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Airway clearance and exercise for Bronchiectasis

Airway clearance and exercise for Bronchiectasis

Lung Foundation Australia recommends several airway clearance techniques to help people with COPD and other respiratory conditions manage their symptoms and improve lung function. These techniques are designed to clear mucus from the airways, making breathing easier and reducing the risk of infections.

Active Cycle of Breathing Techniques (ACBT) involves a series of breathing exercises to move mucus from deep in the lungs to the throat, where it can be coughed out. It includes deep breathing, relaxed breathing, huffing, and coughing. This technique helps clear the airways and improve lung function.

Postural drainage uses gravity to help drain mucus from the lungs. By positioning the body in specific ways, mucus can be directed towards the larger airways, making it easier to expel. A respiratory physiotherapist can guide you on the best positions for your condition.

Positive Expiratory Pressure (PEP) devices create back pressure during exhalation, keeping the airways open and helping to move mucus towards the larger airways. This makes it easier to clear mucus from the lungs.

Oscillating Positive Expiratory Pressure (OPEP) devices, such as the Flutter or Acapella, combine PEP with oscillations to loosen and mobilise mucus. The vibrations help break up mucus, making it easier to clear from the airways.

Autogenic drainage involves controlled breathing at different lung volumes to move mucus from the smaller to the larger airways. This technique requires practice and guidance from a respiratory physiotherapist to master.

Regular physical activity, such as walking or cycling, can improve overall lung function and make it easier to clear mucus. Pulmonary rehabilitation programs often include exercise as a key component.

Staying well-hydrated helps thin mucus, making it easier to clear from the lungs. Drinking plenty of water and using a humidifier can be beneficial.

Manual techniques, including chest percussion and vibration, involve rhythmic tapping or vibrating on the chest to help loosen mucus. These techniques are usually performed by a physiotherapist.

Consulting with a respiratory physiotherapist is essential to determine the most suitable airway clearance techniques for your specific condition. They can provide personalised instructions and ensure you are using the techniques safely and effectively.

By following these airway clearance techniques recommended by Lung Foundation Australia, people with COPD can better manage their symptoms, improve lung function, and enhance their quality of life.

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