It involves the provision of manual chest physiotherapy such as percussions, vibrations and shaking on the chest wall to help loosen the secretions. This is often done after the application of a nebuliser. Breathing exercises and coughing techniques are prescribed to help expel the secretions effectively and minimise shortness of breath.

Exercise therapy is key in respiratory rehabilitation as it causes several physiological adaptations which can improve physical condition. There are three basic types of exercises to be considered. Aerobic exercise tends to improve the body’s ability to use oxygen by decreasing the heart rate and blood pressure. Strengthening or resistance exercises can help build strength in the respiratory muscles. Stretching and flexibility exercises like yoga and Pilates can enhance breathing coordination. Additionally pursed lip breathing can be used to increase oxygen level in patient’s body. Breathing games can be used to motivate patients to learn pursed lip breathing technique.