Diaphragm retraining & breathing exercises by MELODY MANALO :-)

2. Breathing is something we all do, our entire lives, and
something to which we rarely pay much attention.
Focusing on breathing is one of the only ways to connect
the mind and body, and is an essential tool for wellness.

3. Breathing is particularly important for
those who suffer from stress, anxiety, high
blood pressure or digestive problems. These
symptoms are in many ways the result of
the body staying in a fight-or-flight state
due to an imbalance of the parasympathetic
and sympathetic nervous systems.

4. Diaphragm Retraining
Is one of the easiest and most effective methods of
relaxation
It is controlled, deep breathing
is breathing that is done by contracting the diaphragm, a
muscle located horizontally between the chest cavity and
stomach cavity. Air enters the lungs and the belly
expands during this type of breathing.

5. This deep breathing is marked by expansion of
the abdomen rather than the chest when
breathing. It is considered by some to be a
healthier way to breathe, and is considered by
some a useful form of
complementary and alternative treatment.

6. Steps to Initiate
Diaphragmatic Breathing
Assume a
comfortable position
Concentration
Visualization

7. Four Phases of Concentrated
Diaphragmatic Breathing
Phase I: inspiration (Long)
Phase II: a very slight pause before exhaling
(Short)
Phase III: exhalation (Long)
Phase IV: another slight pause after exhalation
before the next inhalation is initiated (Short)

8. Best Application of
Diaphragmatic Breathing
This technique can be done anywhere (e.g., driving,
exams, falling asleep, etc.)
This technique can be done relatively shortly for an
effect (5-10 minutes)
Never underestimate the power of a good sigh!

9. BREATHING EXERCISES

10. Breathing exercise and ventilator training are
fundamental intervention for that prevention
or comprehensive management of
impairment associated with acute or chronic
pulmonary disorders.
Breathing Workouts are commonly
incorporated into the general pulmonary
rehabilitation program of patients with acute
or chronic pulmonary disorders.
.

11. Breathing workouts are designed to
restrain the muscles of respiration and
improve or redistribute ventilation,
decrease the work of breathing, and
enhance the gas exchange and oxygenation

12. Active flexibility exercises, to the shoulders
and trunk also help expand the chest area,
facilitate deep breathing, and frequently
stimulate the cough reflex. After heart
surgery, pneumonia or injuries involving
fractured ribs, it's not uncommon for lung
ability to be impaired.

13. To recuperate and maintain proper breathing,
physiotherapy breathing exercises might be
implemented.
Techniques like "huffing," a controlled type of
coughing, and use of the incentive spirometer, a self-
administered breathing device, are types of standard
therapeutic exercises.
ased on MayoClinic.com, people who have acute
asthma or cystic fibrosis could also benefit from
pulmonary rehabilitation exercises.

14. GOALS OF BREATHING EXERCISES
• Improve ventilation.
• Increase the potency of the cough mechanism.
• Prevent pulmonary impairments.
• Improve the strength, endurance, and coordination
of respiratory muscles.
• Maintain or improve chest and thoracic spine
mobility.
• Correct inefficient or abnormal breathing patterns.
• Promote relaxation.
• Teach the individual how to deal with shortness of
breath attacks.
• Improve a patient’s overall functional capacity.

15. INDICATIONS FOR BREATHING EXERCISES
Acute or chronic lung disease.
Chronic obstructive lung disease.
Pneumonia.
Atelectasis.
Pulmonary embolism.
Acute respiratory distress.
Pain within the thoracic or abdominal area due to surgery or trauma.
Airway obstruction secondary to bronchospasm or retained
secretions.
Deficit within the central nervous system that lead to muscle
weakness.
High spinal-cord injury.
Acute, chronic, or progressive myopathic or neuropathy diseases.
Severe orthopedic abnormalities, for example scoliosis and kyphosis,
that affect respiratory function.
Stress management and relaxation procedures.

16. TYPES FOR BREATHING EXERCISES..
LATERAL COSTAL EXPANSION
POSTERIOR BASAL EXPANSION
PURSED LIP BREATHING
PREVENTING AND RELIEVING
INSTANCES OF DYSPNEA
POSITIVE EXPIRATORY PRESSURE
BREATHING
RESPIRATORY RESISTANCE TRAINIG
GLOSSOPHARYNGEAL BREATHING

17. To help return balance, the parasympathetic
system needs to be strengthened. The only way
this can be done is through breath. Although
breathing will go on whether we do it consciously
or not, focusing on some specific techniques can
help get our bodies out of fight-or-flight mode.
They can be used short-term to help when
experiencing a stressful situation, or daily (ideally
multiple times a day) to establish a strong mind-
body connection and keep the body in balance.

18. It takes just minutes to focus on breathing
techniques. You can do them anytime during the
day if you feel stressed or on edge. If you
practice these methods routinely, you will notice
over time that you’re handling the day better,
your blood pressure is lower and overall your
body is more in balance.

19. By: MELODy H. MANALO
CAMS- BSRT