Breathing Exercises | Exercises for COPD Rehabilitation

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Simple Exercises to Manage Chronic Obstructive Pulmonary Disease (COPD)

Simple Exercises to Manage Chronic Obstructive Pulmonary Disease (COPD)

Chronic Obstructive Pulmonary Disease or COPD is a kind of lung disease due to which a patient finds it hard to breathe. The major cause of COPD is smoking. COPD is a mix of two types of lung problems, i.e. Chronic bronchitis and Emphysema. With regular exercises, COPD can be controlled or prevented to a great extent.

How can exercises for COPD treatment help you?

  • It helps in making the body use oxygen efficiently as people with COPD use more energy to breathe than other people do.
  • It decreases COPD symptoms and improves breathing
  • Exercising strengthens the heart, lowers blood pressure, and improves circulation
  • It makes one stay more active
  • It improves sleep and makes one feel relaxed
  • It helps in maintaining the healthy weight
  • It enhances the mental and emotional outlook
  • It strengthens bones
Breathing Control Techniques
Relaxed, slow, deep breathing

Breathing Control Techniques

How to do deep breathing?
deep breathing?

Get into a comfortable position(take support if required).

  1. Relax your arms, shoulders, and hands.
  2. Breathe in gently through your nose
  3. Breathe out through your nose and mouth.
  4. Feel relaxed and calm while breathing out.
  1. Pursed-lips breathing

Pursed-lips breathing

How to do pursed-lip breathing?

  1. Relax your neck and shoulder muscles.
  2. Breathe in for 2 seconds through the nose, keeping your mouth closed.
  3. Breathe out for 4 seconds through pursed lips.
  1. Blow out breathing

Blow out breathing

How to do this?
  • Whenever you do physical activity and feel short of breath, breathe out.
  • Whenever you do some tough physical labour, relax your body and take a deep breath from your nose and blow it out from your mouth.
  1. Diaphragmatic breathing

Diaphragmatic breathing

How to do Diaphragmatic Breathing?
  • Lie on your back with knees bent on the pillow for support.
  • Place one hand on your belly below your rib cage. Place the other hand on your chest.
  • Inhale deeply through your nose for a count of three. Your belly and lower ribs should rise, but your chest should remain still.
  • Tighten your stomach muscles and exhale for a count of six through slightly puckered lips.
  • Positions to Reduce Shortness of Breath
  1. Sitting

Positions to Reduce Shortness of Breath

How to relax in a sitting position?
  • Place your feet flat on the floor.
  • Bend your chest slightly forward.
  • Rest your elbows on your knees or rest your chin on your hands.
  • Relax your neck and shoulder muscles.
-OR-

How to relax in a sitting position

How to relax in a sitting position?
  • Place your feet flat on the floor.
  • Bend your chest slightly forward.
  • Rest your head on your forearms or pillows.
  • Rest your arms on a table.
  1. Standing

Standing

How to do this?
  • Stand against the wall
  • Spread your feet shoulder width apart
  • Lean your hips against the wall
  • Rest your hands on your thighs
  • Leaning slightly forward relax your shoulders
-OR-

Relax your neck and shoulders

  • Rest your elbows or hands on a piece on furniture, just below the shoulder height.
  • Relax your neck and shoulders.
  1. Climbing Upstairs

standingg

 

How to do this?
  • Hold the handrail to get support and climb easily.
  • Place your whole foot flat on each step.
  • Breathe out with pursed lips while taking the next step.
  • Go up two steps with each exhalation.
  • Breathe in before the next step.
  1. Going downstairs

Going downstairs

How to do this?
  • Hold the handrail for balance.
  • Place each foot flat on the step.
  • Count the number of steps you take while breathing in.
  • Take twice as many steps while breathing out.
    Sleeping
  1. Sleeping on the side

Sleeping

How to do this?
  • Lie on your side with a pillow between your legs and your head elevated with pillows. Keep your back straight.
    2. Sleeping on back

Sleeping on back

How to do this?
  • Lie on your back with your head elevated and your knees bent, with a pillow under your knees.
  • Preventives for COPD symptoms
  1. The Huff-Cough Technique

Preventives for COPD symptoms

How to do this?
  • Sit on a chair and take deep breaths (like diaphragmatic breathing)
  • Tighten up the stomach and chest muscles with your mouth open.
  • Force the air out while murmuring the word “huff.”
    2. Controlled Coughing

Controlled Coughing

How to do this?
  • Sit on a chair with feet flat on the floor, &leanyour body slightly forward.
  • Fold your arms across your stomach and breathe in through your nose.
  • Lean forward against your arms and exhale.
  • Produce three short coughs with your mouth slightly open.
  • Breathe in again through your nose and rest.
Dos and Don’ts for COPD Patients

Dos for COPD Patients

  • Use your inhalers properly and regularly.
  • Do lose weight if you are overweight.
  • Do put on weight if you are underweight.
  • Arrange the things that you use every day at easy reach.
  • Take rest when you get breathless, and then start again.
  • If your breath gets fast or shallow, then stop and relax your body.
Don’ts for COPD Patients
  • Do not exercise if your COPD symptoms get worse.
  • Do not bend down by wearing slip-on shoes or using long-handled tools in the garden.
  • Do not take hot or cold showers immediately after exercising.
  • Do not do heavy lifting or pushing.
  • Do not do chores such as shovelling or mowing.
  • Avoid pushups, sit-ups, or isometric exercises.
  • Do not walk up steep hills.

Note –The images for COPD exercises are not easily available on the internet, so we would suggest getting the vectors designed. We have added pictures for references, though these are not of high-quality resolution.