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Effective breathing exercises for bronchial asthma. Breathing exercises for asthma

Respiratory gymnastics for patients with bronchial asthma is indispensable. It allows you to improve well-being and. Completely get rid of the disease by means of gymnastics alone it will not succeed, but the disease will proceed much easier.

It is important to do the exercises systematically, in a ventilated room or on the street, this will allow you to quickly achieve excellent results.

Breathing exercises

Reasonably dosed exercises improve the functioning of the lungs and stop the symptoms of suffocation, which are companions of asthma. is one of the alternative, but it cannot replace medicines. The best result can be achieved using respiratory exercises in combination with drug therapy.

When not to do gymnastics:

  • during spasms;
  • outdoors in bad weather (rain, snow);
  • in an unventilated room;
  • if you recently had to get sick with acute bronchitis or pneumonia;
  • during or after intense running;
  • in a state of fatigue or stress;
  • if a person is in class without a break.

Buteyko technique

The method of breathing exercises for patients with lung diseases was developed in the 60s. XX century K. P. Buteyko.

Fact! The results of studies have shown that exercise can reduce, improve the quality of life of the patient and reduce the number of emergency drugs taken.

The Buteyko technique does not affect the volume of pulmonary respiration. For tangible results Regular sessions will be required for several weeks and even months. The Buteyko complex allows you to correct your breathing in the direction of its decrease, which is achieved through muscle relaxation.

When performing exercises, breathing should be slow and smooth, without frequent and deep breaths.

Buteyko training is based on three rules:

  1. Breathing exclusively through the nose, even when it is blocked.
  2. Through relaxation, it is necessary to reduce and equalize breathing.
  3. You can not allow the appearance of a feeling that there is not enough air.

The essence of the technique lies in the relaxation of the diaphragm. This is achieved by following the principle of increasing the pause after the exhalation of air and through a shallow breath.

Important! At the beginning of classes, an unpleasant sensation will appear, as if there is not enough air, fear, difficulty in holding the breath, pain. Stopping classes can provoke illness. Proper exercise will reduce asthma attacks, they will flow more easily.

Breathing exercises according to the Buteyko method (Video)

Preparation for the implementation of the complex

Preparing for classes will increase their effectiveness.

Preparatory activities:

  1. Sit on a chair, hands on knees, back straight.
  2. Relax.
  3. Start with shallow breathing, as if you are afraid to inhale.
  4. Exhale through your nose (weakly, imperceptibly).

Important! The procedure must be performed within 10 minutes, there should be a feeling that there is not enough air. At first it will become cold, later there will be a feeling of heat and sweat. It is necessary to get out of this state without haste.

Before starting preparation for performing gymnastics and after its completion, hold your breath for as long as it as long as possible and count the beats of the pulse. If all the preparatory measures were carried out correctly, then the duration of the pause in breathing will increase by one or two seconds.

Such preparation ensures the release of oxygen from the lungs.

Buteyko exercises

In the process of performing the complex, you should breathe as quietly as possible. You can not interrupt the training, talk. Do not perform the complex immediately after eating- A full GI tract will impair diaphragmatic movement.

Gymnastics:

  1. The duration of the exercise is 2 minutes 30 seconds, effective for the upper segments of the lungs. For 5 sec. inhale, exhale for 5 seconds, pause for 5 seconds. Do 10 times.
  2. Duration of execution - 3 min 30 sec. Inhale for 7 and a half seconds: start inhaling with the diaphragm, at the end - use the chest muscles. Exhale for 7 and a half seconds: start with the upper segments of the lungs and end with the diaphragm. Pause for 5 seconds. Do the exercise 10 times.
  3. Massage the reflex points on your nose once. At the same time, hold your breath as much as possible.
  4. Close the left nostril with your hand and inhale through the right nostril for 7.5 seconds. Start inhaling from the diaphragm, end the inhalation with the participation of the chest muscles. Exhale through the right nostril for 7.5 seconds. Start exhaling with the participation of the chest muscles, end with the diaphragm. Pause - 5 sec. Do the same, but inhale through the left nostril while holding the right hand. Do 10 reps.
  5. Do the exercise for 3 minutes. 30 sec. Exhale and exhale as described in exercise 2, but at the same time draw in the stomach as much as possible. Do 10 times.
  6. Ventilation of the lungs for one minute. Inhale quickly and deeply and try to exhale as much air as possible. Each inhalation and exhalation should last no longer than two and a half seconds. Pause - hold your breath for as long as possible.
  7. Infrequent breathing.
    • inhale for 1-5 seconds, exhale for 1-5 seconds, pause for 5 seconds (do 4 times in 1 minute);
    • inhale for 2-5 seconds, pause - 5 seconds, exhale for 5 seconds, pause for 5 seconds (do 6 times in 2 minutes);
    • inhale - 3-7.5 seconds, pause - 7.5 seconds, exhale - 7.5 seconds, pause 7.5 seconds (6 times in 3 minutes);
    • inhale - 4-10 seconds, pause - 10 seconds, exhale - 10 seconds, pause - 10 seconds (do 6 times in 4 minutes);
    • increase the duration of inhalation, exhalation and pause.
  8. Inhale and hold your breath for as long as possible, exhale and hold your breath again for as long as possible. Do the exercise once.
  9. Hold your breath as long as possible while sitting on a chair, while walking and running in place, squats. Depending on the fitness of the body, breathe in this way for 3-10 minutes.
  10. Breathe shallowly for 3-10 minutes. Reduce the depth of inhalation and exhalation gradually, at the end of the breath should not be deeper than the nasopharynx. Ideally, the exercise causes a feeling of lack of air.

After the end of the lesson, write down the indicators of the pulse beat and sensations in the diary.

Important! The effectiveness of the complex will increase if it is supplemented with yoga, swimming and other physical activity.

Strelnikova's technique

Strelnikova's breathing exercises are a very effective adjuvant in the treatment of bronchial asthma. Performing a complex or some exercises can improve well-being and improve the quality of life, cleanse the respiratory system of pathogenic microflora. And also strengthen muscle tissue and normalize the circulatory system.

Fact! Studies of the impact of performing exercises according to the Strelnikova method were carried out at the Central Research Institute of Tuberculosis, in the 9th garrison polyclinic of the RF Ministry of Defense, in the Central Polyclinic No. 1 of the Ministry of Internal Affairs of the Russian Federation.

Breathing exercises have a positive effect on the human body, but, like any other drug, it has contraindications:

  • increased body temperature;
  • diseases of internal organs (stones in the kidneys or gallbladder, cardiovascular diseases, coronary artery disease);
  • damage to the spine and brain;
  • glaucoma;
  • bleeding;
  • hypertension;
  • thrombophlebitis;
  • osteochondrosis of the cervical spine.

Regular exercises according to the Strelnikova method change the state of the body for the better. Blood vessels are cleared of cholesterol plaques, become more elastic, which significantly reduces the likelihood of stroke and heart attack. Metabolism improves, immunity increases, blood microcirculation is restored.

The regular implementation of the Strelnikova complex helps the human body to cleanse itself of toxic substances accumulated due to the poor state of the environment.

Breathing exercises according to the Strelnikova method (Video)

How to do the exercises?

Strelnikova's gymnastics will be as useful as possible if certain rules are followed when performing exercises:

  1. Inhalations must be taken through the nose, and they should not be too deep, in order to avoid irritation of the bronchi and the onset of an attack as a result.
  2. Inhale the air should be impetuous, noisy and short.
  3. Exhalation is done without tension, through the mouth, there should be no noise during exhalation.

In case of a complex disease, when a lot accumulates in the bronchi and lungs, do exercises exclusively in the interval "exhale-inhale". This will prevent an attack of coughing and spasm in the bronchi.

Strelnikova exercises

For and, three exercises from the Strelnikova complex are used: “Eights”, “Hug your shoulders” and “Pump”.

Breathing exercises Strelnikova:

  1. "Awakening". In the morning, as soon as you wake up, do not get up immediately. Lying on your back, bend your legs at the knees, and at the same time slowly exhaling through your mouth, slowly pull them to your chest. The number of repetitions is optional.
  2. "Bloating". Stand straight, put your hands on your waist. Inhale through your nose while pushing your belly out strongly. Exhale sharply, pulling in the stomach strongly.
  3. "Breathing by turns". Stand up straight or sit down. Close the left nostril with your finger, inhale and exhale through the right. Then close the right nostril and do the same.
  4. "Resistance". Pour water into a jar, take a straw for a cocktail. Inhale as deeply as possible through the tube. Then very slowly release the air into the water through the tube. Do the exercise daily 5 times, duration - 10 minutes.
  5. "Butterfly". Stand straight, put your feet not shoulder-width apart, raise your hands to your shoulders and pull back (fingers spread out like a fan, palms in front). On the count of “1”, cross your arms (elbows will be below the chin) and clap your palms on your shoulder blades while inhaling deeply. On the count of "2", take the original position, exhaling calmly and evenly.
  6. Breathing while lying down. Lie on your back, put your hands under your buttocks. On the count of "1-2-3" exhale strongly and for a long time, at the same time pulling in the stomach. On the count of "4" inhale, sticking out your stomach as much as possible. Then cough softly.
  7. "Hiss". While inhaling through the nose, exhale it in parts to the count of "1-2-3". Then exhale through your mouth while pronouncing "z" and "sh" at the same time.
  8. Shoulders. Stand straight, lower your arms along the torso. Raising your shoulders to the count of "1-2-3-4" at the same time inhale. Then lower and gradually relax your shoulders to the same count, exhaling at the same time and saying “kha”.
  9. "Beating". Stand straight, arms bent at the elbows and are near the body. Spreading your elbows to the sides, inhale through your nose. Then bring your elbows together as far as possible and while drawing in your stomach, exhale while pronouncing "sh".
  10. "Balloons". Inflate 2 ordinary balloons daily until they burst.
  11. "Lips with a tube." Sit or stand straight. Inhale through your nose, exhale long and slow through your mouth. While exhaling, fold your lips into a tube shape.

Important! Exercise must be done twice a day.

Exercise makes the course of the disease easier, prevents the development of complications and contributes to the restoration of health. To achieve the desired effect, classes should be systematic, carried out in the fresh air, even in winter.

Our compatriot, Russian singer Alexandra Nikolaevna, became the author of many techniques. Strelnikova's gymnastics was developed by this singer and vocal teacher to restore the vocal cords as quickly as possible.

But in the process of application, it turned out that this gymnastics has a healing effect not only on the vocal cords, but also on the respiratory and cardiovascular systems as a whole. It has a therapeutic and curative effect in some diseases.

Basic principles of gymnastics

The basic principle of gymnastics is fast, forced inhalation and passive exhalation. At the same time, it is not recommended to take a deep breath, it is described as “sniffing” the smell of burning. Suppose a person has smelled some disturbing smell. To better distinguish it, he breathes quickly and shallowly (wants to drive as much air as possible through the organ of smell).

It is recommended to exhale both through the mouth and through the nose, but passively, so that the air itself leaves the lungs. All exercises are performed in four counts (invented by a music teacher), rhythmically, quickly and are accompanied by active gymnastic movements.

Gymnastics Strelnikova for asthmatics

Since gymnastics is actively used for patients with global problems in the respiratory system and helps them, special rules have been developed for asthmatics.

  • In this case, inhalation and exhalation is performed through the oral cavity to prevent mucus from entering the bronchial tree from the nasopharynx, which can provoke an attack.
  • If gymnastics is done during exacerbation, with inflammation, it is better to do active movements not on inspiration, but in between them, so as not to provoke a cough.
  • You can't take deep breaths.
  • Gymnastics should calm, make breathing rhythmic.
  • Breathing exercises are usually done in the morning instead of regular exercises and in the evening before bedtime.
  • Exercises that Strelnikova herself developed

    1. Palms - a warm-up exercise. Stand up straight, calmly, freely. Lower your elbows, raise your palms and open. Take an active breath and at this moment clench your fists. Exhalation is accompanied by the opening of the palms. After four such breaths, you can pause for a few seconds, then continue.
    2. Shoulder straps. In this exercise, the hands are at waist level and clenched into fists. When inhaling, a person pushes his hands down, as if doing push-ups. When exhaling - IP. It is advisable to take eight breaths in a row, then pause for a few seconds.
    3. Pump. IP: straight with hands down. Inhalation is performed while tilting, the person pretends to “sniff the floor”. It is important that the back is round, as relaxed and free as possible. The neck should be lowered, not tense. Exhalation is done when the person straightens up.
    4. Cat. The movements are slightly similar to dance ones: a semi-squat is performed with unclenching and clenching fists. Inhalation also corresponds to squeezing the palms, and exhaling to unclenching.
    5. Hug your shoulders. The exercise is as close as possible to the name: each hand reaches for the opposite shoulder, clasping itself in front. Inhalation, as usual, takes place at the moment of the hug, and while exhaling, hand swings are performed.
    6. Big pendulum. A combination of two exercises: "Pump" and "Hug on the shoulders."
    7. Head turns. Inhalation is carried out when the head is turned 90 degrees relative to the straight position, that is, the chin and shoulder should be on the same line. The shoulders themselves are motionless.
    8. Ears. Now the head nods, for one movement - two breaths at the top and at the bottom.
    9. Small pendulum. Now the head moves like a pendulum. The ear touches (or almost touches) first one shoulder, then the other. The shoulders should not move. . Inhale both at the left shoulder and at the right.
    10. Rolls. IP - right foot forward. The exercise consists in transferring weight from the right leg to the left. It goes well with active inhalations and passive exhalations. The person seems to be swaying, standing still. Then switch legs and repeat the exercise.
    11. Steps. Walk in place with knees high. Inhale with the knee up, exhale with the knee down.

    What to do at the beginning of an attack?

    If an asthmatic feels the approach of suffocation, it is not necessary to wait for the development of a full-fledged attack. In this case, the "Pump" will help best. The palms can lie on your knees, it is not necessary to act with your hands: the main thing is that the body is as relaxed as possible. Exhalation must be done calmly and freely, and in this case strictly through the mouth. An attack is prevented in a quarter of an hour.

    During the attack, the most effective were "Hug your shoulders", "Turn your head." If within five minutes the attack is not stopped, it is necessary to use an inhaler, take medication. But this does not mean that gymnastics does not work at all on this patient. Firstly, with prolonged sessions, the likelihood of such an outcome increases, and secondly, if one attack has not stopped, another may stop.

    Gymnastics Strelnikova is a method developed in the middle of the twentieth century. Initially, the exercises were designed to restore the condition of the vocal cords. The method turned out to be very effective not only for restoring the condition of the ligaments, but also for strengthening the respiratory system in general. As a result of superficial, but intense respiratory movements, the outflow of lymph improves, the mucous membrane is cleared. The method is effective for bronchitis, bronchial asthma, pneumonia.

    - a disease that usually requires serious drug therapy. Moreover, if the disease is severe, then inhalations for the relief of seizures are supplemented with basic therapy. But it turns out that there is a special gymnastics for pulmonary patients and asthmatics. This is gymnastics according to Strelnikova. In fact, this is the usual simple gymnastics, accessible even to a child, which is accompanied by specific breathing exercises. This method has already helped many patients.

    Gymnastics technique according to Strelnikova:

    Patients with asthma usually limit their physical activity, and much more than is justified by their state of health. This is one of the most serious mistakes made in this diagnosis: the less movement, the less oxygen the muscles receive, which leads to the development of shortness of breath. Despite the fact that gymnastics, used for various diseases, was created back in the 30s, exercise therapy (therapeutic physical culture) was recognized as official medicine only in 1973. Our article will introduce you to the most effective breathing techniques for asthma and the nuances of their implementation.

    Description of the disease

    Bronchial asthma is a chronic inflammatory disease. The disease is characterized by frequent recurrences of paroxysmal dyspnea. Difficulty breathing occurs against the background of blockage (obstruction) of the airways. The high incidence of asthma in the world has become a public health problem due to the high costs of medicines and hospitalization.
    Bronchial asthma can occur at any age, but it mostly affects children and adolescents. Asthma is the most common chronic disease among children today.

    The main causes (factors) causing asthma attacks:

    • allergies (to dust, animal hair, chemicals);
    • frequent SARS;
    • polluted atmosphere;
    • tobacco smoke;
    • some medicines ("Aspirin" and other medicines from a number of non-steroidal anti-inflammatory drugs);
    • lack of adequate nutrition;
    • hereditary predisposition;
    • strong emotions, stress;
    • physical stress;
    • disorders in the work of the immune and endocrine systems, as well as the autonomic nervous system.

    During the period of remission, the patient should not have obvious signs of illness. As for the symptoms during exacerbations, the following are noted:

    1. wheezing- is the most characteristic symptom of the disease. Wheezing is heard with a long exhalation. Their appearance indicates a narrowing of the airways. Sometimes wheezing is heard even at a distance of several meters from the patient.
    2. Cough. This is the dominant symptom of childhood asthma. It is usually dry, paroxysmal, tiring, not associated with a cold, at night or after exercise.
    3. Dyspnea (shortness of breath). Asthmatics often experience sudden shortness of breath. A tiring feeling of shortness of breath occurs at night or in the morning with varying degrees of severity. This is a subjective indicator that does not reflect the severity of attacks. Shortness of breath can manifest itself as a response to provoking factors (cold air, stress, heavy physical exertion). After the introduction of bronchodilators, this symptom disappears.
    4. Effort intolerance. The patient gets tired quickly, complains that he does not have the strength to run up to the bus, climb the stairs.

    Symptoms of asthma can be accompanied by anxiety, irritability, depression, drowsiness after sleepless nights, general weakness, headaches and dizziness, a feeling of heaviness in the chest, rapid heartbeat, loud breathing, cyanosis of the skin.

    Important! If you have asthma symptoms exclusively on pollen from plants and trees, then a respiratory system diagnostician (for example, spirometry) should be carried out after the end of the pollen season, as well as after treatment for bronchial hyperreactivity.

    Therapeutic exercises for asthma

    Competent control of asthma requires close cooperation between the doctor and the patient. It is necessary to develop an optimal exercise regimen and do not forget to carry medicines with you.

    What is the use

    So, let's look at the proven benefits of breathing exercises:

    • teach deep abdominal (diaphragmatic) breathing;
    • cleanse the lungs of harmful microorganisms, normalize blood flow;
    • reduce the risk of exacerbation of the disease;
    • reduce symptoms of inflammation (including shortness of breath);
    • normalize lung ventilation, restore bronchial patency;
    • shown for better sputum discharge;
    • facilitate and stabilize breathing through the nose;
    • form the correct posture in schoolchildren;
    • prevent deformation of the chest;
    • strengthen muscle tissue and maintain physical fitness;
    • positively affect the psychological state, stimulate the body's defenses.

    Did you know? If human lungs are deployed on a flat surface, they will cover an entire tennis court.

    Harm and contraindications

    Therapeutic gymnastics can cause damage in the presence of the following pathologies:

    • mechanical damage to the head and spine;
    • chronic osteochondrosis and sciatica;
    • hypertension, ICP, glaucoma, IOP;
    • displacement of intervertebral discs;
    • myocardial damage, congenital heart disease;
    • kidney, liver or bladder stones;
    • myopia greater than 5 diopters.

    In a serious state of health, but in the absence of contraindications, the patient is allowed to reproduce techniques in a sitting or lying position.

    Basic rules for doing exercises

    When playing breathing techniques, it is important to remember certain rules:

    1. Focus on taking deep, extended breaths (these will automatically provide deep breaths).
    2. In between meals, continue to breathe deeply.
    3. During one workout, you should not do a large number of deep breathing techniques, so as not to provoke hyperventilation syndrome.
    4. Deep breathing techniques are not the same for everyone, they are performed taking into account the individual person's oxygen needs.
    5. Try to exercise outdoors.
    6. Make sure that your movements are not constrained by uncomfortable clothing.
    7. Regularity is also important - preferably in the early morning and before going to bed.

    Did you know?In Japan, special clubs have been created where, for a rather modest amount of money, you can breathe in purified flavored air.

    Therapeutic exercises for asthmatics

    Breathing techniques are designed to control the symptoms of hyperventilation and focus on changing the pattern of breathing. Therapeutic gymnastics includes the system of Strelnikova, Buteyko, yoga and other similar techniques.

    According to the method of A. N. Strelnikova

    The main difference between the Strelnikova complex and other systems lies in paying special attention to the duration of the suspension of breathing and exhalation.

    "Palms"

    1. Stand up straight.
    2. Raise your arms bent at the elbows.
    3. The hands must be turned away from you.
    4. Intensely and loudly inhaling, clench your palms into fists.
    5. Then follow a slow and easy nasal (or oral) exhalation. In this case, the exhalation should be accompanied by unclenching the palms, but you should not strain your fingers.

    In the first lesson, the technique is performed four times, followed by a break of 3-5 seconds. The second day of classes involves 8 receptions. On the third day, do 16 repetitions, and after a few days - 32.

    Important! In order not to bring down the respiratory rhythm, keep counting the number of techniques performed in your mind.

    "Leaders"

    1. Stand up straight, feet should be shoulder-width apart.
    2. Keep your shoulders loose.
    3. Slightly bend your elbows, and gather your hands into fists.
    4. Putting your fists on your stomach, inhale quickly and loudly through your nose.
    5. As you inhale, drop your fists down.
    6. Open your hands and fully straighten your arms.
    7. With a slight exhalation, again gather your fingers into fists.
    8. Finally, return your fists to waist level.

    One series includes 8 respiratory cycles, followed by a 4-second rest and the next 8 cycles. There are 12 episodes in total.

    1. Stand straight, feet should be slightly narrower than shoulder width.
    2. Lower your arms completely relaxed.
    3. Slightly lower the body forward, rounding the back.
    4. Tilt your head forward as well.
    5. At the maximum point of inclination, take a sharp, loud breath.

    Do 8 breaths. Rest for about 45 seconds and repeat the same number of moves.

    "Cat"

    1. Stand up straight.
    2. Feet should be slightly narrower than shoulder width, try not to tear them off the floor.
    3. Do squats with synchronous turns of the body to the right, then to the left.
    4. Keep your hands at the level of the abdomen bent at the elbows.
    5. During squats, make haptic movements with your hands (like a cat).
    6. Avoid deep squats, it should be a half squat. Accompany each squat with a quick and loud breath.
    7. The nature of the exhalation is unprincipled - do it reflexively.

    Do 8 sets of 12 squats.

    "Hug your shoulders"

    1. Stand up straight.
    2. Raise your arms bent at the elbows to shoulder level and, as it were, throw one towards the other, as if trying to hug yourself.
    3. With each girth, take a quick breath in synchronously.
    4. Move your hands parallel to one another. It is strictly forbidden to change hands.

    Do 12 sets of 8 breaths.

    Did you know? Insects do not have lungs: the functions of the organ in these creatures are performed by the trachea.

    "Big Pendulum"

    This technique combines elements of the "Pump" and "Hug your shoulders":

    1. So, stand up straight, place your legs already shoulder-width.
    2. Leaning forward, stretch your hands to the floor and inhale. Immediately, without interruption, make a slight tilt back.
    3. Inhaling again, wrap your arms around your shoulders.
    4. Breathe out effortlessly.

    Implement 12 sets of 8 breaths.

    "Steps"

    "Forward step":

    1. Stand up straight, legs already shoulders.
    2. Raise your right leg bent at the knee up to waist level.
    3. Then straighten the same leg from the knee, pulling the sock.
    4. After taking a quick and loud breath, sit down slightly on your left leg.

    Do 8 sets of 8 breaths.

    "Back Step":

    1. Take a similar position of the body. But now the bent right leg must be taken back.
    2. Inhaling, sit down on your left leg and inhale.
    3. Exhale voluntarily.
    4. Repeat the move on the opposite side.

    Do 4 sets of 8 breaths.

    Important!If the techniques are performed by children, then for them the number of exercises is strictly dosed (the duration of one charge is no more than 5 minutes). In addition, it is desirable to conduct training in the form of a game. On the whole, theActivities will be useful for a child only if they have competent therapy and a healthy lifestyle.

    According to the method of K. P. Buteyko

    Before classes according to the Buteyko method, the ability to hold your breath is tested. The fact is that the patient should not feel the lack of air. It is impossible for breathing to be stopped by force - this should be a completely natural process.
    So, press the wings of the nose with your fingers and count your maximum. Professor Buteyko believed that a result above 1 minute indicates perfect health, between 40-60 seconds - the body also functions without problems.

    The professor emphasized that there are no serious problems with the respiratory system even for those who are able to withstand only 20-30 seconds without air. However, if the patient finds it difficult to go without air for 10 or 15 seconds, this may indicate that he is not breathing normally.

    The purpose of the Buteyko technique is to reduce the depth of inhalations and exhalations, simplify nasal breathing, and acquire the skill of long-term cessation of breathing. The technique also allows us to control the air we swallow. So, the classic Buteyko nasal breathing method involves the following scheme of actions:

    • superficial breath - 2 seconds;
    • exhale - 4 seconds;
    • stop breathing for about 4 seconds, followed by an increase.

    Video: how to breathe correctly according to the Buteyko method Keep a diary to help you keep track of your breathing.

    To stop an attack

    In the event of an asthma attack, try not to panic and keep passive and moderate breathing. Take your medicine quickly. Ask loved ones to massage your back and chest area.
    Breathing exercises to relieve an asthma attack:

    1. Take a nasal breath. As you exhale, play the sound "p-p-p". Keep your lips closed while doing this. Take a short break. Requires 4-5 repetitions.
    2. Take a nasal breath. As you exhale, play the sound "m-m-m". While doing this, keep your lips pursed. Take a short break. Requires 5-6 repetitions.
    3. Gently rub the surface of your nose with your ring fingers for one minute.
    4. Press your finger on the jugular fossa until tolerable pain occurs. If after a few minutes the breathing stabilizes, you can loosen the pressure. This technique can not be performed for more than five minutes.

    Important! If symptoms of an attack persist, seek medical attention.

    Tips for conducting classes for patients with asthma:

    • it is necessary to start classes only at the stage of remission of the disease, during periods of exacerbations and stay in the hospital, the method of therapy changes - the patient needs the help of an experienced physiotherapist;
    • start training preferably on an empty stomach and with an empty bladder;
    • techniques should be mastered gradually - the transition to the next technique is possible only when the previous one is performed without any complications.

    It is important for people with asthma to realize that physical activity does not in any way increase the risk of wheezing and other uncomfortable symptoms. The initial effect of classes may be general discomfort - anxiety, shortness of breath. However, be patient and keep exercising, and classes will gradually begin to bring positive results.

    Physiotherapy exercises are widely used as a method of correction of bronchial asthma with proven effectiveness. To make the effect of gymnastics more pronounced, a set of exercise therapy exercises prescribed for bronchial asthma is recommended to be performed daily and, if possible, combined with breathing exercises and massage.

    What is bronchial asthma

    Bronchial asthma is a chronic inflammatory disease of the bronchi of a non-infectious nature, manifested by asthma attacks. A large number of factors influence the development of the pathological process. This is a hereditary predisposition, and the presence of allergies, and adverse environmental factors.

    The main symptoms of asthma are:

    • Shortness of breath with difficult exhalation;
    • Attacks of suffocation;
    • Dry or wet cough;
    • Pulmonary rales;
    • Feeling stuffed in.

    In the allergic form of the disease, these symptoms appear after contact with the allergen.

    The main difference from is the non-infectious nature of the disease and the reversibility of bronchial obstruction - the overlap of the bronchial lumen due to edema and blockage with sputum. With bronchitis, the process slowly progresses, and the lumen of the bronchi gradually narrows more and more. In asthma, against the background of an acute narrowing of the bronchial tree, an asthma attack develops, but after the use of special bronchodilator drugs, breathing is restored.

    It is in connection with the reversibility of bronchial obstruction that exercise therapy in bronchitis and asthma is somewhat different.

    Tasks of exercise therapy for asthma

    A competent approach to treatment with movement helps to significantly improve the quality of life of an asthmatic, the main tasks of therapeutic exercises for bronchial asthma are:

    • Stimulation of blood flow in the bronchopulmonary system, improvement of gas exchange processes;
    • Increasing the elasticity of lung structures;
    • Training of muscles that directly provide the process of breathing;
    • Reflex regulatory influence on the functioning of the respiratory center in the brain;
    • Increasing the resistance of the respiratory system to physical exertion and stress factors;
    • Increased tidal volume, due to which breathing becomes more efficient;
    • Reducing the severity of shortness of breath due to the relaxation of smooth muscles in the walls of the bronchi;
    • Reduction of asthmatic attacks;
    • Facilitate the excretion of sputum;
    • General strengthening effect on the body and stimulation of immunity;
    • Improving the mood and general psychological state of the patient.

    Indications and contraindications

    Performing physiotherapy exercises is shown to all asthmatics in the interictal period. However, the following contraindications must be taken into account:

    • Acute infectious process with fever and general deterioration of health;
    • Respiratory insufficiency III degree (increase in respiratory rate up to 25 respiratory movements per minute);
    • The risk of developing hemoptysis, pulmonary bleeding;
    • Malignant neoplasms;
    • Asthmatic status (long-term intractable asthma attack);
    • Severe disorders of the heart;
    • The appearance of pain during the implementation of the main set of exercises.

    The patient does not always know that he has contraindications to exercise, so you can start training only after consulting a pulmonologist or therapist.

    Note!

    Asthmatics are prohibited from holding their breath at the height of inhalation for longer than 7 seconds, as well as performing gymnastics elements that require straining.

    Exercise therapy for bronchial asthma in children

    The main difficulty in the treatment of bronchial asthma in childhood is the limited use of medications. Therefore, treatment by movement and regulation of breathing come to the fore. Training is allowed for kids from 3 years of age and has restrictions similar to adults.

    Breathing and classical gymnastics for children with bronchial asthma should contain simpler elements that are easy to perform, and should interest the child so that he has an incentive to study. To do this, it is desirable to involve adults or other children in the process. The duration of one exercise therapy session should not exceed 20 minutes, breathing exercises - half an hour.

    Children's gymnastics to normalize breathing includes:

    • Breathing with a gradual lengthening of the exhalation;
    • Exhalation sound effects: whistling, hissing, vibrating sounds;
    • Tasks for short-term pauses in breathing after exhalation.

    As part of therapeutic physical culture, exercises for bronchial asthma for children include the following options:

    1. "Crow". Sitting comfortably on a chair with arms outstretched at the sides, the child stretches the straightened arms through the sides up while inhaling, lowers them down while exhaling, pronouncing a long “karrr”.
    2. "Bug". In a similar position, the baby spreads the arms to the sides, holds them overhang, and also spreads his legs as wide as possible. During inhalation, the body turns to the side, while exhaling it turns straight again, at this time the child imitates the buzz of a flying beetle: “zhzhzh”.
    3. "Geese". Still sitting, the child places his fingers on the shoulder girdle. Inhaling, tilts the torso parallel to the floor, exhaling, straightens up, pronouncing "gaa" or "guu".
    4. "Crane". Standing up straight, the baby lowers the arms along the body, then, inhaling, pulls them up through the sides, exhaling, lowers them again, reproducing the sound “uurrr”.
    5. "Stork". The child puts his feet shoulder-width apart, takes the handles to the sides. During inhalation, alternately pulls the bent legs up, while exhaling, puts it on the floor, while pronouncing “shhh”.

    All tasks are repeated 5 times.

    This is interesting!

    Domestic studies have shown that after 6-9 months of regular exercise therapy, 34% of children with asthma managed to cancel hormonal drugs, the incidence of viral infections decreased by 3.7 times, the frequency of attacks of bronchial obstruction - by 4.3, the duration of exacerbations - by 2 ,4, and the need for bronchodilator inhalers - 4.7 times.

    Useful video - Exercise therapy for bronchial asthma for children

    Exercise therapy methods for bronchial asthma

    Non-drug therapeutic methods include massage, breathing exercises, and exercises for bronchial asthma. It is optimal to carry them out in the following sequence: massage - breathing exercises - basic physical training - massage.

    These techniques are additional, but do not replace the basic treatment prescribed by the doctor.

    Physical exercise

    Physical activity in asthmatics should include not only a complex of exercise therapy, but also swimming, walking, yoga and other methods of normalizing the functioning of the bronchopulmonary apparatus.

    The duration, intensity and nature of physical activity are determined for each patient individually. To do this, you need to go to an appointment that will select the appropriate set of exercises for bronchial asthma. The first few classes are best done with an instructor, and then you can practice on your own at home.

    There are general rules for exercise therapy for asthma:

    • Thoroughly ventilate the room before training, as an option - exercise in the fresh air;
    • The load, the frequency of approaches is increased gradually, provided that the gymnastics is well tolerated;
    • If during the training you feel bad: shortness of breath has increased, the pulse rate has greatly increased, chest pains have appeared, then the session should be stopped immediately and the doctor should be informed about the deterioration;
    • If asthma is characterized by a severe course, then the loads should be strictly metered, and before starting a workout it is better to use a bronchodilator inhaler.

    Massage

    Massage is desirable to do before and after physical training. At the same time, they affect the muscles of the neck, shoulder girdle, chest, abdomen - that is, all areas that provide respiratory movements. This technique reduces the stiffness of the chest muscles, facilitates breathing and stimulates the removal of mucus from their bronchi.

    Massage can be performed using the following techniques:

    • Percussion (tapping);
    • Vibromassage;
    • Acupressure;
    • Segmental massage;
    • Self-massage;
    • Postural drainage (performing the procedure in a position that improves the outflow of sputum from the bronchial tree).

    Acupressure can be used if you feel the approach of an attack, for its prevention, as well as with already developed suffocation as an aid.

    Breathing exercises

    Breathing exercises help asthmatics learn to control their breathing, prevent or quickly relieve attacks, and normalize the state of the respiratory system as a whole. This method is safer than physical training and has virtually no restrictions. Here are the safest and most effective elements of breathing exercises:

    1. Measuredly inhale and exhale air for 60 seconds, gradually reducing the breath and lengthening the exhalation.
    2. Take a full chest of air, exhale as long as possible, reproducing hissing sounds.
    3. While inhaling, squeeze your fingers into fists, exhaling, bring them to your shoulders.
    4. In a supine position, alternately pull the legs, bent at the knees, to the ribs, while exhaling, straightening them again.
    5. Stand up straight, place the right hand on the abdominal press, the left hand on the chest. Practice diaphragmatic breathing for half a minute: only the stomach should move in time with the respiratory movement, the palm on the chest remains motionless.
    6. Slowly draw in air through the nose, exhale quickly and sharply, in intermittent portions.

    A set of exercises

    A set of exercises that are effective in bronchial asthma includes tasks performed from different starting positions. The number of repetitions can vary from 5 to 15.

    1. The patient lies in bed. Inhaling, stretches one arm up, perpendicular to the body. On exhalation, all the muscles of the arm relax, and she falls passively on the bed.
    2. In a similar position, on exhalation, one leg is extended upwards, lingered there for five seconds, then, on inhalation, it descends back.
    3. In a sitting position, exhaling, tilt the body alternately to the right and left, while the arms passively move to the sides. Inhaling, straighten again.
    4. In the previous position, spread your legs to the sides as much as possible, and also take your hands to different sides. Exhaling, turn to the right, then to the left with the whole body. After a 5-second delay, inhale and return to the same position.
    5. The patient stands straight, hands at the waist, feet shoulder-width apart. Against the background of maximum exhalation, he tries to connect his elbows without removing his palms from his waist.
    6. With support on the back of the chair, a slow squat is performed on the exhale. On inspiration, return to the starting position.

    Video - Therapeutic exercise for bronchial asthma

    Exercises for exacerbation of the disease

    Exercise therapy during an exacerbation of the disease includes only light physical activity, training elements can only be performed if you feel satisfactory. On average, it is permissible to do from 5 to 10 approaches, the inhalation should always be shorter than the exhalation.

    1. Abdominal breathing in a supine position: when inhaling air, the stomach inflates, while exhaling it retracts.
    2. Sitting on a low chair, inhale fully, spreading your arms to the right and left. In the process of exhalation, bend down, touching the floor with your fingertips.
    3. From a sitting position with hands brought to the shoulder girdle, stretch them horizontally, inhaling deeply.
    4. In the previous position, cross your arms on your chest while exhaling. Inhaling, take the starting position.
    5. In a sitting position, bend the feet alternately, then in the plantar, then in the back direction. On the inhale, squeeze the hands into fists, on the exhale, relax.

    During exercise therapy, patients with bronchial asthma should be reasonably careful not to try to complete the entire set of exercises in the first lesson. In this case, measuredness, accuracy and sensitivity to one's condition are important. If these rules are observed, there is a real opportunity to reduce the frequency and severity of asthma exacerbations.

    The respiratory function is one of the main ones for maintaining human life, therefore, a violation of its normal operation will lead to health problems, especially for patients with bronchial asthma. As a result, the question "How to breathe properly with bronchial asthma" worries many asthmatics.

    Bronchial asthma is considered tricky. Asthma is accompanied by regular or episodic attacks of suffocation, and if a person does not breathe properly during an attack, the bronchi cannot be fully cleared of mucus, which further aggravates the situation.

    To improve the condition of a patient with bronchial asthma, specially designed therapy helps, which is complemented by various physiotherapy exercises and specially designed breathing exercises.

    The specificity of the course of bronchial asthma causes a person to involuntarily breathe incorrectly. In particular:

    Mouth breathing, unlike nasal breathing, does not moisten or warm the incoming air. In this case, the person's nasopharynx dries up, which leads to irritation of the respiratory system, and this is a direct path to the onset of an asthmatic attack.

    Auxiliary and alleviate the condition of a sick person. Doctors call it the oldest and most effective way to restore proper human breathing.

    IMPORTANT! If you breathe correctly during an asthma attack, the body can adjust itself to the recovery process and prevent the development of various complications from asthma.

    Properly set breathing in bronchial asthma helps to drain the bronchi, cleanse them of accumulated microbes, and also strengthen the muscles of the chest, normalize blood circulation, and improve metabolism in the body.

    Before starting breathing exercises, you should consult with your doctor. Sometimes it happens that these exercises may be contraindicated for a patient with bronchial asthma. In other cases, the correct breathing technique has the following advantages:

    1. Anyone can learn to breathe correctly.
    2. This technique does not require any special equipment or money.
    3. Proper and regular exercise helps to achieve stable remission in patients with bronchial asthma.

    Contraindications for exercise

    Bronchial asthma is a difficult to predict disease, so experts do not recommend performing exercises for proper breathing in the following situations:

    • if the exercise provoked or severe cough;
    • It is not recommended to do gymnastics in adverse weather conditions. For example: during rain, heat or severe frost;
    • to learn how to breathe properly, you should avoid stuffy and poorly ventilated rooms;
    • respiratory diseases, poor health or loss of strength are also contraindications for breathing exercises.

    How to properly prepare for class

    IMPORTANT! A good mood, a confident focus on a positive result, calmness are the main conditions in an effort to learn how to breathe correctly.

    Regular and full-fledged exercises require a minimum of external conditions, for this the following conditions are necessary:

    The most common breathing exercises for bronchial asthma

    ♦ "Right Awakening". Exercise can be done right in bed after waking up. You should lie on your back, relax and lie down like that for about 30 seconds. Then inhale, hold your breath and pull your knees to your chest as much as possible, while slowly exhaling air through your mouth. Repeat at least 10 times.

    ♦ "Breathe with the participation of the stomach." It is convenient to lie on your back, place your hands under your hips. A strong inhalation through the nose, a slight delay in breathing and a slow exhalation. On exhalation, it is necessary to draw in the stomach as much as possible, at the entrance - to stick it out. After each exhalation, you should cough.

    ♦ "Belly-ball". Performed standing. Place your hands comfortably on your hips and breathe through your nose. Take a deep breath and inflate your stomach as much as possible like a balloon. A sharp exit and draw in the stomach as much as possible. Repeat about 10-12 times.

    ♦ Alternate breathing. A simple exercise that can be done at any convenient time. Take a deep breath in through your mouth and slowly exhale through your nose. Breathe slowly.

    Experts emphasize the benefits of yoga in the treatment of many diseases associated with the bronchi. Singing exercises are also considered effective. Any classes are recommended to end with self-massage of the chest. irritate and set in motion the ciliated epithelium of the bronchi, and coughing evacuates sputum out. The airways are cleared, air passes through the bronchi and enriches the lungs of the asthmatic with oxygen, and also makes it easier to breathe.

    Specialists in therapeutic and respiratory gymnastics recommend that patients with bronchial asthma first attend group classes at the nearest clinic or hospital.

    IMPORTANT! Joint exercises with a trainer and other patients suffering from bronchial asthma will help you learn how to breathe correctly, time in the group usually passes with benefit and pleasure.

    Breathing should be taught to all people, regardless of age and health status.