And it causes an increase in parasympathetic stimulation and decrease in sympathetic stimulation which makes the detrusor muscle contract and the internal sphincter relax.
In a push-off stage, when the ball of your foot pushes off the ground, the quad muscle contracts which creates the force against the ground that propels you forward.
He thought if you could get the diaphragm to contract enough, it could interrupt the spasm, and then you might be able to short-circuit this hiccup loop.
I mean, imagine a one-meter-long straw in a glass of water and how hard you would have to, you know, engage your diaphragm to suck water through that straw.