Active cycle of breathing (ACBT) for those with cystic fibrosis

Active cycle of breathing is an airway clearance technique that does not need any equipment. You can do this breathing exercise in different environments. It is made up of three parts: breathing control, deep breaths and huffing. This video takes you through the different steps in performing an active cycle of breathing.
*These instructions are part of a teaching program for families of patients at The Hospital for Sick Children. They are provided in addition to detailed hands-on training. We urge you not to follow these instructions without training and advice from a healthcare professional who understands your child's unique needs. Please also review these instructions with your doctor to check if they are suitable for your situation.
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VIDEO TRANSCRIPT
Active cycle of breathing is a type of airway clearance that does not require any equipment allowing you to do these breathing exercises in different environments or when you need to clear some mucus. It's made up of three parts. Number one: breathing control using diaphragmatic breathing or belly breathing to help relax the airways. And number two, chest expansion exercises with deep breathing and breath holds to loosen the mucus. And number three, huffing to move the mucus up to bigger airways and out of the lungs. Let's see how this can be done. Start with five belly breaths, in through your nose and out through your mouth in the shape of an O. Make sure you place your hand on your belly and feel your stomach rise into your hands and perform about five of these breaths.
And number four and out. And number five and out. Next, we'll move to the chest expansion exercises where you place your hands on the side of your, ribs take a big breath in through your nose and hold your breath for three seconds while keeping your mouth open. One one thousand, two one thousand, three one thousand, out. Exhale gently like a sigh. Repeat this about four times.
So in again, hold for one one thousand, two one thousand, three one thousand, and out.
When you've done about four of these, return to belly breaths, nice and relaxed breaths. In through your nose and out through your mouth.
After completing about five of these belly breaths, let's return back to those chest expansion breaths.
Take a breath in through your nose, feel your chest expand into your hands and hold for one one thousand, two one thousand, three one thousand and out.
And repeat in one one thousand, two one thousand, three one thousand and out. When you've done three or four of these breaths, go back to the belly breaths - about five of these.
And once you're done the belly breaths, reach for a tissue and perform a few huffs to cough and spit out your mucus in the tissue.

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