What is Trigenics? – The 3 Pillars of Therapeutic Neuro-summation.

In the first 2 parts of this 3 part series, we looked at the role of patient interaction and mechanoreceptor stimulation in a Trigenics® treatment. The final component, which may have the most global therapeutic effect on the patient, is autogenic (biofeedback) breathing.

PART 3: Autogenic Breathing

In painful conditions, patients will often gasp for air or hold their breath when receiving treatment. With Trigenics®, a long, sustained breath out is required with each movement. The doctor must instruct the patient to breathe in deeply through the nose while expanding the stomach—this encourages diaphragmatic breathing. The patient then slowly exhales through his or her teeth making a “SHEEE” sound. This technique allows the patient to relax and control their exhalation and allows the doctor to be able to monitor the patient’s breathing as well.

But why is this important? Autogenic breathing has been practiced for thousands of years with Traditional Chinese Medicine. It has the immediate effect of relaxing the patient but also may contribute to other psychological and physiological responses. The 3rd and final pillar of Trigenics®—autogenic breathing—is important for the global therapeutic benefit gained after a Trigenics® treatment. Patients often report feeling calm, euphoric, and relaxed after a Trigenics® treatment. This relaxation response is in part due to the autogenic breathing component of the treatment. In a meta-analysis of autogenic training techniques, Stetter and Kupper found that autogenic methods such as focused breathing can lead to decreased pain, decreased blood pressure and a reduction in anxiety and depression. Autogenic have also been shown to improve gastrointestinal symptoms.

While Trigenics® is not an Autogenic Technique, the addition of autogenic breathing further increases the neuro-summative effect of the treatment. Trigenics® was the first to utilize therapeutic neuro-summation in a manual treatment. By combining patient-resisted movement, mechanoreceptor stimulation, and autogenic breathing, Trigenics® can exert a greater effect on the nervous system than a single modality in isolation.

All the best,

Dr. A


  1. Schlamann M, Naglatzki R, de Grieff A, Forsting M, Gizewski ER. Autogenic training alters cerebral activation patterns in fMRI. 2010;58(4):444-456.
  2. Shinozaki M, Kanazawa M, Kano M, Endo Y, Nakaya N, Hongo M, Fukudo S. Effect of autogenic training on general improvement in patients with irritable bowel syndrome: a randomized controlled trial. Applied Phsychophysiology and Biofeedback. 2010;35:189-198.
  3. Stetter F, Kupper S. Autogenic training: a meta-analysis of clinical outcome studies. Applied Phsychophysiology and Biofeedback. 2002;27(1):45-98.

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