Respiratory muscles strengthening program for chest conditions

2. Presentation on…
Respiratory Muscles Training
Program
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3. Presented by…
Abid Hasan Khan
B.Sc. In Physiotherapy
Roll : 30
Session : 2015-16
Bangladesh Health Professions Institute (BHPI),
CRP-Savar, Dhaka.
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4. Contents…
Muscles of respiration
Inspiration & Expiration muscles
Mechanism of respiration
Common clinical features of respiratory muscles weakness
Respiratory muscles strengthening
Contraindication
Precaution
Reference
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5. Muscles of respiration
The muscles of respiration are those muscles that contribute to inhalation and
exhalation, by aiding in the expansion and contraction of the thoracic cavity.
The diaphragm and to a lesser extent, the intercostal muscle drive respiration
during quiet breathing.
(Ratnovsky et al., 2008)
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7. Mechanism of Respiration
The process of respiration involves two phases:
1) Inspiration/Inhalation
2) Expiration/Exhalation
(Woo, et al., 2016)
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8. Inspiration
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9. Expiration
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10. Common clinical features for
respiratory muscle weakness
Symptoms :
 Shortness of breath
 Tiredness
 Confusion and reduced consciousness
 Chest pain in heart disease
 Wheeze in Asthma
(McConnell, 2013)
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11. Continue..
Asthma patient being nebulized in
hospitalShortness of breathing
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12. Continue…
Signs:
 High breathing (respiratory) rate
 A bluish tinge to lips and fingers (Cyanosis)
 Restlessness, anxiety, confusion, fits (seizures) or coma
 Enlarged liver, swelling of the tummy (abdomen) and swelling
of the legs
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13. Continue…
Cyanosis
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14. Respiratory Muscles Training Protocol
It has divided into two distinct types :
1) Respiratory muscles strength training
2) Endurance training
(McConnell, 2013 & Illi, et al., 2012)
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15. Respiratory muscle strength
 Stretching the muscles of the chest wall
 Opening the chest
 Sniffles
 Elbow circles
 The shoulder shrug
 The chest fly or chicken wings
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16. Stretching the muscles of the chest wall
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17. Opening the chest
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18. Sniffles
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19. Elbow circles
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20. The shoulder shrug
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21. The chest fly or chicken wings
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22. Endurance training
Purse lip breathing
Thoracic expansion exercise
Spirometry
Huffing
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23. Purse lip breathing
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24. Thoracic expansion exercise
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25. Spirometry
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26. Huffing
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27. Contraindication
• History of spontaneous pneumothorax
• Traumatic pneumothorax that has not fully healed
• Unstable asthma with abnormally low perception of dyspnea
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28. Precautions
• Minimize hypercapnia in patients with coronary artery disease
• May cause ear discomfort in people who have had a recent cold or sinusitis
• Clinical judgement should be used in individuals who have experienced an
acute exacerbation or chest infection
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29. Reference
1) Ratnovsky, A., Elad, D. and Halpern, P., (2008). Mechanics of respiratory
muscles. Respiratory physiology & neurobiology, 163(1-3), pp.82-89.
2) Woo, S.D., Kim, T.H. and Lim, J.Y., (2016). The effects of breathing with
mainly inspiration or expiration on pulmonary function and chest expansion.
Journal of physical therapy science, 28(3), pp.927-931.
3) Illi, S.K., Held, U., Frank, I. and Spengler, C.M., (2012). Effect of respiratory
muscle training on exercise performance in healthy individuals. Sports
medicine, 42(8), pp.707-724.
4) McConnell, A., (2013). Respiratory Muscle Training E-Book: Theory and
Practice. Elsevier Health Sciences.
5) McConnell, A., (2013), April. Inspiratory muscle training: history and putative
mechanisms. In Frontiers in Sport and Exercise Science and Medicine Seminar
on inspiratory muscle training, Centre for Sports Medicine and Human
Performance, Brunel University.
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