A respiration assistance apparatus or method can include or use a lifting element such as to cyclically push pull or lift toward a superior direction of the subject at least one subject region during an inhalation portion of a respiration cycle of the subject. A cyclical member can couple the lifting element to a fixed reference. Abdominal or ribcage compression can be provided. A multi action or other cam can be used such as together with a reciprocating element. Examples can be configured for use with a wheelchair a bed a vacuum or suction affixation element a wearable garment etc.