Flu: Respiratory Assist

 by Bob Canida
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Respiratory assist techniques can help improve lung function and lymphatic drainage, and are good for any respiratory ailment.  They are especially valuable for treating the respiratory effects of the flu, and to diminish the transition into pneumonia.  The techniques are quite simple, and can be an easy way to help friends and family who have the flu.

The respiratory assist techniques described in this Instructable have been described by Dr. Paul Lee, a practicing osteopathic physician.  He teaches these techniques to family members so they can help treat a flu patient at home several times a day, improving lung function and speeding recovery.

Note that these techniques are usually performed on fully-clothed patients.  These pictures are intended to help demonstrate hand and finger placement.

 
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Step 1: Rib raising: finger placement

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This picture demonstrates the finger placement on the subject's back.  Your finger tips should be about 3 or 4 inches in from the spine on the height of contour of the ribs.

  (Please note that this is several inches lateral toward the outside of the chest wall from what is shown in the picture.   Actually the finger tips should be about at the base of the finger webbing.  I will put on a new picture before too long.  Dr Paul Lee reviewed this Instructable, and this was one of the refinements that he suggested.)

My hand position will be reversed (pinkies adjacent, thumbs out) when the patient is lying flat on the table.  You will then resume the finger position, finding it by feel.
roebm says: Oct 15, 2010. 8:10 PM
You must be a fellow DO
Bob Canida (author) in reply to roebmDec 9, 2010. 2:23 PM
Roebm, I love osteopathic treatment. I have been part of a study group consisting of dentists that has been meeting west of Chicago for over 25 years. We have a guest osteopath such as Dr. Paul Lee, come in as a presenter/teacher 3-4 times/year. We apply the osteopathic principles in the cranial field as they relate to dental orthopedics and craniofacial pain. Hope that you are enjoying your osteopathic practice! You have a great tradition! Bob
bicygirl says: Dec 29, 2009. 5:00 AM
Thanks for this posting.  I had read a description of this years ago, but had a hard time actually figuring out how to do it.  The pics are very helpful.
komecake says: Dec 5, 2009. 11:11 PM
  Wow... It's nice to find something like this. I have a consistent respiratory infection caused from my allergies. When my boyfriend gets home next week I am definately going to try this with him. It would be nice if something actually helped! ... lol. >.<
Bob Canida (author) in reply to komecakeDec 6, 2009. 10:19 AM
Thanks, komecake.  Even if I were feeling good, and had no respiratory problems I would feel better in general having received this treatment.  In addition, I would appreciate the assist if I had respiratory problems.  Of course this set is not an instant cure, but like it says, a respiratory assist.  The osteopaths say that doing this frequently will reduce the conditions that lead to pneumonia, or mitigate the seriousness of pneumonia if it has already set in.   My wife is prone to respiratory/pneumonia problems and she feels that this is very helpful.  She also feels that the regular use of Listerine mouthwash decreases the frequency of occurrence of  her respiratory problems.
For allergies, the lymphatic pump from the feet would be useful to keep the lymphatic system working against the allergens.  Hope that this helps.
komecake in reply to Bob CanidaDec 6, 2009. 12:26 PM
  Great! I'll have to try that mouthwash. Anything that will help would be great. Some days are a lot worse than others and if there are things to reduce the causes, the more information I know the better. Thank you very much. :)
Bob Canida (author) in reply to komecakeDec 7, 2009. 7:26 AM
Studies (Abrahamsen) have shown that the notching wear of the root areas of the teeth next to the gums are a result of the abrasives in the toothpaste. 
Since my wife was developing these, after I had seen the presentation of Dr. Abrahamsen's studies, both she and I have stopped using toothpaste and only use a wet toothbrush.  We follow that by rinsing with Cool Mint Listerine with fluoride.  Probably other mouthwashes might have the same effect, but Cool
Mint Listerine is the only mouthwash that has been documented in studies to reduce microorganisms in the mouth that contribute to gingivitis and that actually reduces gingivitis by mouthwash alone.  My wife is convinced that she has had dramatically less respiratory problems since she has gone to the frequent daily mouthwash. 
uldics says: Nov 13, 2009. 12:15 PM
If I'm understanding it right, then once a second you have to move with your hips, like they do on Discovery channel.... Some would not understand your intentions.
Bob Canida (author) in reply to uldicsNov 13, 2009. 6:38 PM
Good point to bring up intentions!  It is always good to check your intentions before beginning to treat others.  The intention of the heart should be a loving intent to assist that person to enhance their own healing and health. 
stuboo says: Oct 29, 2009. 5:03 PM
Well done, Dr. Lee.  As an osteopathic medical student, it excites me to see others in the profession using technology to teach patients how to find their health.  Might I suggest the Galbreath maneuver as a second installment?

It should also be noted that almost anyone can benefit from this technique (not just those with respiratory "problems") as it opens up the lymphatic system and promotes fluid movement throughout the body.  I'm pretty sure this technique is contraindicated in folks with cancer (i.e. it should not be used).  Care to comment on contraindications, Dr. Lee?
Bob Canida (author) in reply to stubooOct 29, 2009. 7:30 PM
I am a dentist in a dental study group, focusing on head pain, that invites various osteopathic physicians to teach us 3 or 4 times a year.  Dr Paul Lee is one that we had teach our group recently, and he presented this as a good set of techniques that we could share with others in this time of concern about the flu.  As you have well stated, this type of body work is very profound treatment.  I love being treated by osteopaths who treat with the cranial model, and it excites me to hear that you are an osteopathic student that appreciates the osteopathic principles.  My heartfelt encouragement to you!

I am not familiar with the Galbreath maneuver, but would love to have you share it!  Best wishes in your studies.  Bob Canida
Bardouv says: Oct 27, 2009. 1:29 PM
 That first image, when small, looks like you are touching a turkey. :)
threadbare in reply to BardouvOct 27, 2009. 11:56 PM
OK, that is exactly what I thought. I thought he was stuffing a turkey and wondered what that had to do with the flu.
ramirez in reply to threadbareOct 29, 2009. 5:24 AM
well.. there is the avian flu...
canida in reply to BardouvOct 27, 2009. 1:34 PM
I can assure you he is. ;)
Lithium Rain in reply to canidaOct 29, 2009. 7:02 AM
:-D

>guessing that's your brother/other male relative?<
Bob Canida (author) in reply to Lithium RainOct 29, 2009. 7:33 PM
A little sibling provocation!
Doggie Stylish says: Oct 27, 2009. 7:20 PM
thx for posting this! it's good info to know!
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