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Vocal Cord Dysfunction (VCD) Condition Intervention: Exercise-stress Induced

Swimming Pool Work To Help Swimmers With VCD

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Whether the cause of VCD condition (vocal cord dysfunction) is physiological or psychosomatic, these techniques can help with this breathing condition. On page 1 we looked at some of the ways to work on dryland to overcome this problem. Now let's move it to the swimming pool.

The progressive steps for in-pool practice that can be used by coaches to teach DB technique to their swimmers and athletes can be summarized as follows:

  • Holding on the rail/gutter - one arm.
    • The swimmer's body on it's side, extended arm/hand on the rail, face down, the upper arm resting on top hip, legs kicking to maintain flotation. Nose pointing down.
    • Swimmer performs - practices DB technique sequence as taught by the coach, trained in the DBT breathing method.
    • Repeat: 6 times on LHS and RHS each.
  • Push and Glide (BLV)
    • Swimmer pushes and glides from the wall, in a Body Long Vessel position.
    • DBT control action is practiced with one arm action, over a distance of 10 yards.
    • Repeat: 6 times practicing on RHS and LHS each.
  • Super Slow Swimming
    • The next phase of DBT drills are performed while swimming in super slow mode (SSS) until swimmer becomes fully competent with the technique.
  • Normal and High Pace Swimming
    • Finally, swimmer starts incorporating his newly learned DB technique skills in fast swimming modes, until it becomes a reflex action.
    • Fly, Br, Bk strokes DBT practices: For full details on the suitable progressive practices for the remaining three strokes, contact Coach Shev.

Post Performance (recovery)

After exercise, practice or a competition; i.e., for instant relaxation, adapt DBT:
  • Inhale to 4
  • Exhale to 6
  • As long as the interval duration-rest, or it is necessary (3 min).
References:
  1. Diaphragmatic Breathing Technique Practice for Improved Swimming Performance
  2. Performing in the Zone
  3. Mind Skills and A-Z Breathing Mind Maps
  4. Choking Swimmer
Thanks to ASCA for the inspiration and knowledge, Kelsey (for reminding me to update the DBT knowledge), my daughter Hanna (f1- MD, and swim teacher) and all other MD and exercise scientists, coach colleagues and parents around the world.

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