There’s something that’s been bothering me lately, and I need to get it off my chest. Some clients are being told by PT trainers and physios that the goal is to do 30 apnoeas per session—as if hitting that magic number is the secret to pelvic floor perfection. It’s almost as if these practitioners just can’t quite let go of their Kegel fixation—count, squeeze, repeat.

But here’s the thing: That’s not how Hypopressives—or your pelvic floor—actually work.

Breathing is often seen as a simple, automatic process, but the cascade of movements and reactions within the body during a breath cycle is far more intricate and purposeful. This breath cascade not only supports vital functions but also profoundly influences spinal stability and pelvic floor health. Let’s break down this fascinating chain reaction step by step.

Why Does It Work?

The underlying physics of hypopressive apnoea is all about pressure differentials. When you hold your breath after a slow steady exhalation, the internal pressure drops below atmospheric pressure. According to principles similar to those in fluid dynamics (think of how a suction cup works), this creates an inward pull. In the human body, this “suction” can:

• Reduce Intra-abdominal Pressure: A lower pressure within the abdomen decreases the load on the pelvic floor, potentially reducing issues like pelvic organ prolapse.

• Enhance Muscle Activation: The body naturally recruits stabilising muscles, including those deep within the core, to counteract and adjust to the pressure changes.

Over time, regular practice of hypopressive exercises can contribute to better core stability, improved posture, and enhanced pelvic floor health.