Pneumonia is an infectious inflammation of the lung parenchyma, which affects the alveoli (alveoli are spherical outcroppings in the lungs wrapped in a fine mesh of capillaries and responsible for the gas exchange). Pneumonia

The causes include infection with various bacteria, viruses, fungi that trigger the disease.

The infection causes inflammation and swelling of the bronchial tubes. It hinders ventilation so that alveoli do not get enough oxygen, which leads to the gas exchange misbalance. This causes atelectasis (a collapse of lung tissue) and then inflammation of the lung tissue. Inflammation may affect different parts of the lung — bronchi, alveoli or pleura.

Diagnostic tools include examination and x-rays. Depending on the pattern of ventilation a patient may suffer from restrictive lung disease (impairing lung ventilation) caused by decrease in the lung compliance. When pneumonia is combined with a chronic bronchitis obstructive lung disease may prevail. It is characterized by obstruction of the bronchi with sputum.

Acute pneumonia treatment is aimed at killing the infection with antibiotics, which also reduces inflammation and improves ventilation. In case of the adequate treatment and absence of complications a couple of weeks are enough for complete resolution. In case of additional complications such as atelectasis or empyema in the inflammatory part of the lung, treatment may take from 4 to 6 weeks. If pleura is affected in a patient with pneumonia, 2-3 months are require for complete resolution.

Patients who have recovered from the acute pneumonia are vulnerable to the developing chronic obstructive pulmonary disease (COPD). In terms of statistics, up to 84% of patients after hospitalization have bronchomotor function disorders that may lead to the bronchial spasm and the transition from acute disease into chronic.

It explains why acute pneumonia requires not only to focus on the inflammation treatment but also some additional therapeutic exercises starting from the first days of hospitalization.

Therapeutic exercises for pneumonia treatment include conditioning and breathing exercises.

Positive effects from the Breathing therapy in patients with pneumonia:

  1. Acquiring the correct breathing pattern habit: diaphragmatic respiration — full inhale, which fills the lungs with air, and slow relaxed exhale.
  2. Minimizing work of the accessory breathing muscles, which relieves shortness of breath, reduces the waste of oxygen and ensures an adequate rate of ventilation.
  3. Improves airway obstruction.
  4. Relieves breathing difficulty.
  5. Breathing out against the positive air resistance helps to create positive expiratory airway pressure. Research proves that the positive expiratory airway pressure improves sputum expectoration, reduces hyperventilation of lung tissue and relieves inhaling and exhaling. Scientists approve this breathing technique even in case of the acute pneumonia. During acute, subacute pneumonia and clinical recovery period, such technique improves clinical aspects of pneumonia, the function of external respiration and the cardiovascular system.

The process of full biological recovery after pneumonia takes from 6 to 12 months, during which rehabilitation is required. Breathing exercises with the Frolov’s Device during recovery and preventive medical examination periods ensure adequate lung ventilation and gas exchange, helping to accelerate full recovery.

Respiration Training Device can be used when the patient is lying down (on the back or on his/her side), which is important taking in consideration different types of pneumonia. The Device can also be used as an inhaler for pneumonia treatment and during the rehabilitation.


On-line consultation from Recreation therapist, Dr. Sergey Zinatulin

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