Clear mucus from your lungs and bronchi: series of 8 helpful exercises. Part 4


Mucus forming in the lungs during an infection is a normal physiological reaction. The goblet cells produce more mucus so pathogens can be quickly transported out of the system. At the same time, the mucous membranes become swollen because many immune defence cells are being transported to the site of the infection. More mucus and swollen mucous membranes constrict the bronchi, which is also where air flows. So breathing becomes more difficult. By doing certain exercises, mucus in the lungs can be mobilised so that it can be expectorated more easily and quickly. Every week we will present another one of the eight helpful exercises here on our PARI BLOG:

How do breathing exercises work to clear mucus in the lungs and/or bronchi?

We asked Marlies Ziegler this question. She is a physiotherapist who specialises in respiratory physiotherapy and who every day works with patients who have chronic problems with clearing mucus from their lungs and bronchi. So she is well versed in effective exercises for mobilising mucus in the lungs. Not only are these exercises suitable for patients with chronic lung diseases such as COPD, cystic fibrosis, PCD and chronic bronchitis, they are also appropriate for times when the lungs and bronchi are acutely congested with mucus due to colds, bronchitis or pneumonia.

Marlies Ziegler knows from experience that the exercises work. The reason is that “the exercises have a positive effect on the flexibility of the chest, the spine and the ribs. Breathing is altered by this increased flexibility and the mucus can be cleared better.”

To achieve the best possible result, all of the exercises should be synced with your breathing. Syncing one’s breathing and movements can cause fluctuations in the bronchi in time with one’s breathing, enabling the air to get in behind the mucus. The mucus loosens and can be transported out of the lungs more easily. This works even better if you hold your breath for a short time after inhaling (if possible, slowly count to three).

Exercise 4: Diaphragm bridge active

In the “diaphragm bridge active” exercise your diaphragm has to work against resistance. Because the tension in these muscles ensures that organs are pushed toward the chest. During the exercise your attention should be on your breathing. After the exercise, your breathing will be deeper and will provide relief. How to do this exercise:

  1. Lie on your stomach on the floor.
  2. Put your arms down at your sides next to your body.
  3. Turn your head to the left.
  4. Now lift your abdomen slightly up from the mat. Imagine you are pulling your belly button up toward the ceiling. But do not suck in your stomach; use your abdominal muscles instead. This is a very small movement.
  5. At the same time, your lower back should go up toward the ceiling.
  6. Push your pelvis down toward your feet.
  7. Important: Use your abdominal muscles to hold this position.
  8. In this position, breathe in and out through your nose deeply, six to ten times.
  9. Lower yourself to the mat and relax. Then turn your head to the right side. Pay attention to how your breathing has changed compared to the beginning of the exercise.
  10. Turn your head to the right and go into the diaphragm bridge again (starting with step 4).

Repeat the diaphragm bridge 3 to 4 times on each side, turning your head to the left and right.

About Marlies Ziegler

Marlies Ziegler works as a physiotherapist in private practice in Munich. She specialises in respiratory therapy. She has been treating patients with chronic obstructive and restrictive airway diseases such as asthma, COPD, cystic fibrosis (CF) and primary ciliary dyskinesia (PCD), for 20 years.

Exercise 1: Bow and arrow while lying down

Exercise 2: Screw (supported)

Exercise 3: Fish (activ or supported)

Exercise 5: Mini cobra

Exercise 6: Chest rotate and strech position

Exercise 7: Diaphragm pokes

Exercise 8: Pinching yourself

Note: The information in this blog post is not a replacement for treatment. The exercises described should be used as examples for respiratory therapy. PARI recommends that patients always coordinate with their doctor and physiotherapist.

An article written by the PARI BLOG editorial team.

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