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Pursed Lip Breathing
Improve Lung Function and Reduce Stress with Controlled Exhalation

Introduction

Pursed Lip Breathing is a simple breathing technique that involves inhaling through the nose and exhaling slowly through pursed lips, as if whistling. This practice helps control shortness of breath, improve oxygen exchange, and promote relaxation. It is commonly used in pulmonary rehabilitation for conditions like COPD, asthma, and anxiety, enhancing lung efficiency and reducing the effort needed to breathe.

Why It Works

Pursed Lip Breathing works by slowing the breathing rate and creating positive pressure in the airways, which keeps them open longer and prevents collapse. It reduces air trapping in the lungs, improves ventilation, and enhances carbon dioxide expulsion, activating the parasympathetic nervous system for relaxation. Research indicates it can decrease dyspnea, lower respiratory rate, and improve exercise tolerance, particularly in individuals with chronic lung conditions, while also aiding in stress management and overall respiratory health.

How To Do It

Instructions:

1. Find a Comfortable Position
 Sit or stand with your shoulders relaxed and back straight. You can also lie down if needed.

2. Inhale Through Your Nose
Breathe in slowly and gently through your nose for 2 counts, allowing your abdomen to expand without forcing a deep breath.

3. Purse Your Lips
Form your lips as if you are about to whistle or blow out a candle.

4. Exhale Slowly
Breathe out gently through your pursed lips for 4 counts, making the exhalation twice as long as the inhalation.

5. Repeat
Continue for 5-10 breaths or until you feel more relaxed. Use this technique during activities that cause shortness of breath.

Helpful Tips:

    • Start Slow: Begin with shorter sessions if you're new to the technique.
    • Be Consistent: Practice several times a day to build habit and improve effectiveness.
    • Use During Activity: Apply it while walking or climbing stairs to manage breathlessness.
    • Combine with Diaphragmatic Breathing: Pair with belly breathing for enhanced benefits.
    • Monitor Your Breath: Count silently to maintain the 1:2 inhale-to-exhale ratio.
    • Stay Relaxed: Avoid tensing your face or shoulders during exhalation.
    • Personalize It: Adjust counts based on comfort, like 3 in and 6 out.
    • Track Improvements: Note changes in breathlessness or energy levels over time.


Recommended Videos

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Influential Books

A guide to Buteyko breathing methods incorporating pursed lip techniques to manage asthma and promote lung health.

Simple, Scientifically Proven Breathing Techniques to Help You Become Healthier, Slimmer, Faster and Fitter―Improve Your Health and Fitness with Efficient Breathing

There is nothing more essential to our health and well-being than breathing: take air in, let it out, repeat twenty-five thousand times a day. Yet, as a species, humans have lost the ability to breathe correctly, with grave consequences.

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Helpful Websites

Cleveland Clinic

WebMD

Healthline

Popular Apps

Pursed Lip Breathing 

Breathwrk

Pursed Lip Techniques

Breathe2Relax

Pursed Lip  Breathing 

Paced Breathing

Scientific Research

    • Yang, Y., et al. (2022). The effects of pursed lip breathing combined with diaphragmatic breathing on pulmonary function and exercise capacity in patients with COPD: a systematic review and meta-analysis. Physiotherapy Theory and Practice, 38(7), 847-857. https://pubmed.ncbi.nlm.nih.gov/32808571/
    • Dodange, Z., et al. (2024). Comparison of the Effects of Diaphragmatic Breathing and Pursed-lip Breathing Exercises on the Sleep Quality of Elderly Patients with Chronic Obstructive Pulmonary Disease (COPD): A Clinical Trial Study. Therapeutic Advances in Pulmonary and Critical Care Medicine, 19, 29768675241302901. https://pubmed.ncbi.nlm.nih.gov/39640085/
    • Alqadi, R. A., et al. (2025). The Effects of Pursed Lip Breathing Exercises on Patients' Post-Bronchoscopy Recovery Parameters: A Nurse-Led Quasi-Experimental Study. Nursing & Health Sciences, 27(1), e70070. https://pubmed.ncbi.nlm.nih.gov/39993969/



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