Bill Hartman 33:39–36:24
Yeah, no, but it again, you don't have to take an acting class per se, but it does help to gain that level of interaction. So you think about like an internship is a lot like that. All you gotta do is have an intern around for like three or four months and then you see the evolution of their behavior where the personality is totally hidden. They're very, very quiet. Unless they've had coaching experience in the past or they have this gigantic personality that walks in the door, you're gonna see this evolution where they're slowly sort of, as they say, come out of their shell. Good morning. Happy Friday. I have no more coffee in hand and it is perfect. Okay. It's been a great week. Today's Friday, we're going to wrap up the week with a really good Q&A from Phillip. Phillip with an F. Phillip says, hope you're doing well. I was wondering if excessive, whatever that means, neck training can lead to difficulties in nose breathing. I've found that to be the case with myself. I took up wrestling again a couple months ago and we started doing weighted neck flexions and extensions. Keep up the Q&A please. It is gold. Well, thank you Phillip for that. I think there might be some stuff here that we can unpack for you that may be useful. So let's dig into this and see what comes up. A couple of things under any circumstance when we're talking about increasing force production, no matter what we're doing from a strength training standpoint, we're going to be using an exhalation strategy so that's how we produce high force and so under those circumstances we're going to trap air we're going to squeeze it and we're going to use some form of compressive strategy and so neck training is no different. Couple things that we need to understand about the pressure management in the neck is that the influence of the pressures from the thorax influence the pressures that are going to be in the upper airway. So the upper airway is gonna change shape just like the thorax does. And so breathing rates and flow mechanics are gonna be influenced here because of that shape change. And so just by changing your breathing rate the volume of air that you're bringing in through your nose can alter the flow mechanics. So we have laminar flow, which is sort of like the smooth type of flow where it's easily flowing through the airway. And then we have turbulent flow, which can actually increase the sensation of nasal resistance. And so the way that I would compare this, if you just took a nice quiet breath in that you couldn't hear and then compared that to an aggressive sniff, as if you were trying to smell something, so the reason that the turbulence increases when you sniff is because we want to actually smell we want to actually try to get a sense of what the odor is and the turbulent flow actually allows us to maintain the air in the airway where we do sense the smell. But when you think about aggressive activities like wrestling or weight training, we're probably using turbulent flow mechanics quite a bit. And so maybe you're a little bit more sensitive in that regard. And so you get that sense of nasal resistance. When you take your neck through flexion and extension, there's also a shape change that takes place in the pharynx. And so that's the airway behind the nasal passage, behind the oral passage and down into the throat. And so there's sort of a sweet spot where that airway is open the most. And so if I go into an extreme in range extension, I will end up compressing the airway as I bring my head through. And while I'm still extended, then the airway is gonna stay open. And then as I go into the extreme flexion, I'm actually going to compress the airway so again it depends on your neck position that you're using as well. There's also a cranial shape change that we might need to consider here. Again, strong exhalation strategies, strong compressive strategies will actually alter the cranial shape into an exhalation position, which can reduce the anterior-posterior diameter of the cranium. And so maybe that narrows your nasopharynx and increases this turbulent airflow like we were talking about before. When we talk about the throat position, we talk a lot about the hyoid and the tongue because it's a great way to identify what strategy people are using in the neck. When we have an elevated hyoid position, the suprahyoid muscles are concentrically oriented. What this does is it pulls the mandible back, which brings the tongue along with it. Then we actually compress that oropharyngeal space. And again, this creates resistance to air flow. And so we always have these consequences that are associated with position. And some of them are actually results of training. So if you're doing a lot of neck training, you're using a lot of compressive strategy. You're increasing, most likely, a lot of concentric orientation above the hyoid. You're gonna elevate that hyoid. And then you're gonna create an airway that compresses from this nice round airway to a nice flat AP airway, which is great for resistance and stability, but probably not so great for breathing mechanics. A couple things that I would say that you probably wanna monitor to make sure that you're not losing this adaptability in your airway shape and mobility is in range shoulder flexion. So in range shoulder flexion is associated with the ability of the lower cervical spine to rotate. So if you lose in range shoulder flexion, you're gonna lose some of that adaptability in the lower cervical spine. So that would be something that you wanna monitor as far as an activity that you might wanna use to sort of offset some of the secondary consequences of the neck strengthening is what I call just lazy rotations. If you lay on your side with your head supported on a pillow and you're just turning your head from side to side with normal quiet nasal breathing, just learning how to turn your head with the lowest energy possible. You can actually reduce some of this concentric orientation and that might help you restore some element of airway adaptability. Worst case scenarios, you may have an oropharyngeal coordination problem that might be resolved with some myofunctional therapy solutions. And some of those activities are very useful as far as tongue positioning, maybe concern. Again, another worst case scenario, maybe you have a palate shaped problem that does not allow you to position your tongue appropriately. So that's something that might be looked at by your dentist to determine whether that's causal in any effect and then also go see your ENT to make sure that you have all structural issues taken care of. So Phillip, I hope that gives you a couple of things to think about and a little bit of understanding about what might be going on. If it doesn't, then please ask me another question at askbillhartmanatgmail.com. Everybody have a great weekend. Enjoy the rest of your Friday. I'll see you guys next week.
respirationneck mechanicsairway pressurehyoid positioningoropharyngeal space