Podcast
Questions and Answers
What is the primary purpose of sustained maximal inspiration (SMI)?
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?
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?
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?
What is a benefit of using an incentive spirometer during SMI?
Which of the following is a key characteristic of pursed-lip breathing?
Which of the following is a key characteristic of pursed-lip breathing?
What is the primary purpose of diaphragmatic breathing?
What is the primary purpose of diaphragmatic breathing?
Where should the patient be positioned for effective diaphragmatic breathing?
Where should the patient be positioned for effective diaphragmatic breathing?
Which breathing technique is primarily used for localized lung consolidation?
Which breathing technique is primarily used for localized lung consolidation?
When might segmental breathing be particularly useful?
When might segmental breathing be particularly useful?
What should be applied during exhalation in segmental breathing?
What should be applied during exhalation in segmental breathing?
What is a noted limitation of diaphragmatic breathing?
What is a noted limitation of diaphragmatic breathing?
What is a key feature of lateral costal breathing?
What is a key feature of lateral costal breathing?
What additional technique can enhance diaphragmatic breathing?
What additional technique can enhance diaphragmatic breathing?
What is the main purpose of stacked breathing?
What is the main purpose of stacked breathing?
Which technique is used after all other techniques have been attempted for upper chest inhibition?
Which technique is used after all other techniques have been attempted for upper chest inhibition?
What does glossopharyngeal breathing help with?
What does glossopharyngeal breathing help with?
Which positioning technique is recommended for relief from dyspnea?
Which positioning technique is recommended for relief from dyspnea?
What is the most accurate method for prescribing exercise intensity?
What is the most accurate method for prescribing exercise intensity?
What does the Karvonen formula help calculate?
What does the Karvonen formula help calculate?
When should abdominal strengthening exercises be implemented?
When should abdominal strengthening exercises be implemented?
Which statement about heart rate reserve (HRR) is true?
Which statement about heart rate reserve (HRR) is true?
What is the recommended duration for pursed-lip exhalation?
What is the recommended duration for pursed-lip exhalation?
What limitation does dyspnea pose during exercise?
What limitation does dyspnea pose during exercise?
Flashcards
Diaphragmatic Breathing
Diaphragmatic Breathing
A breathing technique that increases ventilation, improves gas exchange, and reduces workload by focusing on diaphragm movement.
Diaphragmatic Breathing Procedure - Position
Diaphragmatic Breathing Procedure - Position
Patient should be positioned supine, sitting, or semi-Fowler.
Diaphragmatic Breathing Procedure - Hand Placement
Diaphragmatic Breathing Procedure - Hand Placement
Place your hand over the subcostal angle and apply gentle pressure during exhalation, gradually increasing pressure, and assisting patient in inhaling against resistance.
Lateral Costal Breathing
Lateral Costal Breathing
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Segmental Breathing
Segmental Breathing
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Segmental Breathing - Positioning
Segmental Breathing - Positioning
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Breathing Exercise Use Cases
Breathing Exercise Use Cases
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Limitations of Diaphragmatic Breathing
Limitations of Diaphragmatic Breathing
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Sustained Maximal Inspiration (SMI)
Sustained Maximal Inspiration (SMI)
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Pursed-lip breathing
Pursed-lip breathing
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Incentive spirometer
Incentive spirometer
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Obstructive disease
Obstructive disease
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Increased inhaled volume
Increased inhaled volume
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Stacked breathing
Stacked breathing
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When to use stacked breathing
When to use stacked breathing
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Upper chest inhibition technique
Upper chest inhibition technique
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How upper chest inhibition works
How upper chest inhibition works
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Abdominal strengthening
Abdominal strengthening
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Abdominal support
Abdominal support
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Glossopharyngeal breathing (air gulping)
Glossopharyngeal breathing (air gulping)
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Positioning for dyspnea relief
Positioning for dyspnea relief
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Oxygen consumption (VO2 max)
Oxygen consumption (VO2 max)
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Study Notes
Breathing Exercises
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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.
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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.
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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.
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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.
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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.
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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.
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Procedure: Slow, deep inhalation through the nose or pursed lips, hold for three seconds. Passively exhale.
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Pursed-Lip Breathing: Improves gas exchange, reduces respiratory rate, and lessens dyspnea. Used to reduce respiratory rate.
Stacked Breathing
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Series of deep breaths that build upon previous breaths without expiration. Each inspiration is held with minor pause
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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
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Utilized when abdominal muscles are weak for effective cough support for passive exhalation. Relevant in high thoracic spine/cervical spine SCI cases
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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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