Respiratory

Miodrag Miša Jovanović, baritone, Principal Opera Artist of National Theatre in Belgrade, demonstrates breathing exercises after suffering from Covid-19 infection with pneumonia and pneumothorax, which were shown to him by physiotherapists at the Chest Surgery Clinic of Clinical Center of Serbia.

Basic principles for lung exercises.
Breathing, as an action, that include two processes: breathing in (inspiration) and breathing out (expiration).
During breathing in – air enters into lungs through nose, with counting to 4.
During breathing out – air exit lungs through mouth, like blowing the candle, during counting to 6. Expiration lasts longer.
During each exercise count 4 when take in and count 6 when take out the air.
It would be good to do 10 times each exercise.
If you got tired rest and repeat after brake, if you can, or do later.

Exercise no 1. – one hand on the chest, another on the stomach, as shown.
When breathing in through nose, move your stomach out together with diaphragm and count to 4. When breathing out through mouth and count to 6, as shown.

Exercise no 2. – put hands on side of the chest with thumbs up.
Do breathing in through nose and count to 4.
Do breathing out through mouth and count to 6. as shown.

Exercise no 3. – put your hands on your knees.
Do breathing in through nose with arms up and count to 4.
Do breathing out through mouth with arms down and count to 6, as shown.

Exercise no 4. – put your hands on your knees.
Do breathing in through nose with one arm up and count to 4.
Do breathing out through mouth with the same arm down and count to 6.
Use another arm and change arms one by one.

Exercise no 5. – put your hands on your knees.
Do breathing in through the nose with shoulders up and count to 4.
Do breathing out through mouth with shoulders down and count to 6, as shown.

Exercise no 6. – put hand on opposite knees. First, right hand on left knee, second left hand on the right knee. Change hands with opposite knee, one by another.
Do breathing in through the nose with arm up and count to 4.
Do breathing out through mouth with arm down and count to 6, moving hand to opposite knee, as shown.

Do exercising. We wish you good luck.

KINESIO TAPES – chest application

This method involves the stimulation of viscerosensory innervation of the lungs through somatosensory innervation of the skin and fascia of the pectoralis major muscle. Somatosensory nerve fibers from the skin connect with viscerosensory fibers from organs in the posterior horns of the spinal cord so that they function as one system. Using kinesio tapes [acting on the autonomic nervous system] we achieve an improvement in lymphatic drainage of the lungs by 2h, which is manifested by improvement of saturation by 5 to 7 units.

The tape is applying in a sitting position under tension, so when the patient is in a lying position he has the feeling that the tapes are constantly pulling his pectoralis major muscles upwards. Application the tape is difficult in patients who sweat and who have hyperelastic skin as well as fatty deposits in the pectoral region. This is why the kinesio tapes need to be changed every second day and when the tension is lost.

One should not be afraid of possible changes in the skin in individual patients in the sense of reactive hyperemia and blisters because the benefit is much greater than the current changes in the skin. In such cases the tapes should be changed every day.
The tapes cannot be applied to parts of the skin that have been treated with creams or are sweat. In that case, the skin should be prepared and cleansed with 70% alcohol or medical gasoline.

Immediately after applying, the patient subjectively feels better, and a greater improvement of saturation in 80% of patients is expected in 2 to 5hrs after tape placement.

NOTE: Kinesio tapes MUST be placed by a health professional

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