Breathing Exercises

Question 1

In what type of breathing is the patient instructed to “breathe in slowly through your nose so that your stomach moves out against your hand. The hand on your chest should remain as still as possible. Feel you abdomen gently rise into your hand. Exhale through pursed lips, let the hand on your abdomen descend, while the hand on your upper chest remains still”

Answer 1

Diphragmatic breathing

Question 2

What breathing pattern may assist with Dyspnea (sob)?

Answer 2

Diaphragmatic breathing

Question 3

What is a good position to start diaphragmatic breathing in?

Answer 3

Semi-fowler position (HOB elevated ~30 degrees)

Question 4

What breathing exercise is used for impaired inspiratory muscle strength and/or a ventilatory limitation to exercise performance?

Answer 4

Inspiratory Muscle Training (IMT)

Question 5

What are the two types of Inspiratory Muscle Training (IMT)?

Answer 5

Flow Resistive Breathing

Threshold Loading

Question 6

What inspiratory muscle trainer (IMT) increases resistance to breathing as the patient inspires?

Answer 6

Flow Resistive Breathing

Question 7

What inspiratory muscle trainer(IMT) requires a build up of negative pressure before flow occurs through a valve that opens at a critical pressure?

Answer 7

Threshold Training?

Question 8

What are the brand names for the Threshold and flow resistive breathing Inspiratory Muscle Trainers?

Answer 8

Threshold - Threshold IMT

Flow Resistive Training - PFLEX IMT

Question 9

How is training load calculated for Inspiratory Muscle Training (IMT)?

Answer 9

By measuring the patient’s maximum inspiratory pressure (MIP)

Question 10

At what percent of MIP (maximum inspiratory pressure) should the PFLEX and Threshold IMT be set to to start training?

Answer 10

30-40% level of MIP

Question 11

what is a strategy to decrease the work of breathing and prevent dyspnea during activity and allows anyone with SOB to become less fearful of activity and exercise?

Answer 11

Paced Breathing

Question 12

What strategy focuses on timing activities with breathing and exhaling with effort?

Answer 12

Paced Breathing

Question 13

what technique is used to reduce respiratory rate, reduce dyspnesa, and maintain small positive pressure in bronchioles which may help prevent airway collapse in patients with emphysema. Any patient who is sort of breath may use this technique?

Answer 13

Pursed lip breathing

Question 14

What is a good position to initiate pursed lip breathing?

Answer 14

Semi-Fowler’s

Question 15

what effect should pursed lip breathing have on PaCO2?

Answer 15

reduced arterial pressure of carbon dioxide

Question 16

What does pursed lip breathing do for patients with emphysema?

Answer 16

prevent airway collapse

Question 17

What technique is also known as localized breathing or throacic expansion breathing and intends to improve regional ventilation by directing air to a particular area by facilitation or inhibition of chest wall movement through proper hand placements, verbal cues or coordination of breathing

Answer 17

Segmental Breathing

Question 18

How does the therapist change their pressure applied to the chest wall during inspiration and expiration with segmental breathing?

Answer 18

Expiration: therapist applies firm pressure at the end of exhalation to teh are over where the patient’s chest wall needs to be expanded
Inspiration: therapist reduces pressure throughout the inspiration

Question 19

An incentive spirometer is used with what technique?

Answer 19

Sustained Maximal Inhalation?

Question 20

What is the technique for Sustained Maximal Inhalation (SMI) or Incentive Spirometry?

Answer 20

a max inspiration effort is held for three or more second at the point of max inspiration before exhalation

Question 21

What is a common position that provides relief of dyspnea to patients with lung disease?

Answer 21

Forward leaning

Question 22

What dyspnea releving position is used for patients with congestive heart failure or other cardiac conditions?

Answer 22

Semi-Fowler’s

Head of bed elevated to 45 degrees and pillows under the knees

Question 23

What dyspnea relieving position places a person in supine with their head above their trunk decreasin gteh weight of the abdominal contents on the diapragm?

Answer 23

Reverse Trendelenberg

Question 24

What technique can be used to elicit a contraction of the diaphragm and may be employed prior to initiating inspiratory muscle training?

Answer 24

Sniffing

To elicit a sniff, the patient is directed to inhale quickly through the nose before slowly exhaling