Diaphragm and respiratory training (SpiroTiger).

This is the SpiroTiger (ST) article that I published over a year ago and has been rewritten with a year and a half worth of experience and improvements. Keep in mind that every person is a individual and he or her has their own weaknesses, so there may be different reaction to what I have found.

Background

Most athletes do not even think of training their lungs, they think that they can not train their lungs, that their lungs could not possibly limit their performance. And that their body is limited by how high their heart can beat and how much watts their muscle can push.

When we look at the body in terms of what could limit performance we see that there are a few trainable systems in the body. The muscular system, the cardiac system and the respiratory system. This is a very broad view and obviously each system can be broken down further and interact with each other. When we use certain equipment we can find our weaknesses within these systems and train them. In the case of this article topic, if we find the need to train the respiratory system we have certain means by which we can do this.

What you have found through testing will determine how you can use a breathing device to strengthen your respiratory system. Now there are a few devices out there with which you can train the respiratory system and you can make your own. But the only current one that I am aware of that has a safety system build into it is the SpiroTiger. Any other system you will need a oximeter and capnometer at a minimum to control blood saturation and PCO2 levels, the price of a capnometer would already have overshot the price of a SpiroTiger. The build in sensors for the SpiroTiger monitor the amount of air movement and calculate if you continue at the current breathing rate if you will move into a hypercapnia state in which case the system will shut down as a safety precaution. For Hypercapnia specific work we override the safety features. The bonus is that there is no filters to replace on the ST as with other hypoxi equipment. (hypercapnia and hypoxia work is not supported by the manufacturer and is not recommended unless you have had instruction).

With the ST we can dial in breathing frequencies from 15 up to 60 breaths per minute and change the breathing ratios. Show me another breathing device that can do this and with which you can do endurance work for the breathing muscles? Most work outs on other devices last 30 seconds which will not challenge the respiratory endurance muscles. You may ask why would you use a device and not just go out and train? By challenging your respiratory system specifically you don’t risk over stressing any of your other systems. If your respiratory system is compensating for something else that is a weaker system, you will need to overstress the weaker system first before placing enough stress on the respiratory system, in this way with the ST we can dial in on the respiratory system without stressing other systems that we want to keep recovered.

Training ideas

One idea would be to do a training session, and perhaps you have challenged your cardiac system, but your respiratory system still needs a workout, this is where the respiratory work can come in. But then if you look at it at from another angle if you were perhaps swimming and you were really trying to challenge your lungs by instead of breathing every other stroke and breathing say every fifth or sixth stroke. This could challenge the inhalation and the gas exchange due to the time delay and short period you have to breath, then because your lung are already stressed then it may not be such a great idea to stress them again with the ST.

The idea behind the ST is to train the endurance muscle of the lungs which will train the diaphragm, breathing co-ordination and the inter and intra muscles involved during breathing. By training our respiratory system we may reduce or slow down the effect of the respiratory Metaboreflex (studies from Dempsey).

So the big question that a lot of people will want to know is will breathing training make me faster and stronger? The simple answer to this is it depends on what your limiter is, is your limiter your respiratory system? And then it depends how you use the ST to challenge your limiter?

Diaphragm training

Here are some of my experiences over a year and a half. I used mainly larger bag sizes to challenge my diaphragm strength, with 4-6 ST sessions a week, although I have now reduced this to 3 session unless I am doing hypoxia work. The diaphragm is one of the main supporting core muscles. You can do as many sit ups, planks and traditional core work as you like, but if you can't target your diaphragm all this traditional core work will only make you good at sit ups etc. Plus a six pack is not going to make you race faster. From video footage I know that my technique 'falls apart' from the core area when I am tired at the end of a race. Knowing that the breathing training might have a effect on my core, I decided to totally avoid traditional core work, the only place that I would still target my core is when lifting weight during squatting, dead lift, olympic lift etc. This would allow me to know that any diaphragm strength gain came mainly from the breathing training. Which it did, and it took about 5 months to notice. A year later (still avoiding core specific work) looking at new video footage you can see I do not 'fall apart' from the core anymore, and I am convinced that this is from training my diaphragm with the ST. (I am not suggesting that you do not do core work, but simply that you understand that there are better ways to target the main core muscles).

The biggest challenge in any work out is for this to transfer to the sport that you do, you lift weights so that it would transfer to cycling, you might do cross country skiing in winter to become a better cyclist in summer, you might run and bike to become a better cross country skier. With the breathing training it is the same concept. I want to be able to use a larger portion of my Vital Capacity (VC) so in effect increase my Tidal Volume (TV). But over the past year this work hasn’t really transferred, although I have been able to reduce my breathing frequency (RF). So the plan now is to use a bag size and RF that resembles my TV and RF at the level where things become critical in my body, and in this way challenge my respiratory system which could possibly make a structural change. Time will tell.

Hypercapnia and cool downs

I have misused the ST and used if for hypoxi work, always using a oximeter and pulse watch to check that I control my SpO2. I played with this idea over the summer and took it one step further into my cool downs and recovery in between sessions. What does this mean? I do not do a cool down in the traditional sense anymore. I use hypercapnia. We all know that Lactate is our friend and the body uses it as a fuel. Some background. During exercise, hydrogen ions H+ accumulate in the body which leads to a drop in the body’s intermuscular pH which will affect muscle performance. The more the body relies on glycolysis as the primary energy system the higher the production of H+ and lactate. Although the level of lactate has very little to do with the pH. Lactate gets produced as a by product and helps to buffer the H+ which there fore helps to prolong our workout. (The H+ may have a negative effect on the coupling of Ca++ and Mg-- on ATP production). So by keeping lactate in our system we have firstly a good source of energy plus we have a buffer system for the H+.

Now by cooling down traditionally we are taking away blood from the vital system. Because blood is needed again for the muscle and we are taking away the Lactate needed to fuel our brain, heart and get rid of the bad H+. So this is how I have done it, with out any negative results and keeping lactate and blood available where it is needed for faster recovery.

As soon as I can, after a race when every one else is 'cooling down' I use respiratory intervention to cool down instead, using hypercapnia. This creates a respiratory induced acidosis, (during exercise your body creates metabolic acidosis). Initially this will create some more H+ , but also your body will increase the CO2 level, Increase CO2 will release O2 from haemoglobin which will aid recovery. I do this for some time and it depends on how tired my respiratory system is, I will never push it further based on a time. Simply feeling and generally aim for several minutes. followed by a second session later in the evening. What I will start to add to this idea now is to first load the haemoglobin with O2 directly before the hypercapnia so that there is more O2 that can be released from the haemoglobin and possibly myoglobin. The early release of O2 through CO2 creates a better use of lactate and helps shuttle the H+ out of the system. And that is my recovery, only thing I might ad to at the end is a walk, thats it. 

Hypercapnia and warm up 

I have added hypercapnia in my warm up. Similar to above, so I have done my normal warm up which is up to race pace, straight from this I will go on the ST and go hypercapnic for 5 min.  From here I am ready to go. This season I will experiment with hypocapnia before the hypercapnia then race. The same idea could be used in between intervals. (5 min at hypercapnia is a ball park figure as it is just long enough to get the desired result but not so long that I am sitting around losing the optimal blood flow from the warmup). 

All these ideas are trial and error, and they are individual dependant, some people may respond to it, some may not, the results will depend on your limiters. Some people may benefit from a more hypocapnia versus hypercapnia state just before their race start dependant on the type of race start and how there body reacts. Other people who have more of a respiratory limitation might benefit from doing some race pace breathing before a race or hard session as to avoid or slow down the process of the metaboreflex reaction during the race. I wanted to integrate ST work into my training, so go hiking with it, but I decided against this as a lot of the time my blood saturation is already very low, and adding more stress with breathing which would likely lead to a even further drop in blood saturation would not be the smartest idea if I want to increase the muscle recruitment (this assumes that the blood saturation is a reflection of the muscle tissue saturation which is not always the case).

Lastly, would I recommend buying a SpiroTiger? Put it this way I have bought a second ST, which is a upgrade from the first one I owed. The SpiroTiger is a powerful tool if used correctly. Find your limiter, figure out how it will react, then trial it and apply the physiology instead of following every one else just because they do it. 

Understanding the weakest link and more ideas.

Some more ideas and thoughts, and why we find LBP and the weakest link. Read Athletes weakest link to get the background on this article.

This is the scenario: A pro cyclist has a well developed leg muscular system which has a good capillary network to delivery oxygen to mitochondria. The cyclist may have a vital organ as a limitation. Now move the cyclist to a rowing machine where his arms are poorly developed and utilisation of fuel to the muscle will be a problem even though he's vital organs are providing sufficient blood and oxygen to the upper body. Make the cyclist do cross country skiing, here will be another scenario where same as rowing the upper body is the limitation involved but coordination may be more of a problem.

In each of these cases LBP will be different and a different system will create LBP. Which is why LBP needs to be tested for every sport activity. To add to the previous paragraphs scenario, using tools such as NIRS and Phisio Flow, a coach can easily find out what system in the body is the weak link, muscular, respiratory or cardiac. Then adapt the training so that the weakest link will improve the LBP which will lead to a faster athlete.

Training the Weakest link if:

The heart is the weak link, then one could perhaps train the heart in a way so that the respiratory system will challenge the oxygen delivery so that the heart has to react. Using Pulmonary Endurance Training PET is a example. If we have a portable device to monitor heart hemodynamics we can monitor stroke volume training. Intervals may have the ability to improve Stroke volume but only if the interval intensity (rest and load) period is so fixed, that we do not create a 'storage of blood' or a occlusion in the working muscles but rather move as much blood back into the system and to the heart to increase circulatory blood volume.

It is muscular limitation where utilization is the problem then work needs to be done on capillarisation and mitochondria density.

The respiratory system is the the athletes limitation then keeping the heart rate low by using SpiroTiger to stimulate the respiratory system.

Blood system is the limitation, then it could be improved with nutrition and IHT (Intermittent Hypoxic Training) and PET.

If the limitation is coordination and stabilisation you might think swiss balls and sit ups! Worst choice, (see my last article why)! A better answer is once again specific diaphragm training. The diaphragm is a vital stabilisation muscle of the core, strengthening of the diaphragm with breathing training will strengthen the core indirectly and stop the 'falling apart' at the core when a athlete is fatigued. The dead lift and squat actively activates the core better than core exercises! Training with specific coordination training is the better answer.

Most of these ideas needs equipment to check respiratory information, heart hemodynamics, and the muscle situation. Even not having access to this type of equipment and just understanding what is happening to the body and why we need to look for certain biomarkers will improve our training programmes. Here is a very basic idea on how we can build training programmes around recovery instead of the recovery around training as the body adapts and becomes stronger when we recover: Test LBP, then do a session where we stress the LBP or a session where we go above LBP, then retest LBP to see if the body has recovered from the session. If LBP is lower the athlete has not yet recovered, if it is back to baseline we are ready to go again. This is the beauty of the LBP assessment over a standard Lactate Test in that the athlete doesn’t need to be pushed to maximum and a LBP assessment can be done before a session to see if a athlete is ready for the next push or needs to just go for a easy bimble.

When we know what the athletes limitation is for each sport activity, then we need to decide what will improve the limitation, and not just do a set of exercises because everyone else is doing that exercise (i.e. sit up for core instead of diaphragm strengthening), once we understand what will improve the limitation then we can focus on structural training rather than functional training.

Overload:

We strive to push our selves to the limit in every training session and sometimes athletes will push so hard that they may see God for a brief few seconds. The question during such hard intensities where overload and stress takes place, is there any point in stressing the system further with more repetition to over stress it? A session that stressed the respiratory system, would it be a good idea to complete another respiratory session with the SpiroTiger so that we have a drop in performance and LBP when we want to do another session the next day? Probably not until the respiratory system has recovered, what if the cardiac system was overloaded then followed by something that challenges coordination or the respiratory system? That would be a smarter idea as you are challenging something which has not yet been stressed. This idea comes from the Austrian researcher, Hans Selye. Except that most coaches will take his idea too literally and push the athlete so that the athlete has to complete the predetermined set of intervals to get the most out of the session, even though (ie cardiac workout) with the same perceived exertion the heart rate can not be maintained, lap times are getting slower and the Central Governor Model (CGM) is kicking in because the body is more interested in survival than performance, the athlete systems is now in overstress mode. The Coach missed the point where the athletes system reached its overload point and the session should have been done for the day. What Hans Selye meant with overload is perhaps not overload but simply change the way we stimulate and challenge the systems. i.e. today we challenge the respiratory system, then the cardiac system which is still fresh, coordination or technique, once a system has recovered it can be challenged again.

Example of listening to the body:

Here is a picture where we follow physiological reactions rather than set intervals, this is a profile from NIRS. Green line is total blood flow (tHB), red oxygenated blood which tell you how much blood is loaded with O2, blue deoxygenated blood. The time frame from 0 to 1400 is where the athlete warmed up to get get blood flow into the working muscle (rise in green line) upto the point (900) where the intensity increased and the blood volume started dropping and deoxygenated blood (blue line) increased as a sign of O2 usage. From line A the the intervals start, blood volume rises dramatically as there is more blood in muscle during the recovery and drops during intensity as muscle tension and occlusion takes place, the last interval by 2400 was stopped due to not reaching the recovery Tisue Saturation Index (TSI%) which was also indicated by a slower rise in the green line, so the session was over. The interval before already, the tHb (Green line) did not drop to the same level as the previous intervals. The athlete ran into ATP delivery problems due to increased intramuscular tension and thus a reduction in blood flow. (The feeling of 'blown up legs' due to a occlusion situation in the muscles).

We will always have a overall programme with a idea of what we are going to do in a session, but a perfect training session will be where, neither coach nor athlete has any idea of the sessions outcome. They do not know how many reps or how long the recovery will be, as this will be decided by biomarkers such as heart rate, glucose, lactate, breathing frequency, tissue saturation etc. instead of a paced workout where we complete 10x400m meters, after the second interval we know how to pace the session and by knowing this we have changed the physiological end result. What if we followed some of the pre mentioned biomarkers and were able to achieved more physiologically in 6 reps than the planned 10 by rather stopping when we reach the same physiological stress as the first interval? Why train for 60min when you can achieve the same result in a shorter period, or perhaps you need longer for the overload, but you will not know unless you start to understand the physiology and look at the biomarkers that is available to you. This is where we start training smart versus being sheep following a cook book.

Core exercises, are we sure we are activating the core?

Nearly every personal trainer, fitness advisor, coach advocates core work.  But once again do we understand what we are doing by following the trend!  We would like to think that what we are training with core exercises is the best way to activate the core muscle, and that it would improve posture, stability, balance etc. Do we understand the muscle involved when doing a core exercise?  I'm not goin to rewrite the following article as I don't think I can do it justice.  The summary is that traditional core exercises has its place for developing certain areas but a athlete can activates his core muscles more positively and directly with a simple squat, or dead lift exercise.  Here to read: rethinking-core-training-is-it-fad.

Also on FaCT Canada is a very long discussion that shifts away a bit from the above topic but from 9 post down the subject becomes of interest to the core topic and looks at it from a different angle, discussing the involvement of the diaphragm  as a major core stabilizer and follows to a interesting subject on its own on muscle activation during weight training.   (There is mention on a device called a SpiroTiger which I will discuss in a upcoming blog with my own experiences on the device which also has a effect on the core).