Academy West

Breathing & Performance provides a physical therapy approach to improve how you breathe in whatever capacity your body requires, whether for performance, improvement, or survival.

"Academy West

was founded on the belief that breathing is the basis of all functional movement, and we work with our patients to provide a program that fits your individual needs and goals."

- Andy Sabatier PT, DPT

"Andy Sabatier is the most well-rounded and passionate physical therapist you will ever meet. He is enthusiastic and dedicated to his work and he demonstrates excellence and compassion towards his patients and approaches each patient as a whole person." 

-- Brigette Bird

Lead Occupational Therapist

 St Charles Medical Center

Control Your Breathing

How I breathe matters?

YES! We often think of breathing as black and white, when there are many shades of grey. Every living person needs to breathe, and the human body is designed to do so efficiently and effectively which enables us to perform the functional tasks that fill our lives.  We use dozens of muscles and breathe in different ways depending on what we're doing.  Unfortunately, there are many reasons why breathing might become difficult and ineffective. The result is people with chronic pain, early fatigue, anxiety, decreased activity tolerance, reduced performance and endurance, incontinence, bowel dysfunction, and an overall decrease in quality of life. When you can't control your breathing, what can you actually control?

Who can benefit from improved breathing?

  • Humans of all ages and backgrounds who are motivated to change

  • Adult, pediatric, and geriatric

  • Typically-developed, those with complicated anatomy, special circumstances, or unique needs

  • Elite athletes looking for the difference-making edge over their competition

  • Weekend-warriors frustrated by diminished performance as they age

  • Young competitors trying to develop proven techniques and build their bodies as they grow

  • Those who are chronically-ill or deconditioned  and can’t seem to get back to baseline after a lengthy hospitalization

  • Musicians and singers trying to make their instrument more powerful and precise

every person breathes, but not all breathe well

click below to learn more...

It’s no secret that your body’s production of power relies on effective respiration and control. Proper use of the core muscles results in increase power production, and your "true core" muscles control your breathing. How much more powerful could you be?
Endurance is built on being efficient in your movement, not wasting anything. Whether your are running, rowing, cycling, or of course swimming If your breathing mechanics are not optimal, you are eventually going to fatigue, which results in accessory muscle use LINK to BLOG. These muscles cost you more energy and often result in pain and dysfunction down the road, like limping on a sore leg. The extra 3-5% improvement from enhanced breathing can be the difference. How much farther could you go?
Odd as it may seem, reliable data linking breathing and balance is out there. Your diaphragm is constantly multi-tasking to keep you upright, moving, and alive. Even a strong person with a weak diaphragm will lose their balance before they lose their breath. Could your balance improve?
Children born with genetic variations, who acquire life-changing conditions, or those with atypical anatomy usually sacrifice effective breathing mechanics in order to survive. Training their breathing can often result in improved balance and mobility, GI motility, posture, control of gastric contents, and an overall functional improvement. Have you tried everything?
Surgery and breathing are inseparable. Pre-surgical patients benefit from training to be as ready as possible before the big days ahead. Simply put; patients with strong breathing and effective strategies for anxiety perform better when under stress. Post-surgery presents a different set of challenges to breathing including acute deconditioning, mechanical dysfunction due to scarring, and overall weakness. What is most difficult or worrisome for you?
For adults and children who experience a healthcare crisis, getting back to your full function can be a lengthy and lonely challenge. Improved breathing can often be the tipping point between "just getting by" and getting better. Chronic diseases like COPD and asthma, or body changes caused by trauma or neurologic injury all can devastate the same muscles that help you breathe long after the other parts of your body have improved. Are you thriving or just surviving?
The muscles that power your instrument, whether voice, woodwind or brass are your most valuable asset. Most musical teachers throw in a few breathing warm-ups, but haven’t got time to focus on how you breathe. Can you afford to be less than completely effective and efficient with your breath control?
The higher you climb the lower the oxygen level in the air. A stronger system for taking in air gives you an advantage, whether you’re training for an expedition or just wanting to beat your partner up the hill. Shouldn’t every part of your body be strong enough for your environment?
As the old saying goes, father time is undefeated. At a certain point, we are all either getting stronger or getting weaker. A busy life can make those weekend warrior opportunities to get after it even more important. Every person who breathes can benefit from breathing more effectively and efficiently. What do you have to lose, and how much could you gain?
The benefits of women’s health and pelvic floor physical therapy after childbirth are well documented, and always involve directions on how to breathe. Unfortunately, in-depth breathing work is usually overlooked due in part to the complexity of women’s health and pelvic floor performance. A piece of paper or a quick demo tacked on to your treatment is rarely enough to make a difference. Your breathing is the motion that holds your entire core. Doesn't your "core" deserve focused attention?
Anxiety / Smoking
Performance under pressure requires effective breathing. Science tells us that the connection point between mind and body is the human breath. Controlling respiration has been proven to control heart rate, improve oxygenation, lower blood pressure, decrease the release of stress hormones, and even help you quit smoking. Are you using all your tools to cope with your anxiety?
Both chronic neck and back pain have been linked to poor breathing mechanics. The diaphragm plays a tremendous role in postural support, and neck muscles are designed for movement, not breathing. Weakness and fatigue lead to patterns that cause pain. If your breathing were making your back or neck pain worse, would you know it?
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still have questions?

We totally understand. You may have a problem related to your breathing that requires a conversation to understand. Let’s discuss it and see what you can gain from being a part of Academy West?

Andy Sabatier, PT, DPT

Breathing Specialist

Andy completed his doctorate in physical therapy in 2013 from New York University, clinical training at Stanford Hospital’s cardiac ICU, and extensive breathing education under Mary Massery DPT. He has been practicing in the intensive care unit in Central Oregon ever since and has helped thousands of patients to breathe to survive their most critical moments. 



131 NW Hawthorne Ave, Ste #103

Bend OR 97703

(located within Sonos Neurotherapies)

Call, text or email


phone:   (541) 236-2313

fax:        (541) 203-2542



© 2019 by All Heart Designs

Anxiety / Smoking

Performance under pressure requires effective breathing. Science tells us that the connection point between mind and body is the human breath. Controlling respiration has been proven to control heart rate, improve oxygenation, lower blood pressure, decrease the release of stress hormones, and even help you quit smoking. Are you using all your tools to cope with your anxiety?