Simple breathing exercises for COPD – help for shortness of breath, coughing & hyperinflation: Exercise 2 “Seated Rotation”

Physiotherapist Marlies Ziegler explains how respiratory physiotherapy for COPD works. In addition, she presents three simple breathing exercises. The exercises increase the ribcage’s flexibility and they can reduce shortness of breath, coughing and hyperinflation, as well make it easier to dislodge mucus from the bronchial tubes. This time she shows the exercise “Seated Rotation”.

2nd exercise: Seated Rotation

The focus of this exercise is on the spine’s rotational movement. You also will stretch the pectoral muscles, which also act as accessory muscles of breathing. How to do this exercise:

  1. Starting position: Sit up straight on a stool and cross your left leg over your right leg.
  2. Put your right hand on the outside of your left knee. Inhale deeply
  3. Exhale and rotate your torso to the left. While doing this, look over your left should if possible. Your right hand should stay on your knee providing counter-rotation for the torso.
  4. Turn your left arm toward the outside, fingers spread, thumb up toward the ceiling. Alternatively, hold on to the edge of the stool with your left hand.
  5. Make sure you do not shrug your shoulders and that they remain relaxed. Keep your upper body upright!
  6. Hold this rotated position and breathe in deeply through your nose and out through your nose or using pursed lip breathing (‘slowed breathing’).
  7. 4 to 8 breaths per side.
  8. Repeat the exercise on the other side.

Simple breathing exercises for COPD


About Marlies Ziegler

This article was written in cooperation with Marlies Zieger. She works as a physiotherapist in private practice in Munich. She specialises in respiratory therapy. She has been treating patients with chronic obstructive and restrictive airway diseases such as asthma, COPD, cystic fibrosis (CF) and primary ciliary dyskinesia (PCD), for more than 20 years.


Note: The information in this blog post is not a treatment recommendation. The needs of patients vary greatly from person to person. The treatment approaches presented should be viewed only as examples. PARI recommends that patients always coordinate with their doctor and physiotherapist.


An article written by the PARI BLOG editorial team.


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