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Active Cycle of Breathing Technique (ACBT)

Physiotherapy Instructions Physiotherapy Department 01 2936692

Patient Information

Active Cycle of Breathing Technique (ACBT) What is ACBT?

The ACBT is a technique to help you clear secretions from your chest. Coughing alone can be tiring and ineffective. The ACBT uses different types of breaths to make it easier to clear secretions by shifting them from the outer part of your lungs towards the main airways. It is important that you are in a comfortable position with shoulders relaxed. Upright sitting and side lying are recommended. A typical Cycle:
HUFF/ COUGH
Deep Breathing x4-5

Deep Breathing x4-5

Relaxed Breathing x 10sec

Relaxed Breathing x 10sec

Deep Breathing x4-5

Physiotherapy / Last revised April 2010

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Deep Breathing 1. Breath in deeply feeling your lower chest expand as far as possible. Try to keep your neck and shoulders relaxed. 2. 3. 4. 5. Hold the breath for up to three seconds. Let the air out gently. Repeat this step x 4 5times. Your physiotherapist may advise you to use your Incentive Spirometer at this point.

Relaxed Breathing / Breathing Control This is normal, gentle breathing using the lower chest. 1. 2. 3. Rest one hand on your abdomen so that you can feel it rise and fall with your breathing. Breathe in gently feeling your hand rise and your lower chest expand. Breathe out gently allowing your shoulders to relax down. The breath out should be slow, like a sigh.

Huff This is a short sharp breath out through an open mouth that helps to force the secretions out. To perform this, imagine you are trying to fog up a glass or mirror. Remember the huff needs to be through an open mouth, using your abdominals muscles. Cough Only Cough if you feel the secretions are ready to be cleared. How often? Your physiotherapist will advise you on how often you should perform the Active Cycle of Breathing Techniques.

Ref: 1: Hough, A (Third Edition, 2001); Physiotherapy in Respiratory Care 2: Pryor, J & Prasad, S. (Third Edition, 2002): Physiotherapy for Respiratory and Cardiac Problems Physiotherapy / Last revised April 2010