Respiratory muscle training |
a. Inspiratory muscle training: |
|
Voluntary isocapnic hyperpnea or normocapnic hyperventilation |
|
Inspiratory resistive loading |
|
Inspiratory threshold loading |
|
Tapered threshold loading |
|
b. Expiratory muscle training |
Breathing strategies |
a. Controlled breathing techniques |
|
Pursed lip breathing |
|
Segmental breathing (lateral costal breathing) |
|
Diaphragmatic breathing (abdominal breathing) |
|
Slow and deep breathing |
|
Alternate nostril breathing |
|
Frog breathing (Glossopharyngeal breathing) |
|
Head-down (Trendelenburg) and bending forward postures |
|
Abdominal girdle |
|
Relaxation exercises |
|
b. Bronchial hygiene-airway clearance techniques |
|
Forced expiration techniques |
|
Controlled cough maneuver |
|
Huffing |
|
Incentive spirometry (sustained maximal inspiration-SMI) |
|
Flutter breathing (devices applying vibrations to the inside of mouth) |
|
Postural drainage, percussion, vibration |
|
Positive expiratory pressure (PEP) |
|
Active cycle of breathing techniques (ACBT) |
|
Autogenic drainage |
|
Mechanical Insufflator-Exsufflator (MI-E) |
|
Intrapulmonary percussive ventilation (IPV) |
|
High-frequency chest wall oscillation (HFCWO) |
|
Cough increasing techniques |
|
Maximum Insufflation Capacity Maneuver (MIC) |
|
Glossopharyngeal breathing |
|
Manually assisted cough (MAC) |
|
MI-E and IPV |
Aerobic/endurance |
Continuous/intermittent training |
|
Bicycle with a single leg |
|
Scandinavian/Nordic walking training |
|
Non-assisted walking training |
Strengthening/resistance |
Other |
Upper extremity and shoulder girdle exercises |
|
Exercises in water |
|
Balance training |
|
Neuromuscular electrical stimulation (NMES): (the diaphragm, abdominal muscles and extremity muscles) Nonlinear exercise training |
|
Whole-body vibration |
|
Yoga training |
|
Tai Chi exercises |