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Background: Breathing exercises have been widely used worldwide as a non-pharmacological therapy to treat people with asthma. Breathing exercises aim to control the symptoms of asthma and can be performed as the Papworth Method, the Buteyko breathing technique, yogic breathing, deep diaphragmatic breathing or any other similar intervention that manipulates the breathing pattern. The training of breathing usually focuses on tidal and minute volume and encourages relaxation, exercise at home, the modification of breathing pattern, nasal breathing, holding of breath, lower rib cage and abdominal breathing.
Search methods: To identify relevant studies we searched The Cochrane Library, MEDLINE, Embase, PsycINFO, CINAHL and AMED and performed handsearching of respiratory journals and meeting abstracts. We also consulted trials registers and reference lists of included articles. The most recent literature search was on 4 April 2019.
Selection criteria: We included randomised controlled trials of breathing exercises in adults with asthma compared with a control group receiving asthma education or, alternatively, with no active control group.
Data collection and analysis: Two review authors independently assessed study quality and extracted data. We used Review Manager 5 software for data analysis based on the random-effects model. We expressed continuous outcomes as mean differences (MDs) with confidence intervals (CIs) of 95%. We assessed heterogeneity by inspecting the forest plots. We applied the Chi2 test, with a P value of 0.10 indicating statistical significance, and the I2 statistic, with a value greater than 50% representing a substantial level of heterogeneity. The primary outcome was quality of life.
Authors' conclusions: Breathing exercises may have some positive effects on quality of life, hyperventilation symptoms, and lung function. Due to some methodological differences among included studies and studies with poor methodology, the quality of evidence for the measured outcomes ranged from moderate to very low certainty according to GRADE criteria. In addition, further studies including full descriptions of treatment methods and outcome measurements are required.
Kegel exercises strengthen the pelvic floor muscles, which support the uterus, bladder, small intestine and rectum. You can do Kegel exercises, also known as pelvic floor muscle training, just about anytime.
Kegel exercises are less helpful for women who have severe urine leakage when they sneeze, cough or laugh. Also, Kegel exercises aren't helpful for women who unexpectedly leak small amounts of urine due to a full bladder (overflow incontinence).
If you're having trouble doing Kegel exercises, don't be embarrassed to ask for help. Your doctor or other health care provider can give you important feedback so that you learn to isolate and exercise the correct muscles.
In some cases, vaginal weighted cones or biofeedback might help. To use a vaginal cone, you insert it into your vagina and use pelvic muscle contractions to hold it in place during your daily activities. During a biofeedback session, your doctor or other health care provider inserts a pressure sensor into your vagina or rectum. As you relax and contract your pelvic floor muscles, a monitor will measure and display your pelvic floor activity.
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Rachel Ann Tee-Melegrito lives in Metro Manila, Philippines, with her husband, daughter, and miniature schnauzer. She is a freelance content writer, a licensed occupational therapist, and a former university instructor, and she holds a Master of Education in Childhood Development and Education. She would love to read nonfiction books while sipping coffee if her daughter would allow it.
The temporomandibular joints open, close, and move the jaw. These joints are under pressure from chewing, talking, and other motions. That means they are also a common source of pain, and muscle and joint problems.
A few simple exercises can help relieve TMJ pain. People should begin by gently massaging the painful area. This can help reduce tension and pain. It also makes it easier to exercise the joint and the muscles that surround it.
If TMJ pain is caused by teeth grinding or clenching, a nighttime bite guard can help. Although these are available over the counter, a fitted one designed by a dentist offers greater protection and more durability.
The temporomandibular joint is a hinge action and sliding motion joint. A disc cushions the joint, enabling the jaw to rotate, glide, close, and open. Problems with the muscles surrounding the joints, with the disc that cushions it, or with the joint itself can cause pain.
US Army Special Forces soldiers drive snowmobiles through the deep snow of the Swedish Arctic ahead of exercise Cold Response 22, a Norwegian-led multinational exercise that helped NATO Allies and partners train for military operations in the High North.
The rationale for planning and executing military exercises is to prepare commands and forces for operations in times of peace, crisis and conflict. Their aims and objectives must therefore mirror current operational requirements and priorities. The exercises are executed in three possible forms:
Exercises allow forces to build on previous training in a practical way, thereby heightening forces' level of proficiency in a given area. Exercises have varying levels of complexity but most assume that basic training is complete and that a sufficient number of trained personnel are available.
NATO-led forces must be able to work together effectively despite differences in doctrine, language, structures, tactics and training. Interoperability is built, in part, through routine inter-forces training between NATO member states and through practical cooperation between personnel from Allied and partner countries. Exercises are as open as possible to all formal partners, either as observers or as participants, and in some cases even as hosts of an exercise. Endorsement by the Military Committee and approval by the North Atlantic Council are, however, required before a partner can observe or participate in an exercise.
Participation in NATO exercises is one of the options available to help with defence reform. They provide the possibility for NATO member countries to test reforms implemented nationally and give partner countries the opportunity to be involved in and observe the structures and mechanisms that Alliance members have in place.
During an exercise, forces are asked to respond to a fictitious scenario that resembles what might occur in real life. Exercises cover the full range of military operations, from combat to humanitarian relief and from stabilisation to reconstruction. They can last from a day to several weeks and can vary in scope from a few officers working on an isolated problem, to full-scale combat scenarios involving aircraft, navy ships, artillery pieces, armoured vehicles and thousands of troops.
Alliance exercises are supported by NATO countries and, as appropriate, by partner countries, which provide national commitments in the form of troops, equipment or other types of support. The participating countries are normally responsible for funding any form of national contribution.
At the conclusion of an exercise, commanders and, in many cases, troops collectively review their performance. This process allows them to identify areas that work well ("best practices") and areas that can be improved ("lessons learned"). In this way, exercises facilitate continuous improvement of interoperability, efficiency and performance. 152ee80cbc
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