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General rules
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Try to maintain a good breathing pattern with relaxed shoulders and neck. Try to breathe in through your nose and out through your mouth. Breathing should be slow, like sighing out. This can help minimise any wheezing. Try to remember the principles of Diaphragmatic breathing. Take 3-4 deep breaths in allowing the lower rib cage to expand. Try to ensure your neck and shoulders remain relaxed. At the end of the breath in, hold the air in your lungs for 3 seconds (This is an inspiratory hold). Let the air out gently. 1 or 2 huffs combined with diaphragmatic breathing. Take half a breath in and blow the air out quickly through an open mouth. Follow this with diaphragmatic breathing. Repeat. As the phlegm moves into the larger airways take a deep breath in and blow it out again through an open mouth, huff which should help clear the phlegm out of the back of your throat. A typical cycle of ACBT consist of: y Diaphragmatic breathing y 4 deep breaths (+/- 3 second inspiratory hold) y Diaphragmatic breathing4 deep breaths (+/- 3 second inspiratory hold) y Diaphragmatic breathing y Forced expiratory technique