We use breathing games to recondition a stress response from inhaling to an exhaling breathing pattern which increases parasympathetic activity of nervous system. It can help alleviate some of the symptoms of stress and anxiety related disorders such social anxiety disorder, post-traumatic stress disorder (PTSD) and ADD. In addition to helping kids cope with ADHD.
Effects of longer exhalation
- Slows down breathing
- Reduces heart rate
- Suppresses fight or flight responses
- Provides a general relief
Contraindications
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.
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
PLB can be used as a 10-20 minutes daily systematic respiratory exercise to train breathing in complex with other rehabilitative activities.
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? Frequent or constant activity of the sympathetic tone imposes a lasting impact in the form of high blood pressure and disturbed digestion that may lead to stomach ulcers.
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