ACBT

Question 1

ACBT CYCLE

Answer 1

1. Breathing control 20-30 seconds
2. Huffing followed by cough if needed (FET)
3. Breathing control
4. 3-4 deep breaths (TEE)
5. Breathing control
6. 3-4 deep breaths (TEE)

Question 2

breathing control

Answer 2

Tidal breathing
Encourage:
* Relaxation of upper chest
* Diaphragmatic breathing
* Use of proprioceptive
facilitation can be helpful. (push into my hand)
* Continue until patient is
ready to progress

Question 3

Diaphragmatic breathing coaching through (breathing control)

Answer 3

1. One hand on stomach and one hand on chest, breathe in through your nose.
2. You’ll feel your stomach expand against your hand and your chest should barely move
3. Breath out through your mouth and you’ll feel your stomach sink back down.

Question 4

THORACIC EXPANSION EXERCISES

Answer 4

• Simply - deep breathing
  exercises (DBEs)
• Encouraging lateral chest
  expansion — hands on for
  proprioceptive feedback
• Can add a 3’s hold and a ‘sniff’
• Increases collateral ventilation
• Monitor - patients can become ightheaded, 3-5 +/-

Question 5

thoracic expansion hold

Answer 5

shown to decrease collapsed lung tissue and may be good for those with lung pathology as air will first fill in the unobstructed area and the hold may give time for ventilation of collateral pathways.

Question 6

thoracic expansion hold resistance equilibrium

Answer 6

• Air travels in direction of least resistance
• Air will go in to region of least resistance, incomplete equilibrium.
• Add a pause or insp hold, allows air to move into more regions and recreating equilibrium

Question 7

FORCED EXPIRATORY TECHNIQUE (FET)

Answer 7

• Forcefully expelling air through an open throat and
  mouth
• “fogging up a mirror ‘
• Also known as a “huff’
• Helps move sputum from small to larger airways
• Don’t do too many — can cause bronchospasm
• May initiate a cough
• Can be challenging with surgical pain — + supported

Question 8

medium volume huff

Answer 8

Medium moves from more peripheral airways
* normal breath in and long huff out

Question 9

high volume huff

Answer 9

High moves from more central airways
* deep breath, short sharp huff out

Question 10

breathing control helps with

Answer 10

work of breathing

Question 11

thoracic expansion exercises hold and sniff help with

Answer 11

lung volume

Question 12

forced expiratory techniques help with

Answer 12

high and low volumes help with sputum clearance

Question 13

FET contraindication

Answer 13

bronchospasm- care with FET may need bronchiodialators prior to maximise effects