Physiotherapy (Paediatrics)

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Breathing should change with

what we challenge ourselves with.

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For example, if we're exercising, our

breathing should become deeper and faster.

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It can also become faster when

we're feeling anxious or scared.

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Breathing should then return to normal

once the challenge has passed.

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Sometimes when the challenge has passed,

breathing does not return to normal.

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At this point, then the breathing

can alter and become dysfunctional.

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If I am breathing through my mouth,

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if my breathing is noisy,

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if I am breathing too fast or shallow,

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if my upper chest moves outwards

more than my tummy during my in-breath,

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if I am frequently yawning and sighing,

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if I am finding difficulty

coordinating my breathing

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during talking and or eating,

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if I have any aches

or pains in my muscles,

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mainly around my shoulder,

neck and jaw.

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If I am feeling exhausted all the time,

I'm finding it difficult to concentrate.

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Your breath in should

come through your nose.

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You should notice that your tummy

moves out as air fills your lungs.

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Your shoulders relax down and not move.

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Breathing in and out should be relaxed,

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you shouldn't feel like you have

to work to breathe in at all.

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For further advice on breathlessness,

see our breathlessness video.

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This is a video on

effective opep use.

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This includes the aerobika,

the acapella, the flutter,

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opep and bubble pep

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Firstly, sit or stand with good posture,

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place your device in your mouth,

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make sure your lips are tight

around the mouthpiece and try to smile.

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Breathe in and out through the device,

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ensuring you feel the

vibrations on your chest.

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Your breath should be a little larger

than normal sized breaths,

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and make sure you breathe all the way out.

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Make sure that your cheeks

don't pop out or vibrate.

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Do as many breaths as agreed with

your physio or until your saline is done,

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dependent on your routine.

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Then remove the device from

your mouth and do 2 to 3 huffs.

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Huffs are exhaling through

an open mouth and throat.

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It helps me to sputum up your airways so

that you can clear it in a controlled way,

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to huff you squeeze air

quickly from your lungs

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out through your mouth and throat,

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as if you were trying to mist

up a mirror or your glasses.