Breathing Exercises for Lung Health
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Questions and Answers

What is the primary purpose of sustained maximal inspiration (SMI)?

  • To expel carbon dioxide more effectively
  • To promote faster breathing
  • To decrease the rate of oxygen intake
  • To increase inhaled volume and restore functional residual capacity (correct)

    • Which procedure is involved in pursed-lip breathing?

  • Holding breath for extended periods before exhaling
  • Inhaling slowly through the nose and exhaling through pursed lips (correct)
  • Inhaling rapidly through the mouth and exhaling forcefully
  • Using an incentive spirometer to achieve maximal inspiration

    • In what situation would sustained maximal inspiration (SMI) be most appropriately utilized?

  • Patients with chronic obstructive pulmonary disease
  • Patients with allergic reactions causing airway obstruction
  • Patients post-surgery to prevent alveolar collapse (correct)
  • Patients experiencing dyspnea during exercise

    • What is a benefit of using an incentive spirometer during SMI?

    <p>It encourages deep inspiration to achieve maximal inhalation.</p> Signup and view all the answers

    Which of the following is a key characteristic of pursed-lip breathing?

    <p>It prevents early airway collapse by creating positive back pressure.</p> Signup and view all the answers

    What is the primary purpose of diaphragmatic breathing?

    <p>To increase ventilation and improve gas exchange</p> Signup and view all the answers

    Where should the patient be positioned for effective diaphragmatic breathing?

    <p>Supine, sitting, or in semi-Fowler position</p> Signup and view all the answers

    Which breathing technique is primarily used for localized lung consolidation?

    <p>Lateral costal breathing</p> Signup and view all the answers

    When might segmental breathing be particularly useful?

    <p>When there is decreased movement due to pleuritic or posttrauma pain</p> Signup and view all the answers

    What should be applied during exhalation in segmental breathing?

    <p>Gentle pressure to the thorax over the area of hypoventilation</p> Signup and view all the answers

    What is a noted limitation of diaphragmatic breathing?

    <p>It is not the best technique for chronic pulmonary dysfunction</p> Signup and view all the answers

    What is a key feature of lateral costal breathing?

    <p>It involves the uninvolved side against the bed</p> Signup and view all the answers

    What additional technique can enhance diaphragmatic breathing?

    <p>Sniffing three times followed by a slow exhale</p> Signup and view all the answers

    What is the main purpose of stacked breathing?

    <p>To assist in effective cough and address atelectasis</p> Signup and view all the answers

    Which technique is used after all other techniques have been attempted for upper chest inhibition?

    <p>Manual pressure application to the chest</p> Signup and view all the answers

    What does glossopharyngeal breathing help with?

    <p>Facilitating effective cough for high-level cervical spine injuries</p> Signup and view all the answers

    Which positioning technique is recommended for relief from dyspnea?

    <p>Leaning forward with arms supported</p> Signup and view all the answers

    What is the most accurate method for prescribing exercise intensity?

    <p>Oxygen consumption (VO2 max)</p> Signup and view all the answers

    What does the Karvonen formula help calculate?

    <p>Target heart rate</p> Signup and view all the answers

    When should abdominal strengthening exercises be implemented?

    <p>When abdominal muscles are weak and can't support effective cough</p> Signup and view all the answers

    Which statement about heart rate reserve (HRR) is true?

    <p>It can be monitored during physical performance</p> Signup and view all the answers

    What is the recommended duration for pursed-lip exhalation?

    <p>4 to 6 seconds</p> Signup and view all the answers

    What limitation does dyspnea pose during exercise?

    <p>Limiting factor in exercise capability</p> Signup and view all the answers

    Study Notes

    Breathing Exercises

    • Diaphragmatic Breathing: Increases ventilation, improves gas exchange, reduces workload, and facilitates relaxation. Improves chest wall mobility. Used for obstructive and restrictive lung diseases, excessive secretions, and post-surgical/trauma cases. It is less effective for chronic pulmonary issues.

    • Procedure: Patient positioned supine, sitting, or semi-Fowler's. Hand placed over the subcostal angle, gentle pressure during exhalation increasing to firm pressure. Patient inhales against resistance, then pressure released. Sniffing can aid diaphragm engagement.

    • Lateral Costal Breathing: Addresses asymmetrical chest expansion, used for localized lung consolidation or secretions. Commonly done side-lying with the uninvolved side against the bed and the involved arm over the head.

    • Segmental Breathing: Improves ventilation to hypo-ventilated lung segments. Maintains or restores functional residual capacity. Used for pleuritic, incisional, or post-trauma pain; preventing atelectasis.

    • Procedure: Patient positioned to facilitate inhalation to the specific segment. Apply gentle pressure over the hypo-ventilated area during exhalation, increasing to firm pressure before inhalation. The patient inhales against resistance and pressure is released.

    • Sustained Maximal Inspiration (SMI) or Inspiratory Hold: Increases inhaled volume and restores functional residual capacity. Used in acute cases - post-trauma pain, post-surgery, acute lobar collapse, and with ineffective coughs. Can be used with vibration techniques.

    • Procedure: Slow, deep inhalation through the nose or pursed lips, hold for three seconds. Passively exhale.

    • Pursed-Lip Breathing: Improves gas exchange, reduces respiratory rate, and lessens dyspnea. Used to reduce respiratory rate.

    Stacked Breathing

    • Series of deep breaths that build upon previous breaths without expiration. Each inspiration is held with minor pause

    • Used to manage hypoventilation, improve atelectasis issues, assist with ineffective coughs, and deal with uncoordinated breathing patterns during activities of daily living (ADLs).

    Upper Chest Inhibition Technique

    • Used when other techniques fail.
    • Pressure applied to upper chest to limit excursion, gradually increased in intensity.

    Abdominal Strengthening/Support

    • Utilized when abdominal muscles are weak for effective cough support for passive exhalation. Relevant in high thoracic spine/cervical spine SCI cases

    • Support techniques, ensuring that binder does not restrict inspiration. Effective for high cervical SCI cases (e.g., C4).

    Glossopharyngeal Breathing

    • Used to aid in coughing (air gulping).

    Positioning for Dyspnea Relief

    • Leaning forward with arm support enables accessory muscles to assist rib cage expansion. This helps in inspiration.

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    Breathing Exercises PDF

    Description

    This quiz covers various breathing exercises aimed at improving lung function and facilitating relaxation. Topics include diaphragmatic, lateral costal, and segmental breathing techniques, along with their applications in different lung conditions. Test your understanding of these therapeutic practices and their procedures.

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