108 fresh air is the greatest natural healer, wherever possible



Objective notes

Keep your notes going as you proceed with these treatments


After treatment, record all changes in your   Outcome Measures


all treatments | breathlessness | physical exercises | clearing sputum | post viral



Keep your Plan notes updated, once treatments are given!



Clearing sputum

Keep your Plan notes updated, once treatments are given!



Outcome measures


Sputum clearance

The RPE Scale (Rate of Perceived Exertion) is the means for a physio to measure how active their patient is during monitored exercise, results being recorded. A common means of recording the RPE Scale is the 60 second BORG test


Very light

(anything other than complete rest))


Light to Moderate

(feels like you can maintain for hours, easy to breathe and carry on a conversation)


Somewhat hard to Hard

(feels like you can exercise for long periods of time, able to talk and hold short conversations)


Very hard

(on the verge of becoming uncomfortable, short of breath, can speak a sentence)


Very, very hard

(difficult to maintain exercise intensity, hard to speakmore than a single word)



(feels impossible to continue, completely out of breath, unable to talk)



& Long COVID

As we gain evidence in Long Covid Treatment, we will add to this page

Also check here for COVID update information:

Keep your Plan notes updated, once treatments are given!



Slow run to help breathing



Breathing exercises

      exercises arrow_right arrow_upward


Physical exercises

Keep your Plan notes updated, once treatments are given!



Active cycle of breathing technique

A three-stage process

1: Relaxed breathing

Calmness is key: Relaxed breathing engages the vital process of diffusion, which is the process of gas exchange that takes place within the alveoli. It is this that causes the critical two-way transfer of oxygen and carbon dioxide, essential to the blood.

2: Deep breathing

Also called 'thoracic expansion': Deep breathing includes holding the breath for a second or two (where possible) to encourage diffusion. After deep breathing, a few more relaxed breaths are recommended before continuing to the third 'huff' stage.

3: The huff

The critical stage: The huff is the point when the sputum is released, however if release is only partially successful, simply relax and repeat the three steps.. it is a process and not a test!