Improving your PFT score

EnergyGal

New member
About a month ago, I decided to try something new while taking my PFT's at the hospital. I sit in a chair and have the mouth piece suspended attached to a machine so my hands are free.

Upon exhalation, I have my hands on the outer parts of my knees and when the Pulmonary Tech says *Blow* I exhale hard and fast while pushing my legs together with my hands. I keep my feet firmly planted on the floor rather firmly while exerting force. I am creating an exercise like using the thigh master.

What is happening is I feel like my hands on my knees act like hands around my chest. Try to do what I am describing and you will feel tension around your chest wall. I feel like I have hands around my chest helping me force out the air faster with more exertion. Almost like using a pillow when you need to cough after surgery but much more effective.

Every time I do this at my center, my numbers get slightly higher. When I did the normal technique with hands by my side and relaxed, my numbers are slightly lower.

I would say you would improve around five percent. Since I am a transplant patient it is hard for me to tell you for sure but you will improve if you do it this way.

If you do decide to try this test, try and stretch out your arms and back because when you exhale and push your legs together you might get sore the next day because you use a lot of exertion.

Please let me know if this works for you because if it does, I would like to send in my story to a Respiratory magazine and include two other patients.

It is also a good way to make everyone around you smile and laugh because not only does it work but you get better results.

IT helped me one day when I did not sleep well. The technique acts like a brace with added support to help you breathe out with more force.

Mike the Pulmonary Technician at Jackson Memorial Hospital calls it the Risanator technique

Now if you can do this and get better numbers, please let me know.
I suggest you using this method every time if it works for you because you will have a new baseline.

It is cheating? I do not think so. First of all the chairs and the way one is positioned in those crazy boxes are very uncomfortable. I am tall so it is harder for me. If you can find a more comfortable and effective method that works why not use it each time.
 

anonymous

New member
You always have such great technique tips!

We have to hold our mouthpiece, so I don't think I'd be able to do this at clinic, but I am going to try it at home with my huffing and see how it works.

Thanks for helping to keep us all healthy!

--Wallflower, 34 w/cf
 

princessjdc

New member
I always stand up, I dont think I will be able to sit down. When I stand I always go up on my tippy toes, that seems to help me, but I've noticed that when I do my last treatment for the day, before going to drs it helps too! Thanks for the advice.
 

anonymous

New member
This is interesting...

I always used to stand up during pfts, but now they make us sit in a chair and we have to sit straight for the whole thing. I try to sit on the edge of the chair so I can get a bigger breath in.

What other ways do people do their pfts?

--Wallflower
 

EnergyGal

New member
I know what you all mean at most cff centers you have to stand up. You can ask them *if you want* to hold the mouth piece as you sit in their chair.

when I thought about this technique I was using my vest and I was making believe that my arms were acting like the thigh master by using my legs. It is a great way to cough as you are supporting your sholders and stomach too.

I asked my husband to hold my hand held microspiromter and took a huff. I only got ten numbers higher but it was an incentive for me to try this at their pulmonary lab which everything is more stable. So it all depends on so many factors how to get a good pft.

What I love about this technique is helps to keep my energy balanced. On a good day if I slept well each time I take the test for a peak flow six times.
 

anonymous

New member
Hmm I always stand up, and I do go up on tip toes with the deep breathe in and then I bend in half with the deep breathe out. <br>Some how the bending to me feels like pushing all the air out like uhmmm squeezin the tube of toothpaste from the bottom up...he he he<br> Besides this means my head ends up sort of upside down at my knees...a good position so I don't pass out when i start seeing spots. The joy of PFTs.

littledebbie not logged in @ wk a not loving it.

side note: i truly don't know if I could do them sitting down?
 

anonymous

New member
Not to sound critical of the technique, but I thought the purpose of the PFT was to determine if your condition has improved or worsened. I would think doing the test using a consistent method would be idea so you don't introduce additional variables that might cloud the result. The number by itself seems unimportant, but whether it has improved or worsend from the previous test would be the important piece. Am I missing something?
 

HairGirl

New member
I have done my standing up for such a long time sitting down would be weird! But I think most of their patients sit because I have to tell them that I stand. I haven't tried the tip-toe thing, one thing that helps me is to blow up ballons!!!!! Take one with you and practice before you go in<img src="i/expressions/face-icon-small-smile.gif" border="0">
 

anonymous

New member
I agree with the above anon. Whether you're 20%, 40%, 60%, or 100%, PFTs are most useful to determine the rate of decline (or gain). You want to keep all conditions the same each time. Getting lower or higher numbers won't change your actual lung function number. It'd be kind of like wearing heavy clothes and weights in your pants to show up as a higher weight.
 

JazzysMom

New member
First let me say that at my clinic I have ALWAYS done my pfts sittind down. I did a pft near home one time & they had me standing up. Didnt like it at all. I didnt feel I could get it all out without losing my balance. The technique you speak of I actually use. It helps me keep better posture which in turn lets me doing a better PFT.
 

thelizardqueen

New member
I've never ever stood while doing PFTs. I have always sat down to do them. My PFTs consist of 3 different exercises, one sitting inside of a box.
 

EnergyGal

New member
Glad that you like the idea and I am sure many of you do similar things. I just think it is important to find the way that is best for you and to stick to the same routine each time to determine a trend. For me if I am tired it helps me give the added push. The last time I did not sleep well and it helped me and my number went slightly higher even though I was tired. Whatever floats your boat and as long as your doctors approve. Thank you for the compliment to those who appreciate the idea.

At home I have a few exercise machines and I lean against the foam leg presses and I use the leg portion to give me leverage. Anything that helps to balance you helps.

For those of you who are skeptical, perhaps you are strong enough and happy the way you are doing your test. Good for you all. <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

EnergyGal

New member
Whoever decides to try this, Please stretch first and do a test run by closing your legs with your hands as if you were taking a PFT test. You should feel a slight burn or pull in your chest muscles. If you do feel a pull be careful! If you are not exercising regularly you could have lots of soreness doing this test. BE CAREFUL
 

anonymous

New member
Trend is what they are looking for as we all know but it makes perfect sence to me to do the pft whatever way you feel will maximize your chances of getting the best pft score and if you find a way then do it. I am very consistant with this technique and over time since I am newly transplanted I am getting better.

If someone walks faster with one pair of shoes than another, why not always wear the most comfortable shoes that you have that will give you the most comfort and performance?

Please do not even answer if you love high heels lol
 
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