Breathing exercise
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Transcript of Breathing exercise
By : Dr. Jigar Mehta
Breathing Exercise
Breathing exercises are only part of a
treatment program designed to improve
pulmonary status & to improve a patient’s
overall endurance and function in ADLs.
Depending on patient’s clinical problem,
breathing exercises are often combined
with medications, postural drainage, and
graded exercise program.
Indications
Acute or chronic lung diseases e.g. COPD, etc.
Pain in thoracic or abdominal area because of surgery or trauma.
Deficits in CNS that lead to muscle weakness
Severe orthopedic abnormalities e.g. Scoliosis
Stress management and relaxation procedure
Goals
Improve ventilation
Increase the effectiveness of cough mechanism
Prevents pulmonary complications
Maintain or improve chest & thoracic spine mobility
Improve the strength, endurance & co-ordination of respiratory muscles.
Promote relaxation
Improve patient overall functional capacity
Principles
• Area of exercises
• Explanation & Instruction to the patient
• Patients position
• Evaluate the patient
• Demonstration of exercise
• Patient practice
Precautions
• Never allow a patient to forced expiration.
• Don’t allow a patient to take a very prolongedexpiration.
• Don’t allow a patient initiate inspiration with theaccessory muscles.
• Avoid hyperventilation.
Types of Breathing Exercise
Three types are commonly used:
• Diaphragmatic breathing exercise
• Segmental breathing exercise
• Pursed lip breathing exercise
Diaphragmatic breathing exercise
Segmental breathing exercise
• It is important to emphasize expansion of the
localized area of the lung while keeping other
area quiet.
• Four types of segmental breathing exercise are:
Lateral costal expansion
Posterior basal expansion
Right middle or lingula expansion
Apical expansion
Segmental breathing exercise
Segmental breathing exercise
Pursed lip breathing exercise