"Breathing games significantly increases patients' motivation to carry out breathing exercises, which enables for more efficient rehabilitation and thus shortens the duration of stay." - Dr. Pohar, Maternity Hospital.
Pursed Lip Breathing
Pursesed Lip Breathing is used to restore proper breathing mechanics, to improve lumbopelvic stability, enhance motor control, decrease pain, and improve overall patient outcomes.
Efficacy
The technique provides:
- resistance on expiration
- increased lung volumes
- secretion mobilization
Contraindications
Diabetes
If you suffer from diabetes and use insulin or other blood glucose-lowering medication, the pursed lip breathing exercise can increase your sensitivity to medication. This can make your blood glucose level lower than usual. You may suffer then from hypoglycemic shock, which is much more dangerous than high blood sugar. You should have a small snack immediately after the breathing session.
Depression
Breathing with longer exhalations triggers the parasympathetic nervous system, the rest-and-digest response. If you suffer from depression, this can further aggravate it as you tend to predominantly activate your parasympathetic; Putting the body in a state of relaxation but increasing a lack of motivation.
Severe Personality Disorders
Personality disorders, psychopathic disorders, severe forms of depression, mania, obsessive-compulsive disorder and delirium. In these disorders the patient is more likely to interpret a breathing exercise in the context of his/her personality disorder in which the therapist no longer has sufficient control over the therapy's effect.
Age
Kids under 7 years should use the product in assistance with their parents or caregivers.
Psychoactive Substances
Opioids, benzodiazepines and caffeine may decrease the effectiveness of therapy.
Side Effects
- Dehydration
- Dizziness
Practicing pursed lip breathing expels air that was previously trapped in the lungs. This air is saturated with water and CO2 resulting in dehydration. Thus the patient is required to drink some water after the exercise.
In elderly patients a short-term dizziness is possible therefore after exercise the patient should rest for a while.
Guidelines
Patients should play breathing games several times thorough the day until they feel tired.
Warnings
- Supply patients with extra drinking water
- Before and after use, clean headset with dry tissue
- Store the headset in a clean and dry environment
Did you know? Even though the evolution of bipedal gait has reduced the mechanical constraints on respiration in humans, thereby permitting greater flexibility in breathing pattern; it has seemingly not eliminated the need for the synchronization of respiration and body motion during sustained running. Flying birds have independently achieved phase-locked locomotor and respiratory cycles. This hints that strict locomotor-respiratory coupling may be a vital factor in the sustained aerobic exercise of endothermic vertebrates, especially those in which the stresses of locomotion tend to deform the thoracic complex.
References
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Recommendations
"Keep using the pursed-lip breathing until the breathless feeling goes away. Rest In between breaths if you feel Dizzy. Give sips of room temperature water."
American Lung Association
“Pursed-lip breathing attempts to prolong active expiration through half-opened lips, thus helping to prevent airway collapse. Compared with spontaneous breathing, pursed-lip breathing reduces respiratory rate, dyspnea, and PaCO2, while improving tidal volume and oxygen saturation in resting conditions."
American Thoracic Society
"Pursed lip breathing is one of the simplest ways to control shortness of breath. It provides a quick and easy way to slow your pace of breathing, making each breath more effective."
Cleveland Clinic
“Inhaling through the nose and exhaling through pursed lips makes breathing easier. Pursed-lip breathing can also help you regain control if you’re having trouble catching your breath. You can practice breathing this way anytime, anywhere. If you’re watching TV, practice during the commercials. Try to practice several times a day. Over time, pursed-lip breathing will feel natural.”
University of Minnesota Medical Center
“Pursed lip breathing helps you use less energy to breathe. It can help you relax. When you are short of breath, it helps you slow the pace of your breathing and can help you feel less short of breath."
University of Iowa Children's Hospital