WEEK 12 PTA152 Breathing Retraining

Inspiratory Muscle Training

• Muscle Performance Enhancement

• Bone Performance Enhancement

Positive Expiratory Therapy

INDICATIONS

*Atelectasis even patients who are postoperative

• Asthma

• Cystic Fibrosis

• Bronchitis

• Bronchiectasis

• Pneumonia

Tags

NGSS.HS-LS1-3

Positive Expiratory Therapy

Benefits

*Improves Gas Exchange

• Reversed or prevention of atelectasis

• Enhanced air movement

• Increased lung function

• Expectoration of secretions

• Expansion of air distribution in lungs

What device produces oscillation during ACTIVE EXHALATION?

• Acepella Device

• Heart
• Diaphragm
• Lungs

Acapella Device

Produces oscillation during ​active ​ (a)  

-Vibrates the walls of the airways

-Improving removal of secretions

Description:

A pivoting ​ (b)   that occasionally blocks air

-CREATES THE VIBRATION EFFECT

-Produces ​ (c)   expiratory pressure

• positive +
• exhalation
• cone
• negative -
• inhalation
• cylinder
• neutral
• suction

Tags

NGSS.MS-ETS1-1

NGSS.MS-ETS1-2

Acapella Device Instructions

• Inhale through device, breathing > tidal volume

• **Followed up by 2-3 effectives coughs

• Exhale through device, not forcefully, 2-3 secs

• Patient to take 10-20 positive expiratory breaths

Whats the Frequency/Duration for the Acapella Device?

• 10-20min, 2-4x/day

• 1st Week: 10-15min a day

• Daily, 6x/week, 30 minute sessions

Acapella Device

Instructions:

-​ (a)   through device, breathing > tidal volume

-​ (b)   through device, not forcefully, 2-3 secs

-Patient to take ​ (c)   positive expiratory breaths

*Followed up by 2-3 effectives cough

• Inhale
• Exhale
• 10 -20
• 20-70

Similarities:

Positive Expiratory Pressure

-Oscillations

-To assist in removal of secretions

-Increase air flow to under-aerated portion of lungs

• The Flutter Valve

• Acapella Device

​ (a)  

Procedure:

-Patient ​ (b)   into device

-Causes ​ (c)   to bounce in the cone

-Creates oscillatory effect

-Vibrates the airway to allow air to get behind the secretions

• exhales
• The Flutter Valve
• steel ball
• Acapella Device

Tags

NGSS.MS-PS4-1

NGSS.MS-PS4-2