko breathing techniques in asthma: a controlled trial. Bowler SD, Green A, Mitchell CA. MJA.1988; 169: 575–578.

Buteyko breathing technique reduces hyperventilation-induced hypocapnia and dyspnoea. Austinet al. Am. J. Respir. Crit. Care Med. 2009; 179: A3409

The Buteyko method increases end-tidal CO2 and decreases ventilatory responsiveness in asthma. Borg B, Doran C, Giorlando F, Hartley MF, Jack S, Johns DP, Wolfe R, Cohen M, Abramson MJ. The Australian and New Zealand Society of Respiratory Science Inc. Annual Scientific Meeting. 2004, 

A controlled study of a breathing therapy for treatment of hyperventilation syndrome. Grossman P, De Swart JC and Defares PB. J Psychosom Res. 1985; 29: 49–58.

Buteyko breathing technique for asthma: an effective intervention. McHugh P, Aitcheson F, Duncan B, Houghton F. NZ Med J. 2003, 116: (1187). 

The effect of physiotherapy-based breathing retraining on asthma control. Grammatopoulou EP, Skordilis EK, Stavoli N, Myriantheps P, Karteroliotis K, Baltopoulos G and Koutsouki D. Journal of Asthma 2011; 48: 593–601.

Role of Buteyko Breathing Technique in asthmatics with nasal symptoms.   Adelola O.A., Oosthuiven J.C., Fenton J.E. Clinical Otolaryngology.2013, April;38(2):190-191.

Breathing Exercises and/or Retraining Techniques in the Treatment of Asthma: Comparative Effectiveness. Comparative Effectiveness Reviews, No. 71Investigators: Elizabeth O’Connor, PhD, Carrie D Patnode, PhD, MPH, Brittany U Burda, MPH, David I Buckley, MD, MPH, and Evelyn P Whitlock, MD, MPH. Oregon Evidence-based Practice Center, Kaiser Permanente Center for Health Research, Rockville (MD): Agency for Healthcare Research and Quality (US): September 2012  Report No.: 12-EHC092-EF

 

 Snoring Specific:

The Experimental Modification of Sonorous Breathing, Journal of Applied Behavioral Analysis, 1980 

 

Kids Breathing:

 An Exploratory Study of the Factors Related to Mouth Breathing Syndrome in Primary School Children. Archives of Oral Biology, 
. 2018 Aug;92:57-61. doi: 10.1016/j.archoralbio.2018.03.012. Epub 2018 Mar 26.

Growth and Mouth Breathers, Pediatrics Journal of Brazil Volume 95, Supplement 1, March–April 2019, Pages 66-71

 

Anxiousness Specific:

 Breathing retraining: effect on anxiety and depression scores in behavioral breathlessness.  Tweeddale PM, Rowbottom I., McHardy GJ, Journal of Psychosomatic Research 1994 Jan 38(1): 11-21

Respiratory rehabilitation: a physiotherapy approach to the control of asthma symptoms and anxiety. Laurino RA, Barnabe, V., Saraiva-Romanholo BM, Stelmach R, Cukier A, Nunes Mdo P. Clinics (Sao Paulo). 2012 Nov, 67(11): 1291-7

An Overview of Complementary and Alternative Medicine Therapies for Anxiety and Depressive Disorders: Supplement to Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder. Williams JW, Gierisch JM, McDuffie J., Strauss JL, Nagi A. Washington (DC): Department of Veterans Affairs; 2011 Aug. VA Evidence-based Synthesis Program Reports

 

Pollution and COVID-19 Related:

Could nasal nitric oxide help to mitigate the severity of COVID-19?  Martel, J, Yun-Fei K. Microbes and Infection
Volume 22, Issues 4–5, May–June 2020, Pages 168-171

Performance of N95 respirators: filtration efficiency for airborne microbial and inert particles, American Industrial Hygiene Association, https://pubmed.ncbi.nlm.nih.gov/9487666/

 Particle sizes of infectious aerosols: implications for infection control, The Lancet. 7/24/2020. https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30323-4/fulltext

Could nasal nitric oxide help to mitigate the severity of COVID-19? Microbes and Infection May-June 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200356/ 

 Nasal contribution to breathing with exercise: effect of race and gender. Journal of Applied Physiology 4/11/2003 https://journals.physiology.org/doi/pdf/10.1152/japplphysiol.00718.2002

Filtration of particulates in the human nose. One source where 0.5 micron nasal filter mentioned. Laryngoscope. 1998 Jan;108(1 Pt 1):120-4. doi: 10.1097/00005537-199801000-00023. https://pubmed.ncbi.nlm.nih.gov/9432080/

 Particle Pollution and Your Patients' Health, USEPA https://www.epa.gov/pmcourse/particle-pollution-exposure

Effect of Race on Fine Particle Deposition for Oral and Nasal Breathing, Inhalation Toxicology, 11/17/2005. https://pubmed.ncbi.nlm.nih.gov/16087570/

Inhalability of micron particles through the nose and mouth, Inhalation Toxicology, 2010. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1046.1619&rep=rep1&type=pdf

http://courses.washington.ehttps://cfpub.epa.gov/si/si_public_record_report.cfm?Lab=NHEERL&count=10000&dirEntryId=34013&searchall=&showcriteria=2&simplesearch=0&timstype=du/cee490/HealthEff.pdf

https://www.sciencedirect.com/topics/immunology-and-microbiology/airborne-particle

https://cfpub.epa.gov/si/si_public_record_report.cfm?Lab=NHEERL&count=10000&dirEntryId=34013&searchall=&showcriteria=2&simplesearch=0&timstype=

Engineering Toolbox Particle Sizes: https://www.engineeringtoolbox.com/particle-sizes-d_934.html

US EPA Methods for Derivation of Inhalation Reference Concentrations and Application of Inhalation Dosimetry (particle sizes and nasal/mouth breathing differences): https://www.epa.gov/risk/methods-derivation-inhalation-reference-concentrations-and-application-inhalation-dosimetry

COVID-19 size in microns originally listed in news article I saw and reprinted here: https://www.sphosp.org/wp-content/uploads/2020/04/Letter-in-response-to-N-95-use-RA-Final.pdf

Valley Fever fungus details, including reference to size 10-100 microns: 

 

 Vocal Cord Dysfunction:

News Article: A Young Athlete's Breathing Problems Weren't Asthma. What Were They? August 26, 2020.  https://www.npr.org/sections/health-shots/2020/08/26/906047231/a-young-athletes-breathing-problems-weren-t-asthma-what-were-they?fbclid=IwAR0UFT3weRf0iXj1ncVzXz0xfV32cS_ByBqTCENa37k0oNZ-V1R4radlW58

  

General References

Adelola O.A., Oosthuiven J.C., Fenton J.E., Role of Buteyko Breathing Technique in asthmatics with nasal symptoms. Clinical Otolaryngology 2013, April;38(2):190-191

Austin et al, Buteyko breathing technique reduces hyperventilation-induced hypocapnia and dyspnoea. Am. J. Respir. Crit. Care Med. 2009; 179: A3409

Austin, G., Buteyko technique use to control asthma symptoms. Nurs Times 2013 Apr 24-30; 109 (16): 16-7. Review

Bartley, J., Nasal congestion and hyperventilation syndrome. American Journal of Rhinology 2006 19, 607-611

Benson, H., Klipper, M., The Relaxation Response: Harper Collins New York 2000.

Birch, M., Clinical Review: Sleep Apnoea - A survey of breathing retraining. Australian Nursing Journal October 2012, 20:(4) 40-41

Borg, B., Doran, C., Giorlando, F., Hartley, M.F., Jack, S., Johns, D.P., Wolfe, R., Cohen, M., Abramson, M.J. The Buteyko method increases end-tidal CO2 and decreases ventilatory responsiveness in asthma. The Australian and New Zealand Society of Respiratory Science Inc. Annual Scientific Meeting 200 http://anzsrs.org.au/asm2004abstracts.pdf

Bowler, S.D., Green, A., Mitchell, C.A., Buteyko breathing techniques in asthma: a controlled trial. MJA.1988; 169: 575–578

Bowler, S.D., Green, A., Mitchell, C.A., Buteyko breathing techniques in asthma: a blinded randomized controlled trial. Med J Aust. 1998 Dec 7-21; 169(11-12):575-8

Bradley, D. Hyperventilation syndrome/Breathing Pattern Disorders. Random House, New Zealand 2012

Breslin, E.H., Breathing retraining in chronic obstructive pulmonary disease. J Cardiopulm Rehabil. 1995 Jan-Feb; 15(1); 25-33.

Bruton, A., Lewith, G.T., The Buteyko breathing technique for asthma: a review Complement Ther Med. 2005 Mar; 13(1): 41-6

Burgess, J., Ekanayake, B., Lowe, A., Dunt, D., Thien, F., Dharmage, S.C. Systematic review of the effectiveness of breathing retraining in asthma management. Expert Rev Respir Med 2011 Dec; 5(6): 789-807

Castro, M. Control of breathing. In: Physiology, Berne, R.M., Levy, M.N. (eds), 4th edition, Mosby, St. Louis, 1998.

Chaitow, L., Bradley, D., Gilbert, C. Treating Breathing Disorders: A Multidisciplinary Approach Second Edition 2014. Elsevier, Ltd.

Choliz, M., A breathing-retraining procedure in treatment of sleep-onset insomnia: theoretical basis and experimental findings. Percept Mot Skills, 1995 Apr:80(2) 507-13

Cluff, R.A., Chronic hyperventilation and its treatment by physiotherapy: discussion paper, Journal of the Royal Society of Medicine 77, 1984 855-862

Coffee, J.C., Is chronic hyperventilation syndrome a risk factor for sleep apnea?. Journal of Bodywork and Movement Therapies. 2006; 10: Part 1,134–146; Part 2, 166-174

Cooper, S., Oborne, J., Newton, S., Harrison, V., Thompson Coon, J., Lewis, S. Tattersfield, A. Effect of two breathing exercises (Buteyko and pranayama) in asthma: a randomised controlled trial. Thorax 2003 Aug; 58(8); 674-9

Courtney, R., Greenwood, K., Cohen M., 2011a. Relationships between measures of dysfunctional breathing in a population with concerns about their breathing. Journal of Bodywork and Movement Therapies 15, 24-34

Courtney, R., Greenwood, K.M., 2009. Preliminary investigation of a measure of dysfunctional breathing symptoms: the Self Evaluation of Breathing Questionnaire (SEBQ). International Journal of Osteopathic Medicine 12, 121-127

Cowie, R.L., Conley, D.P., Underwood, M.F,, Reader, P.G. A randomised controlled trial of the Buteyko technique as an adjunct to conventional management of asthma. Respir Med 2008 May; 102(5): 726-32

Curley, G., et al, Hypocapnia and the injured brain. More harm than benefit. Critical Care Medicine 2010 38 (5), 1348-1359

Dechman, G., Wilson, C.R., Evidence underlying breathing retraining in people with stable chronic obstructive pulmonary disease Phys Ther 2004 Dec: 84 (12) 1189-97

Dempsey, J.A., Smith, C.A., Przybylowski, T., Chenuel, B., Xie, A., Nakayama, H. and Skatrud, J.B. The ventilatory responsiveness to CO2 below eupnoea as a determinant of ventilatory stability in sleep.. J Physiol. 2004; 560: 1–11

Dempsey, Jerome A. Crossing the apneic threshold: Causes and consequences 2004. Julius H. Comroe Memorial Lecture – Experimental Biology WashingtonDC. April 2004. Physiology in Press; published online on 30 November 2004 as 10.1113/expphysiol.2004.028985

Dixhoorn, J., 2012, Nijmegen Questionnaire in the evaluation of medically unexplained symptoms, including hyperventilation complaints. Biological Psychology.

Douglas, C.G., Haldane, J.S., The regulation of normal breathing, Journal of Physiology 1909; 38: p. 420–440

Elliot, M.W., Adams, L., Cockcroft A., et al, 1991 The language of breathlessness: use of verbal descriptors by patients with cardiorespiratory disease. Am Rev Respiratory Diseases 144, 826-832

Facchiano, L., Hoffman Snyder, C., Nunez, D.E. A literature review on breathing retraining as a self-management strategy operationalized through Rosswurm and Larrabee’s evidence-based practice model. J Am Acad Nurse Pract. 2011 Aug: 23(8): 421-6

Falanga, V., Wound healing and its impairment in the diabetic foot. Lancet 2005 366, 1736-1743

Flood, L., Role of Buteyko breathing technique in asthmatics with nasal symptoms. Clin Otolaryngol. 2013 Aug: 38(4) 354

Ganong, W.F, Review of Medical Physiology, 15th ed., 1995, Prentice Hall Intl., London.

Gardner, W., Hyperventilation. Am J Respir Crit. Care Med. 15 2004 2

Garland, W., Somatic changes in hyperventilating subject. Presentation at International Society for the Advancement of Respiratory Psychophysiology Congress, Paris 1994.

Gimenez, M., Severa, E., Abril, E., Saavedra, P., Darias, M., Gomez, A., Hannhart, B. Comprehensive directed breathing retraining improves exertional dyspnea for men with spirometry within normal limits. Am J Phys Med Rehabil. 2010 Feb; 89(2) 90-8

Grammatopoulou, E.P., Skordilis, E.K., Stavoli, N., Myriantheps, P., Karteroliotis, K., Baltopoulos, G. and Koutsouki, D.,The effect of physiotherapy-based breathing retraining on asthma control. Journal of Asthma 2011; 48: 593–601

Grossman, P., De Swart , J.C., Defares, P.B., A controlled study of a breathing therapy for treatment of hyperventilation syndrome. J Psychosom Res. 1985; 29: 49–58.

Grossman, P., Wientjes, C., Respiratory disorders: asthma and hyperventilation syndrome. In: Turpin, G. (Ed): Handbook of Clinical Psychophysiology. Wiley New York 1989 519-554.

Guyton, A.C., Physiology of the Human Body, 6th ed., 1984, Saunders College Publ., Philadelphia

Hagman, C., Janson, C., Emter, M., Breathing retraining – a five-year follow-up of patients with dysfunctional breathing. Respir Med 2011 Aug; 105(8): 1153-9

Hallani, M., Wheatley, J.R., Amis, T.C., Enforced mouth breathing decreases lung function in mild asthmatics. Respirology 13, 2008 553-558

Hammo, A., Exercise-induced hyperventilation: a pseudo-asthma syndrome. Ann Allergy Asthma Immuno 1999 82, 574-578

Harding, R.M., Mills, E.J., Aviation medicine. Problems of altitude I: hypoxia and hyperventilation. British Medical Journal (Clinical Research ed.) 1983 286 (6375), 1408-1410

Haugstad, G., Haugstad, T., Kirste, U., et al. Posture, movement patterns, and body awareness in women with chronic pelvic pain. J Psychosomatic Res 2006 61 (5) 637-644

Hodkinson, P.D.,. Acute exposure to altitude. Journal of the Royal Army Medical Corps, 2011 157 (1), 85-91

Howell, JBI, Behavioural Breathlessness. Thorax 45 1990, 287-292

Hudgel, D.W., Hendricks, C. and Dadley, A. Alteration in obstructive apnea pattern induced by changes in oxygen and carbon-dioxide-inspired concentrations. Am Rev Respir Dis. July, 1988; 138(1) 16–9

Iber, C., Davies, S., Chapman, R.C. and Mahowald, M.M. A possible mechanism for mixed apnea in obstructive sleep apnea Chest 1986; 89: 800–805

Ingber, D.E., Tensegrity,I., Cell structure and hierarchical systems biology. J Cell Sci 2003 116 (7), 1157-1173

Innocenti, D.M., Chronic hyperventilation syndrome. Cash’s Textbook of Chest, Heart and Vascular Disorders for Physiotherapists, 4th ed. 1987 Farber and Farber, London 537-543.

Jensen, D., Duffin, J., Lam, Y.M., et. al. Physiological mechanisms of hyperventilation during human pregnancy. Respiratory Physiology & Neurobiology 2008 161 (1), 76-78

Josephson, S.C., Rosen, R.C., The experimental modification of sonorous breathing. J Appl Behav Anal. 180 Summer; 13(2)373-8

Josephson, Stephen C., Rosen, Raymond C., The Experimental Modification of Sonorous Breathing, Journal of Applied Behavior Analysis, 1980, 133,373-378

Joulia, F., Steinberg, J.G., Faucher, M. et al. Breath-hold training of humans reduces oxidative stress and blood acidosis after static and dynamic apnea. Respiratory Physiology & Neurobiology 137 2003 19-27

Kellum, J., Disorders of acid-base balance. Crit Care Med 2007 35 (11), 2630-2636

Kerr, W.J., Dalton, J.A., Gliebe, P.A. Some physical phenomena associated with the anxiety states and their relation to hyperventilation. Annals of Internal Medicine 11, 961

Kuiper, D.,Dysfunctional breathing and asthma. Trial shows benefits of Buteyko breathing techniques. BMJ 2001 Sept 15: 323 (7313); 631-2

Laurino, R.A., Barnabe, V., Saraiva-Romanholo, B.M., Stelmach, R., Cukier, A., Nunes, Mdo, P., Respiratory rehabilitation: a physiotherapy approach to the control of asthma symptoms and anxiety. Clinics (Sao Paulo). 2012 Nov, 67(11): 1291-7

Lehrer, P., Feldman, J., Giardino, N.D. et al. Psychological aspects of asthma. Journal of Consulting and Clinical Psychology 70. 2002 691-711

Lewis, B.I., Chronic hyperventilation syndrome, JAMA 151 1954 1204-1208

Ley, R., Timmons, B.H., Behavioral and Psychological Approaches to Breathing Disorders, 1994

Ley, R.,The modification of breathing behavior, Pavlovian and operant control in emotion and cognition. Behav Modif. 1999 Jul: 23(3): 441-79

Lisboa, C., Inspiratory muscle training in chronic airflow limitation: effect on exercise performance. Eur Resp J. 10 1997 1266-1274

Lum, L.C. Hyperventilation: the tip and the iceberg J Psychosom Res 19 1975 375-383

Lum, L.C., Breathing exercises in the treatment of hyperventilation and chronic anxiety states. Chest Heart and Stroke Journal 1977 2:6-11

Magarian, G.J., Hyperventilation syndromes: infrequently recognized common expressions of anxiety and stress. Medicine 61 1982 219-236

Magarian, G.J., Middaugh, D.A., Linz, D.H., Hyperventilation Syndrome: A diagnosis begging for recognition. West J Med. 1983 May; 138(5): 733–736

McArdle, W.D., Katch, F.I., Katch, V.L., Essentials of Exercise Physiology (2nd edition); Lippincott, Williams and Wilkins, London 2000.

McConnell, A., Inspiratory muscle training improves lung function and reduces exertion dyspnea in mild/moderate asthmatics. Proceeding of the Medical Research Society, Clinical Science 95 1998 4P

McHugh, P., Aitcheson, F., Duncan, B., Houghton F., Buteyko breathing technique for asthma: an effective intervention. NZ Med J. 2003, 116: (1187)

Mitchell, A., 2011 Test/retest reliability and determinants of the Self Evaluation of Breathing Questionnaire. Masters of Osteopathy Research, Unitec Institute of Technology.

Nixon, P., Andrews, J., A study of anaerobic threshold in chronic fatigue syndrome (CFS) Biol Psychol 1996 43, 264

O’Connor, E., Patnode, C., Burda, B., Buckley, D., Whitlock, E.P., Oregon Evidence-based Practice Center, Kaiser Permanente Center for Health Research, Rockville (MD): Breathing Exercises and/or Retraining Techniques in the Treatment of Asthma: Comparative Effectiveness. Comparative Effectiveness Reviews, No.71 Agency for Healthcare Research and Quality (US): September 2012 Report No.: 12-EHC092-EF

Ott, H., Mattle, V., Zimmermann, U.S., et al. Symptoms of premenstrual syndrome may be caused by hyperventilation. Fertility and Sterility 2006 86 (4) 1001, e17-101, e19

Perera, J., The hazards of heavy breathing. New Scientist December 1988, 46-49

Prem, V., Sahoo, R.C., Adhikari, P. Comparison of the effects of Buteyko and pranayama breathing techniques on quality of life in patients with asthma – a randomized controlled trial. Clin Rehabil. 2013 Feb; 27(2); 131-41

Prys-Picard, C.O., Kellett, F., Niven, R.M. Disproportionate breathlessness associated with deep sighing breathing in a patient presenting with difficult-to-treat asthma. Chest 2006 Dec; 130(6): 1723-5

Puhan, M.A., Suarez, A., Lo Cascio, C., Zahn, A., Heitz, M., Braendli, O. Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial BMJ February 2006; 332 (7536): 266–70

Radwan, L., Maszczyk, Z., Koziorowski, A., Koziej, M., Cieslicki, J., Sliwinski, P., Zielinski, J. Control of breathing in obstructive sleep apnoea and in patients with the overlap syndrome. Eur Respir J. 1995; 8(4): 542–545

Rakhimov, A. Advanced Buteyko Breathing Exercises. 2013

Rice, R.L., Symptom patterns of the hyperventilation syndrome. American J Medicine 8, 1950, 691-700

Schwab, Jan-Alexander, Zenkel, Matthias,Filtration of Particulates in the Human Nose, The Laryngoscope,  04 January 2009 https://pubmed.ncbi.nlm.nih.gov/9432080/

Slatkovska, L., Jensen, D., Davies, G., et al. Phasic menstrual cycle effects on the control of breathing in healthy women. Respiratory Physiology & Neurobiology 2006 154 (3), 379-388.

Smith, A., Taylor, C., Analysis of blood gases and acid-base balance. Surgery 2008 26 (3), 86-90

Straub, N.C., Section V, The Respiratory System, in Physiology, eds. Berne, R.M., & Levy, M.N., 4th edition, Mosby, St. Louis, 1998

Strohl, K.P. Con: Sleep apnea is not an anatomic disorder.. Am. J. Respir. Crit. Care Med .2003; 168: 271–272

Sutbeyaz, S.T., Koseoglu, F., Inan, L., Coskun, O., Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: a randomized controlled trial. Clin Rehabil. 2010 Mar; 24(3): 240-50

Thomas, M., McKinley, R.J., Freeman, E. et al. The prevalence of dysfunctional breathing in adults in the community with and without asthma. Prim Care Respir J 14 2005 78-82

Thomas, M., McKinley, R.K., Freeman, E., Foy, C. Prevalence of dysfunctional breathing in patients treated for asthma in primary care: cross sectional survey. BMJ 2001 May 5: 322(7294): 1098-100

Thomas, M., McKinley, R.K., Mellor, S., et al. Breathing exercises for asthma: a randomized controlled trial. Thorax 64(1) 2009 55-61

Thomas, R.J., Daly, R.W., Weiss, J.W., Low-concentration carbon dioxide is an effective adjunct to positive airway pressure in the treatment of refractory mixed central and obstructive sleep-disordered breathing. Sleep 2005; 28: 12

Tweeddale, P.M., Rowbottom, I., McHardy, G.J. Breathing retraining: effect on anxiety and depression scores in behavioural breathlessness. J Psychosom Res. 1994 Jan; 38(1):11-21

van Dixhoorn, J., Duivenvoorden, H.J., Efficacy of Nijmegen Questionnaire in recognition of the hyperventilation syndrome. J Psychosom Res. 1985;29(2):199-206

Williams, J.W., Gierisch, J.M., McDuffie, J., Strauss, J.L., Nagi, A. An Overview of Complementary and Alternative Medicine Therapies for Anxiety and Depressive Disorders: Supplement to Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder. Washington (DC): Department of Veterans Affairs; 2011 Aug. VA Evidence-based Synthesis Program Reports

Woods, P., Da Costa’s syndrome. British Medical Journal 1. 1941. 767

 

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Breathing Retraining Center offers individual and group training and coaching on self-management techniques to identify and correct poor-breathing habits. Breathing Retraining Center's educational products, courses and coaching are designed to improve breathing skills for people whose issues may be related to habits that have the potential to be improved, as a self-care/wellness activity. Breathing difficulty may be a warning sign of a life-treatening heart or lung condition, infection or other illness. Always check with your doctor about your own situation.

The Buteyko Breathing Technique and other breathing-retraining strategies we teach are an alternative approach and are not the practice of medicine, psychology or a form of psychotherapy, nor are they a substitute for seeking medical or psychological advice from an apporpriate professional health-care provider. We want to make the important distinction between using the Buteyko Breathing Technique and other breathing-retraining strategies for health and well-being and the practice of medicine, psychology or any other licensed health-care profession.

Breathing classes, coaching and other services from Breathing Retraining Center are offered by teachers who are not licensed by the State of California as physicians or other healing-arts practitioners unless so noted. We offer alternative non-medical/non-psychological techniques and our services are considered to be laternative or complementary to the healing arts that are licensed by the State of California.

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Assess your breathing fitness! How many of these 25 symptoms and behaviors associated with problematic breathing do you have?
 
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