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Lateral Costal Breathing

Draftbreathwork75%beginnermoderate evidence
View FHIR resourceFHIR R4 ActivityDefinition — the interoperable form of this exercise

Positions & Range of Motion

Start
seated upright with hands resting on the lower lateral ribs, shoulders relaxed
End
lower ribs expanded sideways into the hands on inhale without any chest lift or shoulder shrug, then settling back on exhale
Range of Motion
lateral rib-cage (costal) expansion through the breathing cycle — minimal limb or spinal joint excursion

How to Perform

Place hands on the lower lateral ribs. Breathe so that the ribs expand sideways into your hands rather than the chest lifting upward. Targets lateral intercostal expansion and the diaphragmatic zone of apposition.

Watch on YouTube

Opens a YouTube search for “Lateral Costal Breathing

Starting position: seated

Coaching Cues

  1. 1

    Feel the ribs push your hands sideways — shoulders stay relaxed

    (tactile)
  2. 2

    No chest lift, no shoulder shrug on inhale

    (verbal)

Evidence-Based Dosing & EMG Data

Recommended Dosing

5–10 cycles × 2–3 rounds, daily.

Muscles Involved (3)

Primary Movers

External IntercostalsLateral expansion

Synergists & Assistors

Easier Variations ↓

1

Side-Lying

Lie on one side; the up-side ribs are easier to feel expanding.

Harder Variations ↑

1

Quadruped

Perform on hands and knees with hand on lateral ribs — gravity makes the upper side easier to isolate.

Why This Exercise Matters

Everyday activities this exercise helps you do — essential means it directly trains the capacity the task needs:

Research Notes

Standard component of breathing retraining in dysfunctional breathing/hyperventilation syndrome. Shifts from upper-chest accessory-muscle patterns to lower-chest diaphragmatic and costal expansion [Jones 2013 Cochrane].