Breathing Exercises

Question 1

DB: Used to increase _________,
increase ___ _________,
and decrease ____ ____ _____

Facilitates ________ and maintains or increases ______ of chest wall

Answer 1

Ventilation
Gas exchange
Work of breathing

Relaxation
Mobility

Question 2

DB:

Use with _________ pts, _______ pts, and pts with _____ or ______ pulm lung diseases

Answer 2

Post-op
Post-trauma
OBSTRUCTIVE OR RESTRICTIVE

Question 3

DB: Procedure:

1. Explain
2. Position in ___________
3. PT’s hand gently over ____ _____ of the thorax
4. Apply gentle pressure through ______ phase
5. Increase to ____ pressure at ___ of exhalation
6. Ask pt to inhale ______ resistance of the PT’s hand
7. Release pressure, allow a full ________

Progress to independence of PT’s hand, in sitting, standing, walking, etc

Answer 3

Semi-Fowler 
Subcostal angle
Exhalation
Firm, end
Against
Inhalation

Question 4

Segmental breathing:
Used to improve ventilation to \_\_\_\_\_\_\_\_ lung segments
To alter regional distribution of \_\_\_\_\_
Maintain or restore \_\_\_\_\_
Maintain or improve \_\_\_\_\_\_ of chest wall
And prevent pulm compromise

Answer 4

Hypoventilated
Gas
FRC
Mobility

Question 5

Segmental breathing:
Used for patients with ____, _____, or ________ pain that causes decreased movement in a portion of the thorax (splinting) and those at risk for developing ________

Answer 5

Pleuritic
Incisional
Post-trauma

Atelectasis

Question 6

Segmental breathing:

CONTRAINDICATED with ____ ________ until medical situation is resolved

Answer 6

Intractable hypoventilation

Question 7

Segmental breathing: Procedure

1. Explain
2. Position pt to facilitate ______ to a certain segment, such as PD positions, upright sitting
3. Apply gentle pressure to the thorax over area of hypoventilation during _______
4. Increase to ____ pressure just prior to inspiration
5. Ask pt to breathe in against the resistance of the PT’s hand
6. Release resistance, allowing a full _______

Answer 7

Inhalation
Exhalation
Firm

Inhalation

Question 8

Sustained maximal inspiration (SMI):

Used to increase inhaled volume, sustain or improve _____ inflation, and maintain or restore _____

Answer 8

Alveolar

FRC

Question 9

Sustained maximal inspiration (SMI):

Used in ____ situations (pts with post trauma pain, post op pain, acute lobar collapse)

Answer 9

ACUTE

Question 10

Sustained maximal inspiration (SMI):
Procedure:
1. Inspire slowly though ____ or ___ ____ to maximal inspiration
2. Hold max inspiration for ___ seconds
3. Passive _____ the volume
4. ______ _______ can help pt to achieve max inspiration during SMI

Answer 10

Nose or pursed lips
3
Exhalation
Incentive spirometer

Question 11

Sustained maximal inspiration (SMI):

An incentive spirometer can be used to measure and encourage deep _______

Answer 11

Inspiration

Question 12

Pursed lip breathing:

Used to reduce what 3 things?

Answer 12

Resp rate
Dyspnea
Mechanical disadvantages of impaired ventilatory pump

Question 13

Pursed lip breathing:

Used to increase/improve what 3 things?

Answer 13

Increase tidal volume
Improve gas mixing at rest for pts with COPD
Facilitation relaxation

Question 14

Pursed lip breathing:
Primarily used for pts with ______ disease who experience dyspnea at rest or with minimal activity
Or with ineffective _____ patterns

Answer 14

OBSTRUCTIVE

Breathing

Question 15

Pursed lip breathing:
Procedure:
1. Slowly \_\_\_\_\_\_ through nose or mouth
2. Passive \_\_\_\_\_\_ through pursed lips 
3. Additional hand pressure from the PT can be applied to \_\_\_\_\_\_\_ to prolong expiration

Answer 15

Inhale
Exhale
Abdomen

Question 16

Pursed lip breathing:
Red flag: abdominal muscle contraction can be used judiciously to increase exhaled volume. Care must be taken not to increase ______ ________, which may cause alveolar collapse

Answer 16

Intrathoracic pressure

Question 17

Abdominal strengthening:
Used when AB muscles are too weak to provide an effective cough
Abdominal ________ is used when the AB muscles cannot provide the necessary support needed for passive exhalation (high T/S or C/S SCI)
It is important to ensure that the binder does not restrict _________

Answer 17

Splinting

Inspiration

Question 18

Abdominal strengthening:

What kind of breathing can also be taught to assist coughing?

Answer 18

Glossopharyngeal breathing (AIR GULPING)