I: Horizontal breathing exercises
Mainly through chest expansion, lung breathing to improve and enhance lung function.
(1) Lie on your back, make fists in both hands and flex and extend at the elbow joints 5-10 times, breathe calmly and deeply 5-10 times.
(2) alternately extend both arms forward and upward, breathe naturally 5-10 times; alternately bend and extend both legs at the knee joint 5-10 times.
(3) bend the legs at the knees, lift the arms up and out and inhale deeply, exhale when the arms are put back to the side of the body, do 5-10 times.
(4) whistling exhalation: first inhale a large mouthful of air through the nose, exhale with the lips in the shape of a whistle, do 5-10 times.
(5) abdominal breathing, legs bent at the knees, one hand on the chest, one hand on the abdomen, inhale when the abdominal wall rises, exhale when the abdominal wall contraction, do 5-10 times.
After using the above recumbent exercise for a period of time, you can also choose to sit or vertical.
Note: each time from (1) to (5) done in order, from slow to fast, step by step, can be done 2-3 times a day, each time with 8-15 minutes to complete; body should be naturally relaxed, do not hold the breath, excessive gas exchange, so as not to cause dizziness, dizziness, chest tightness and other symptoms. Be careful to breathe in through the nose, breathe out through the mouth, and breathe out about one time longer than breathing in; when there is a respiratory infection or combined with heart failure, exercise is not recommended for the time being.
Two: breathing exercises
Respiratory exercises, mainly through abdominal breathing, to enhance the diaphragm, abdominal muscles and lower chest muscle mobility, deepen the respiratory amplitude, increase ventilation, facilitate the discharge of residual alveolar gas, so as to improve lung ventilation and increase gas exchange. Specific practices include the following sections.
(1) long exhalation: stand upright, relax the muscles of the whole body, inhale through the nose and exhale through the mouth. First practice deep and long exhalation, until the gas is exhausted, and then natural inhalation. Inhalation requires a sense of small abdomen, the ratio of exhale to inhale time is 2:1 or 3:1, in order not to be dizzy. In order to increase the amount of ventilation, it is appropriate to take a slow and deep inspiration, generally about 16 times per minute is appropriate.
(2) abdominal breathing: standing position, one hand on the chest, one hand on the abdomen, for abdominal breathing. Inhale the best efforts to hold the abdomen, the chest does not move, exhale the abdominal muscles slowly active contraction to increase intra-abdominal pressure, so that the diaphragm up, according to the rhythm of breathing.
(3) power breathing: standing position, both arms down to the side of the body, the body slightly leaned forward to exhale, both arms gradually up to inhale.
(4) chest breathing: standing position, two arms in front of the chest crossed back contraction of the chest, the body leaned forward, exhale. Both arms are gradually lifted up, expand the chest, and inhale.
(5) pressure abdominal breathing: standing position, hands crossed, thumbs facing back, the rest of the limbs pressed against the upper abdomen, the body leaned forward, exhale; two arms gradually raised, inhale.
(6) knee-hugging breathing: standing position, a leg bent to the abdomen, with hands bundled hug curved legs, knee pressure abdomen exhale, restore inhale.
(7) squat breathing: standing position, the two feet together, the body leaned forward to squat, hands clutching the knees exhale, restore inhale.
(8) flexion waist breathing: standing position, two arms crossed in front of the abdomen, exhale when flexing the waist forward, the upper body to restore the two arms to the side of the inhalation.
Each of the above sections is practiced 10 to 20 times, each section can be interspersed with natural breathing for 30 seconds, and after all of them are finished, step in place for several minutes, swing your hands back and forth, kick your legs and relax the joints of your limbs. Head and neck relaxation
A set of breathing exercises recommended by the COPD Prevention and Treatment Research Collaborative Group is especially worth introducing to patients and health care colleagues, with the following steps.
① Calm breathing.
② Inhale in a standing position and exhale in a forward leaning position.
③Inhale with a single upper arm raise. exhale with both hands on the abdomen.
④ inhale with the upper limbs raised flat and exhale with the arms down.
⑤ inhale with flat upper limbs and exhale with both hands pressing the abdomen.
(viii) inhalation by holding the head and exhalation by turning the body.
(vii) standing upper limb upward inspiration and squatting exhalation.
⑧ abdominal lip-reduction breathing.
⑨ Calm breathing.
In the exercise, it is not necessary to carry out the nine steps throughout. The patient’s specific situation can be combined with the choice, but also can choose to use only some of its movements. If the condition is severe, postures such as squatting may not be used.
It is beneficial to perform rehabilitation exercises at any stage, and life is about exercise. I wish all COPD (chronic bronchitis and emphysema) patients a happy life!