Chest Clearance Techniques (Bronchiectasis) - A Practical Session

A practical session by Clinical Specialist Physiotherapist Jude Colligan at the SARA 'Respiratory Challenges' education day (Centre for Health Science, Inverness, 25.05.2017).
The Scottish Allergy and Respiratory Academy (SARA) provides regular training and educational resources for healthcare professionals in the areas of asthma, allergy and COPD. Training covers practical management of conditions as well as latest research findings.
Read more about our courses in Scotland at www.scottishallergyrespiratoryacademy.org/courses

[@spirocorbett3839]

God bless this fantastic healer. If it wasn't for her demonstrations , I would have died in the night. Thank you, from the bottom of my lungs, and from the other side of the world.

[@fan2807]

@Dobry Dool pls send more info i cant find anything in google under this name.thanks

[@annepercival7814]

I have had bronchiectasis for 70 years since a small baby...but no one has ever explained anything like this before! Just get antibiotics.....marvellous for a few weeks, then back to square one. Thankyou

[@dizzydaydream9647]

anne percival my mum has had bronchiectasis for 55 years. She had a lobectomy at 14, an empyema, lung abscess and a life time of amoxicillin and doxycycline. Her story is identical to yours in that as soon as they finished she would have a few weeks of being ok and then her secretions would build up and the coughing and crackling would really affect her daily activities. She recently did a 2 year trial at our local hospital and has been on gentamicin via a nebuliser twice a day. She hasn’t looked back. It has worked wonders for her. I hardly hear her cough and she has so much more energy and looks tonnes better. Perhaps it would be worth mentioning it to your GP or consultant!! Gent is not licensed via a nebuliser route but that’s what this trial was all about. (Just thought you may be interested). Stay safe with this Covid 19 nightmare.

[@insafullahghanghro3212]

My mother Is also suffering from this Disease from 40 years 😭💔

[@marcusarilleus3625]

@@dizzydaydream9647 ⁰⁰⁰⁰⁰

[@cfoster6804]

I can't even get antibiotics for mine! My pulmonologist didn't even tell me about Aerobika. I had to see a Mayo Clinic Pulmonologist to find out they even existed.

[@alicegarrett452]

I was diagnosed with bronchiectasis 3 years ago... and have not once seen a consultant ... I DID have a lung function test but they haven't even let me know any results ! anything I DO know about bronchiectasis is by googling ! and doesn't seem right ! I know being under NHS and covid has caused huge backlogs but not even any advice about managing it 🙄😒?... wrong ! I found this video today and seeing if I can find an acapella (?)

[@JoanKentBible]

Thank you for this video. I found it very helpful as I am still learning how to handle the condition. I was diagnosed with Bronchiectasis five years ago. I did not understand the condition at all and thought useful life was over for me. After about a year I began to understand how to manage my condition. Now I take a daily walk around a fairly large shopping centre which gives me plenty of exercise, fresh air, interesting things to look at and, very importantly I have a friendly word to say here and there to strangers at bus stops, shopping queues and so on. Most people appreciate a friendly word and a kind smile and am not put off by the occasional bad response, I just quietly turn away. With practice I found that I was listening to their stories with patience and without judgement or being tempted to give advice. Mental health is vital, isolation can be devastating. Helping others, when help is accepted, it extremely uplifting. Most importantly, I do all I can to keep my lungs clear and continue doing as many things that I enjoy. Life is for living. Reading aloud is one way of helping. I occasionally read chapters from the bible and put them on KZbin. It might take several days of trying before I can get a complete chapter out in one go and my voice might be husky. I don't give in. Love life and people and contribute in any way you can to the happiness of others, whilst taking very good care of yourself. Look after yourself. God bless you.

[@user-qz5gi4uh6x]

What a wonderful way of making the best of our circumstances.

[@pataleno]

What beautiful words. Hope your doing well in these difficult times Joan. God bless.

[@JoanKentBible]

@@pataleno Thank you. Honestly, the transition from out and about to total lockdown has not been a problem, so far. I just do things differently whilst at the same time becoming aware of those things that once were important and those things that I thought were important, once. Those of us who are Christians experience that "peace of God that goes beyond all understanding." I am so grateful to Jesus Christ. God bless you.

[@JisooTurtleRabbitt]

Joan Kent I had pneumonia about a month ago then it turned into pleurisy and even though it isn't as bad I still have a stabbing pain in my back, shortness of breath and a mucus cough, it hurts, I've been asked to get a CT scan tomorrow as this is what they think I have, I'm so worried that not I am going to be stuck with a lifelong condition due to one chest infection:(

[@ralfoxygen1374]

The newest and most effective therapy from Germany: vital-air-therapy.com

[@lindabunn9361]

Very helpful, thank you. Because of the pandemic my physiotherapy appointment to have this technique explained was moved to the phone. This video has really helped to clarify things. I also find singing a little every day helps a lot with bronchiectasis symptoms.

[@bobbybelarmino5649]

Very well done Madam! From another pulmonary physical therapist across the pond:)

[@marjoriejohnson3147]

This information is very helpful! I had a diagnosis of Bronchiectasis 3 years ago but never was told about all of these options for dealing with this condition~a diagnosis is one thing~Doctors should recommend seeing a physiotherapist who can provide detailed practice and information about how to best use exercise and these devises~Thank you so much Jude Colligan!!!!!!!!!!!

[@casimerquadros4341]

Nicely explained with demo. Great session Madam.

[@dee4174]

Thank you. My husband and I both have chronic lung problems. Since having covid 2 years ago we have had so many antibiotics. Every bug goes straight to our chests. This video is the best explanation we have had. We both have "flutters" and saline nebulisers and inhalers. We are sick at the moment and struggling to clear the gunk. We will try the techniques you shared. Thank you. 😊

[@I_0..0_I]

What a great teacher

[@sunflowerdancecom]

These are all gods ambassadors on the earth. If you follow SINCERELY you can get rid of all issues of asthma permanently

[@myway2653]

Very informative. Thanks

[@chrismass9761]

Holy crap this was very helpful....I've been trying to cough up what ever is clogging up my lungs and it seems to make things worse...thanks so very much for the techniques...

[@annepercival7814]

Are there any sessions like this on offer in the Manchester area?

[@theresaturner3114]

Grab a drinking cup kids use. Has a lid and a large washable straw, fill half with water. Then take deep breath then SLOWLY blow Out into straw which forms bubbles down inside cup. Keep blowing as much as you can till your you empty your lungs completely. Re do about 5 times. Great to help my lungs. Easy

[@cfoster6804]

Thank you!

[@philnewton3096]

12;14 couls be a good exercise to strengthen the diaphram?

[@lajwantishahani1225]

Thank you for this detailed video. I was struck with reactive airway disease a little over 3 years ago and was on medication until a year ago. The chronic stage had lasted for about 6 months. Now I'm absolutely fine, off the med and very rarely if at all do I feel slight discomfort. But now with COVID-19, I'm feeling slightly worried about this being a comorbidity... I've been doing hot water gargle with salt every day plus steam inhalation, just to keep the upper and lower respiratory system clear of mucous, especially since I also have allergic sinusitis. I'm doing deep breathing exercises too. I've realized that besides reacting to smoke and chemicals, I do tend to react with breathing difficulty to stress as well.

[@idontwanttoparticipateplea212]

Lajwanti Shahani I got a lot better when I went off antibiotics too! I stopped getting pneumonia and bronchitis with my Bronchiectasis. I still feel sick if I work more than 4 hours and cough LOTS of phlegm up which sucks, but it’s better than feeling sick the majority of my days.

[@lajwantishahani1225]

@@idontwanttoparticipateplea212 there's an Indian herb 'Ajwain' that you could use with steam inhalation. I'm not sure of the correct English name (Carroway?) but you might find it in an Indian store in your city or on Amazon... Also good for hot fermentation in a poultice. Dries up the phlegm really fast.

[@idontwanttoparticipateplea212]

@@lajwantishahani1225 Thank you! I will try to find it :)

[@annyfascia]

I don’t want to Participate please did it help you?

[@suethomassen1520]

I like the idea of the belt, will try it. When I get abit breathless, or just can't 'suck-up' that one deep breath, I lower my waistband, regardless what I have on. By a few inches below it's normal position, this seems to allow me to breath deep. My waistband was/is not tight, but I'm pushing against it to try for the breath, this helps me.

[@learnovate3063]

Good Technique

[@nandkarmani5612]

Greetings! My uncle is on oxygen 24/7 for 2 months, following is Scan report in summary. "Right lung is completely collapsed and replaced by cylinderical and cystic bronchitis". Docs say there is only option for patient to be on oxygen for survival. What kind of excercises do he need. Kindly suggest the treatment to get conditions better. Thanks.

[@connienormam5918]

No hospital or rehab I've been to here in Indiana know about this

[@Pera-Peric]

*I have bronchiectasis. Lobectomy yes or not ?*

[@ghostdog662]

Holy moly

[@rosamisticagiramur9627]

Learning a lot.

[@GTZPIMP]

From what come the bronchiactasis

[@caroletraynor6337]

Tried the green one, rubbish, I always end up with an headache after useing it.

[@laral8668]

I read the comments and I am in the same situation I have been diagnosed with bibasal bronchiectasis and I don’t know much about I try to find out by research I walk loads bit some day I can’t walk I am just lack of energy. We should do a group and all of us we get well informed and support each other.

[@jimmyneedham4346]

Clasp hand over mouth to cause resistance to breathing out then gradually widen figures to alter the resistance for lung work out,

[@kenechukwutheresa6704]

God bless you doctor I was diagnosed of broncheatesis a long time a go,I am in Nigeria and i don't know how to get any of those devices,pls help me my life is draining away gradually.

[@suethomassen1520]

Try blowing up balloons, same principle and probably easier to get.

[@nitinyouiyyi7rane1ttiyr58]

Get homeo pathic medicines on Asthama. Contact homeopathic Dr from Mumbai

[@StayCurious247]

In my case nothing works no matter how much exercise i do. :(

[@missmix48]

I can't find where to get one of those belts to put around the top of the chest... Where do you get that at?

[@vincentanguoni8938]

Lose weight!

[@2eleven48]

S. Woods.....it would seem obvious. google.

[@grobbler1]

Similar to a weightlifting belt? Could maybe Google that.

[@annepercival7814]

Are these belts for bronchiectasis available to buy?

[@2eleven48]

anne percival...I never understand questions like this. Just put your question into google.

[@michaelpinchard3823]

@@2eleven48 thats fine if you know the correct name for it, not helpful

[@grobbler1]

Similar to a weightlifting belt? Could maybe Google that.

[@Kristie-ws9uu]

Personally I just get one of the waist cinches it’s called a lumbar belt and you can just use that cinched up tighter around the chest. Just get one in a small size

[@PAULLONDEN]

Making yourself sneeze might also help clearing bronchia ?

[@2eleven48]

PaulLonden....sneezing has nothing to do with your lungs, but with your nasal passages. Don't you know anything about how your body works?

[@PAULLONDEN]

@@2eleven48 If one sneezes ,one's lungs somewhat deflate instantly . All the air one sneezes out💨 has to come from somewhere ? Don't you know anything about how your body works ? Anyway.....smartpants , I posted it as a question.

[@skygazer6898]

As soon as COVID19 reared its ugly head, i became rather frightened that i would catch it and if I did it would kill me. I did catch it and fortunately for me i did not have to go into hospital and my oxygen levels although dipped to 92 they rose quickly. Thank God for my inhaler

[@philnewton3096]

No one mentions woodwind brass playing {from childhood in some communities[-[including mining ] Breathing from the abdomen as the 1st lesson I believe-I m a string player

[@surfbug1]

Same thing with singing. I have been taking vocal lessons for four years now. First lesson? Breath from the stomach

[@janam4152]

Also yogic breathing exercises start deep in a similar fashion

[@fallinbing7291]

Hmm...surely woodwind and brass are different things, with different demands on the respiratory tract? As with singing? I’ll stick with strings!

[@hammycats6919]

I have Bronchiectasis and I am sick of it, sick of the cough and the tightness and soreness in the chest. Sometimes it makes me feel lousy Get no help from GP. 😥😥

[@Mr.ashukashyap]

Can you please tell me your symptoms because i am confused if i have it or not

[@hammycats6919]

@@Mr.ashukashyap Constant cough, chest and lung pain. Prone to chest infections. An xray from your doctor will confirm if you have it or no. Sometimes my temperature goes up too and I can't tolerate dusty areas and certain items. I also can't use perfumes or air fresheners as that starts flair ups. 👍 You will also find your lungs feel full of mucus, so clearing your chest daily helps. 👍

[@Mr.ashukashyap]

@@hammycats6919 i am 23 years old and from last 40 days i have wet cough and no other symptoms how old are you and for how long you have been diagnosed with bronchitis

[@Aminaali786]

I do experience the same its horrible to manage with bronchiectasis i feel like i lost good life, i get Pneumonia every other week

[@cfoster6804]

Yes, it is an AWFUL condition. Makes me feel like an 80 year old and I'm in my 30s.

[@nareshkatla9114]

Can I apply this techniques on my 5 years old daughter ?

[@fallinbing7291]

Ask your GP!

[@alohalivin556]

Not without checking with her doctor, that would be quite inappropriate. If you aren’t medically trained you can’t fake it by watching this woman do staff training of respiratory therapists!!!

[@mohammadbhat6358]

Life expectancy of bronchitasis patient plz

[@annepercival7814]

Much depends on the area of the lungs affected...... in bronchiectasis some of the bronchial tubes have been permanently damaged.....some people only have a small area of their lungs which are damaged, while others are not so lucky and the condition is far more debilitating. I am one of the more fortunate ones... and have led a relatively trouble free 70 years...although I usually have to get antibiotics after a bout of flu or a particularly heavy cold

[@idontwanttoparticipateplea212]

John Lamee how did you begin? How long did it take for you to go, say 3 miles? Do you ever feel fatigued and achy in your body? That’s how I feel most days so I’m scared to exercise too much.

[@abhinavkamboj256]

@John Lamee I can't run. Whenever I try to do so I end up breathing heavily and coughing just by running 100 mts. Can you suggest me some techniques to increase this distance?

[@theresaturner3114]

This video is taken too far away????

[@sarahlovesfootie]

I will make sure you go to heaven. I can finally breath and sleep THANK YOU GOD GIFT TO HUMANITY

[@carolhama4156]

Yech...i didn't see the instructor sanitizing the devices volunteers were demonstrating!

[@susanmcglade3295]

yes i was watching her handling the mouth piece, fixing her hair touching everything, then the mouthpiece, before handing it to the girl to put in her mouth. yuck.

[@Ugochigreenangle]

Corona is making up rethink a lot. If these was recorded now, those laughing would be in quarantine

[@cosmopolitanwonder9675]

Susan Mcglade yes she actually wipes her lips with fore finger and thumb, saliva, it’s amazing how much we touch ourselves without realising.

[@planetyouranus22]

This video was uploaded March 2018. Well before Covid 19 changed our lifestyles!

[@cfoster6804]

@@Ugochigreenangle No, Corona is making you all PARANOID.

[@reneemcmillan3865]

That coughing makes me cough up blood

[@JohnSmith-wp2yu]

Not one man in the audience. Weird

[@scottishallergyandrespirat5163]

Hi John, Our events are always attended by various primary and secondary healthcare professionals, ambulance service staff, academics etc, from a wide selection of backgrounds and genders. The videos tend not to focus on the audience, as the emphasis is on capturing the talks. So it may be that the persons captured in this instance were all female, but elsewhere in the audience there may be males. I hope this helps. - SARA Training

[@SunnySingh-ui7vb]

Hi John, there is a man at 10:51.... with blue shirt and spectacles.

[@ericluffy7970]

Weird? Not at all. Medical professionals, students. Coupled with an informative, no nonsense approach for people to take that certainly offers an explanation you might not receive from a doctor. Unless handed a huge packet for you to read on your own. BZ on the video.

[@darcywilki7202]

Actually I see two men in the audience, and that's not counting the camera man. Interesting where your focus is instead of the brilliant teacher. Besides, I could never encourage my dear hub to attend anything that might help him breathe easier, I would have to go and take the notes for him.

[@Ugochigreenangle]

Camera person @darcy

[@cosmopolitanwonder9675]

It’s not hygienic the way the instructor handles these instruments then gives to the woman to put in her mouth, then takes them back I hope she doesn’t use them at her next talk session, very dangerous way of passing diseases on. As a health care professional dealing with breathing she should know better. My doctors surgery used to use the same asthma testing pump on everyone, only realised this, after on day being handed a pump with lipstick on it, I went bananas as soon as I saw it, my doctor shocked, I showed ty lipstick to him he couldn’t apologise enough, it not on saving a few pennies buy putting patients life’s at risk of AIDS TB HEPATITIS HERPES etc, obviously I wanted tests straight away as I had been using the pump on previous occasions. Happy to say al was clear, and a sign put up in the doctors rooms, and verbally old all doctors not to share any equipment whatsoever, it should of been standard practice, now we get disposable caps on the testing pumps. Praise the universe.

[@kaypendergast5676]

Agree.....