1. Lung Exercises “In with the good air, out with the bad air” Samantha Dow, SPT

2.  Improve ventilation and increase efficiency of breathing  Aid in movement and clearance of mucous / sputum from lungs and airways to prevent build and increased risk of infection  Prevent pneumonia and other illnesses related to the lungs Purpose of Exercises

3.  Constantly (as often as possible)  The more you can get the sputum to move up and out of the lungs, the easier it will be to breath and maintain a clean pulmonary system How often do I need to perform these breathing exercises?

4.  Controlled Deep Breathing  Deep breathe with hold at end of inhale  Breath Stacking  Multiple small inhalations (stair step breathing)  Diaphragmatic Breathing  Breath from the belly  Segmental Breathing  Inhaling focusing on filling a single lung  Double Huff Coughing  Inhalation and double forced exhalation  Purse-Lipped Breathing  Slow exhale with lips puckered to increase resistance upon exhale Breathing Techniques

5. Active Cycle of Breathing

6.  Normal relaxed breathing  In through the nose, out through the mouth  Perform for 20 – 30 seconds Breathing Control

7.  Slow, deep inhalation followed by a 3 second hold  Repeat 3 – 4 times  If painful, can use these to obtain full deep inhalation:  Breath stacking  Segmental breathing Deep Breathing

8.  Inhale through nose  Pucker lips  Exhale for 3 -4 seconds through puckered lips  Perform for 20 – 30 seconds Pursed Lip Breathing

9.  3 – 4 Deep Breaths  Breathe in, push belly out  Breath out, pull belly in Diaphragmatic Breathing

10.  Inhalation followed by two quick forced exhalations through open mouth  Act like blowing ping pong ball out of mouth followed by 3 coughs  Aids in moving secretions along airways Huffing

11.  Purpose: improve lung functioning  Primary focus: slow, deep inhalation  Attempting to raise the plunger towards the top of the device  Secondary focus: slow exhalation Incentive Spirometer

12.  Other methods to aid in clearing lungs:  Exercising  Coughing  Deep breathing  Singing  Yelling  Positional changes Final Notes

13. 1. Reid WD, Chung F. Clinical Management Notes and Case Histories in Cardiopulmonary Physical Therapy. Slack Incorporated; 2004. 2. Walker, M. Pulmonary Lecture. [PowerPoint]. Norfolk, VA: Old Dominion University – DPT program; 2014. References