RSA IQ Academy - education, support, development - Iwona Pikora

The RSA diaphragmatic breathing method

RSA is a training method with which it is possible to achieve synchronisation of heart action with breathing. RSA - respiratory sinus arrhythmia, a differentiated heart action, difference between pulse during inhalation and exhalation. RSA is an index of human health. RSA is an identity of biological age. The state-of-art device and software allows to evaluate the health condition by monitoring and measurements of RSA. The RSA training, with the use of devices from St. Petersburg, is conducted with specialist equipment which registers heart electric action (ECG) and separates hearth rhythm (HR) of a human in real time as well as measures respiratory frequency. The dedicated software reflects the measured values in an understandable and attractive for a patient multimedia form on the computer. The set RSA Health is configured according to a specific therapeutic-educational method by a Russian scientist - physiologist, Alexander Smetankin. The program automatically calculates the task goal (steps) in the real time for each person individually, introduces balance into the patient’s psycho-emotional condition, in an interesting manner, teaches relaxation and optimal breathing which is necessary for acquisition of new knowledge prior to the commencement of each therapy, rehabilitation or learning. The entire course of the therapy is performed under the supervision of a certified therapist.

RSA means teaching children, adults and pregnant women to breath with their diaphragm. It results in development of adaptive possibilities in our body, activation of defensive functions as well as achievement of homeostasis, i.e. natural balance in the body. The RSA Health Lesson combines the elements of education, health prophylaxis, therapy (ADHD, asthma, stress, speech therapy, psycho-emotional disorders).
RSA “Health” effectively teaches optimal breathing and relaxation necessary for acquisition of new knowledge as well as prior to the commencement of any type of therapy, rehabilitation or learning. Upon training, the balance of basic nervous processes improves, sensory channels connected with information acquisition open, body overload ceases, defensive functions are activated.
During the educational-therapeutical classes, we train the more important body functions (heart, breath, nervous and immune system), we develop adaptive possibilities, improve health by activating body reserves.  A trained habit of diaphragmatic-relaxation breath type with maximum RSA according to the Method of A. Smetankin - is an indicator of harmony of heartbeat and breath.

This synchronisation results in the following body reactions

  • appropriate body oxygenation 
  • support of the correct foetus development in pregnant women
  • appropriate cellular nutrition
  • activation of defensive functions in the immune system 
  • maintenance of natural balance of reactions taking place in the human body
  • stress protection
  • protection from adverse stress effects
  • stabilisation of emotional state
  • delay of aging processes and extension of life expectancy with better health condition
  • enhancement of physical and mental condition 
  • improvement of concentration, activation of brain hemispheres to cooperation
  • mobilisation of protection against neoplastic cells

Indications for therapy with RSA method

  • chronic stress
  • prophylaxis of respiratory system diseases, asthma
  • speech therapy, 
  • neuralgias, 
  • prophylaxis of cardio-vascular diseases, 
  • migraines, 
  • hypertension, 
  • concentration disorders, 
  • memory disorders, 
  • increasing creativity 
  • improvement of fitness, 
  • limiting anxiety, 
  • increasing stress resistance, 
  • increasing self-confidence, 
  • self-esteem disorders, 
  • preparation women for child delivery, 
  • decreasing aggression.
  • Asthma

RSA method in school


  • health promotion and counteracting diseases
  • provision of health education to children, school employees, nurseries and parents
  • creation of the responsibility for health of children and youth as well as for one’s own health
  • decreasing the number of cases of upper respiratory tract inflammations, circulatory system diseases
    nervous system diseases, improvement of body immunity
  • improvement of child and youth behaviour, decreasing aggression
  • increasing creativity, improving concentration, attention, memory
  • prophylaxis of voice and speech disorders
  • increasing stress resistance, limiting anxiety, increasing self-confidence
  • improvement of mind and body interaction.

RSA method in asthma

The expected results as well as training advantages: positive dynamics of health evaluation (decreasing the number of dyspnoea seizures, better sleep and daily activity, lowering the dose or total withdrawal of medicine), increase of RSA stability /synchronisation of heartbeat and breath/, decreasing breath frequency appropriately to the age standard, decreasing incidence of diseases, increasing stress resistance, limiting anxiety / jitters, easier achievement of relaxation, increasing self-confidence / assertiveness, calming down and relax for persons overload with work.

RSA method in preparation women for child delivery

Physiological component of homeostasis stability in relation to changes in the external environment. Habits of delivery optimisation (appropriate diaphragmatic breathing provides relief to a delivering mother as well as comfort and safety to a child)

Psychological component. Positive mood during delivery. Learnt habit of diaphragmatic-relaxation breathing with maximum RSA /respiratory sinus arrhythmia/ is the most effective manner of self-regulation with vegetative, respiratory, cardio-vascular systems as well as correction of the woman’s psycho-emotional zone during pregnancy and upon child delivery. Such a breath is helpful during pregnancy because: the cardio-vascular system during pregnancy becomes more and more loaded due to increased body mass and amount of circulating blood. The diaphragmatic-relaxation breath provides with the opportunity to decrease excessive heart load, drop in the number of breaths and pulse frequency results in the decrease and normalisation of arterial pressure and increase in sleep quality.

The consolidated breathing habit is necessary in all stages of delivery mainly as an instrument of self-regulation and self-analgesia, it facilitates normal dilation of the cervix, makes contractions less painful, saves energy and helps to control bearing down without perineal tear and foetus damage, improves circulation, preventing foetus hypoxia. The state-of-art device with special software facilitates learning to breath. During a session, a woman can see and hear how her heart and lungs work. Auditory and visual signals of feedback indicate the correctness or mistake in breathing in the form of melody, pictures.

Practised habit of breathing with RSA helps to:

  • harmonise health processes of mother and child  in the pregnancy period
  • learn to adequately behave during delivery
  • during contractions use the breathing skills in order to decrease pain, regenerate faster and protect a child from hypoxia
  • during bearing down decrease the risk and prevent childbirth injuries
  • upon delivery -helps in fast regeneration
  • extends the breast feeding period

Effectivity of therapy with RSA

  • prophylaxis of respiratory system diseases as well as cardio-vascular diseases
  • psycho-emotional disorders, frequent and chronic child diseases
  • vegetative-vascular disorders
  • psychosomatic disorders
  • speech disorders
  • preparation women for child delivery
Therapy course
  • therapeutic interview, initial evaluation of health condition under the RSA measurement.
  • shaping correct breathing pattern with achievement of maximum RSA with feedback.
  • practising and consolidation of correct breathing with feedback.
  • correct breath with achievement of maximum RSA without feedback and evaluation of achieved results