The congestion of lungs is due to cystic fibrosis, asthma, alveolitis, bronchitis, cold, infections, respiratory muscles weakness and running nose. These problems can cause the difficulties during running. Due to decreased oxygenation, there may be an increase in heart rate. Because of more demand of oxygen, body tries to compensate this by increasing the load on heart. Due to less availability of oxygen to cells, it may cause the fatigue. Because of formation of mucus plug, there may be obstruction during ventilation causing the difficulty in breathing. Due to excess accumulation of secretions, there may be the chance of bacterial infection causing body ache, fever and lethargy.
Following are some techniques to clean your lings before running:
As we know that coughing is the protective reflex which protects the respiratory tract from foreign substances like dust particles, gaseous particles and chemicals.
- Huffing technique:
This technique is helpful for moving the secretions from peripheral area to the central area. The difference between coughing and huffing technique is that air exploration is against open glottis. After the collection of the sputum from peripheral area to central area, it is removed by coughing technique.
It is a technique in which the secretions in the airways are made loose for their removal through suction or coughing.
4)Vibration and Shaking:
Vibration and shaking are done with the goal of moving of retained secretions from peripheral area to central airways. Vibration refer as contractions of the muscles of the therapist’s upper extremities to cause vibration over chest wall with the hands.
Shaking is given as stronger bouncing movement with compressive force on the chest wall by placing of the both hand over the affected lungs during peak of breath in until breath out.
For vibration techniques, the hands should be placed side by side and for shaking, one hand should be placed on another.
In this technique, you should take long and deep breathe through nose and fill the lungs fully. Hold the breathe for 2-3 seconds and then expel this with high force through mouth. Repeat this procedure until the whole secretion is removed from the air ways.
- Incentive spirometry:
This device contains three plastic tubes with balls. Person has to breath in and breath out through this device to produce positive pressure in lungs. During breath out, person has to elevate 3 balls. Breath in is followed by breath hold for 3 to 5 seconds which helps to mobilize the secretions well.
- Positive expiratory pressure techniques:
It creates a back positive pressure which force the secretions to move centrally. This method prevents the closer of the airways which ease the mobilization of the secretions from lungs to atmosphere.
- Suction therapy
This technique is used in unconscious or patient who is on ventilator support or who can not cough effectively or who is on the high risk of infection. One tube is attached with small tank and pressure adjustment valve. This device is made to produce negative pressure at end of tube which sucks the sputum from the respiratory tracts. Device is introduce through trachea from endo-tracheal tube into lungs to clear the secretions.
Cardiovascular and pulmonary function in health and disease, Elizabeth dean, chapter 21; 11 th edition.