This document discusses various breathing exercises including deep breathing, diaphragmatic breathing, pursed lip breathing, box breathing, and mindful breathing. It provides the techniques and benefits of each type of breathing exercise. Deep breathing and diaphragmatic breathing aim to strengthen the diaphragm and relax the nervous system. Pursed lip breathing extends exhalation to slow respiratory rate. Box breathing combines deep breathing with a 4-count pattern. Mindful breathing focuses attention on present-moment breathing.

1. BREATHING
EXERCISES
AHAMMED NASEEM
4TH YEAR BSC (N)
ACON

2. TYPES
 Deep breathing
 Diaphragmatic breathing
 Pursed lip breathing
 Box breathing
 Mindful breathing

3. DEEP BREATHING
Deep breathing restores the lung function
by using the diaphragmatic breathing through the nose,
strengthening the diaphragm and encourage the nervous
system to relax and restore it self

4. TECHNIQUES
Deep breathing while on back
• patient lie on back and bent knees so
that the bottom of feet are resting on the
bed
• place both hands on the top of abdomen
or wrap them around the sides of
abdomen

6. • Close the lips and place tongue on the
roof of mouth
• Breath in through the nose and pull air
down into stomach where hands are try
to spread fingers apart with breath
• Slowly exhale the breath through nose
• Repeat deep breath for one minute

7. Deep Breath while sitting
• Sit up on the edge of bed or sturdy chair
• Place hands around the sides of
abdomen
• Close lips and place tongue on roof of
mouth

8. • Breath through the nose and pull down
the air stomach where the hands are try
to spread fingers apart the breath
• Slowly exhale through the nose
• Repeat deep Breath for one minute

9. DIAPHRAGMATIC BREATHING
Diaphragmatic muscle is a type of breathing
exercise helps to strengthen the diaphragm. It is
important muscle that to breath as it represent 80% of
breathing

10. BENEFITS
• Help to use diaphragm during breathing
• Strengthen diaphragm
• Decrease the work of breathing by
slowing the respiratory rate
• Mobilize the secretions and teaching
breath control

11. • Use less efforts and energy to breath
• Improve core muscle stability
• Reduce production of cortisol
• Help with PTSD

12. TECHNIQUES
Diaphramatic breathing while on back
• Provide comfortable position, patient
can lie on his back on floor with pillow
under head and knee
• Place patient right hand on chest and
left hand on abdomen

14. • Instruct patient to breath normally
for moment and notice it
• On next inhalation, try to make right
hand on belly rises as patient inhales
slowly to count of four fill the lung and
hold for another count up to four

15. • The patient tighten stomach muscles
letting them fall inward as he exhale
through pursed lips
• The hand on upper chest must remain as
still as possible
• Repeat in this manner for 3-5 minutes
and notice the waving movement of
abdomen and chest

16. Diaphragmatic breathing while sitting
• Provide comfortable position to patient.
The patient can sit in a chair with knee
bent and shoulders, head and neck
relaxed and supported against the back
of chair
• Place patients on hand in upper chest
and another below the ribcage

18. • Breath slowly through the nose so that
stomach moves out against the hand,
The hand on chest should remain as still
as possible
• Tighten stomach muscles letting them
fall inward as exhale through pursed
lips the hand on chest should remain
as still as possible

19. PURSED LIP BREATHING
It is a breathing technique consist of exhaling
through tightly pursed lips and inhaling through nose
with mouth closed. This make deep breaths slower and
intentional

20. BENEFIT
• Beneficial for patients with chronic lung
diseases to strengthen their lungs and
make them more efficient
• Extends exhalation which can slow the
respiratory rate to normal
• Strengthen diaphragm which makes
breathing less laborious

21. • Eases anxiety by slowing breath
• Helps to prevent shortness of breath
• Improving ability of person to carryout
activities or exercises
• Improving ventilation by moving
trapped CO2 out of lung

22. PROCEDURE
• Place patient in a comfortable position
and relaxed, explain patient about
expiration stage
• Abdominal muscle contraction must be
avoided by placing therapist's hand on
patient's abdomen to check for
contraction

24. • Ask patient to breath slowly and deeply
through nose and breath out gently
through tightly pursed lips
• By providing slight resistance an
increased positive pressure will generate
within the airway helps to keep open
small bronchioles that otherwise
collapsed

25. • It can applied as 3-5 minutes "rescue
exercise" or an emergency procedure to
counter out acute exacerbation of
COPD and Asthma

26. BOX BREATHING
Square breathing is a technique use when
taking slow deep breath. that can help return breathing
pattern to a relaxed rhythm . it can clear the mind, relax
the body and improve the focus.

27. TECHNIQUES
• Make sure that the patient seated upright
in a comfortable chair with feet flat on
the floor in a stress free and quite
environment.
• Keep patience hand relaxed in his lap
with palm facing upward, focus on
posture patient should be sitting up
straight

28. • Slowly exhale through mouth, getting all
oxygen out of lungs, focus on this intention
and we conscious of what you are doing
• Inhale slowly and deeply through nose to
the count of 4, in this stage count to 4 very
slowly in head until the lungs are
completely fill and air move into abdomen

29. • Hold breath inside while counting
slowly to 4. Try not to camp mouth or
nose shut simply to avoid inhaling or
exhaling for 4 seconds.
• Exhaling through mouth for the same
slow count of four, expelling the air
from lungs and abdomen. Be conscious
of the feeling of the air leaving lungs

30. • Repeat the steps 1-3 atleast three
times. Ideally repeat the steps for 4
minutes or until calm returns

31. MINDFUL BREATHING
It focusing on breathing and bringing attention to
the present without allowing the mind to wander to the
past or future is what breathing and entails

32. BENEFITS
• Reduction of stress
• Increased calm and clarity
• Promotion of happiness
• Greater sense of control
• Increased self-awareness
• Greater resistance in stressful situations

33. PROCEDURE
• Place patient in a comfortable position
or could be seated on a chair or on the
floor or cushion. Try to keep his back
upright but not too high.
• Instruct to rest his hand on whereover
he is comfortable, tongue on the floor of
mouth.

34. • Instruct to relax body
• Let the patient feel relax and experience
that touch the connection with floor or
the chair and breath.
• The patient stay here for 5 to 7 minutes.
• Notice his breaths in silence from time
to time then allow to breath normally