Breathing ExerciseBreathing exercises are only part of atreatment program designed to improvepulmonary status & to improve a patient’soverall endurance and function in ADLs.Depending on patient’s clinical problem,breathing exercises are often combinedwith medications, postural drainage, andgraded exercise program.
IndicationsAcute or chronic lung diseases e.g. COPD, etc.Pain in thoracic or abdominal area because ofsurgery or trauma.Deficits in CNS that lead to muscle weaknessSevere orthopedic abnormalities e.g. ScoliosisStress management and relaxation procedure
Goals Improve ventilation Increase the effectiveness of coughmechanism Prevents pulmonary complications Maintain or improve chest & thoracic spinemobility 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 prolonged expiration.• Don’t allow a patient initiate inspiration with the accessory muscles.• Avoid hyperventilation.
Types of Breathing ExerciseThree types are commonly used:• Diaphragmatic breathing exercise• Segmental breathing exercise• Pursed lip 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 expansionPosterior basal expansionRight middle or lingula expansionApical expansion