Sanomechanics for breathing in the rehabilitation system after bilateral amputation or congenital underdevelopment of the upper limbs

Authors:

Prof. Pitkin, M.R. Dr. Tech. Sci. Tufts University, Boston, MA 02111, USA. Phone 617-636-7000, e-mail: mpitkin@tuftsmedicalcenter.org

Annotation:

Introduction. Attention is drawn to the natural mechanisms of airway cleansing that rely on the systems of fluid transport in the body, with particular emphasis on the relationship between breathing and swallowing. Arguments are given about the fundamental role of swallowing in the process of cleansing the trachea, bronchi and sinuses from sputum and mucus. A sanomechanical technique for enhancing the natural cleansing of the respiratory tract as a prophylaxis for asthmatic syndrome and the formation of polyps in the nasal cavity is presented. It is proposed to include this technique in the rehabilitation program for people with disabilities after bilateral amputation and with congenital underdevelopment of the upper extremities.

Aim. The aim of this work is to outline a methodology for the prevention of common breathing problems.

Materials and methods. The hydromechanical aspects of the mechanism of natural airway clearance and the use of periodic involuntary induction of swallowing reflex are considered. The role of the conscious activation of this mechanism is traced. A three-stage system of actions is proposed for voluntary preparation of the nasopharynx for clearing excess sputum and nasal mucus through.

Results. A three-stage technique has been developed for voluntary induction of the swallowing reflex to clear excess sputum and nasal mucus.

Discussion. The proposed method is an integral element of the Sanomechanics system, which combines exercises performed with a specific criterion of correctness and with an understanding of their biomechanical role. It is possible to modify the methodology for teaching young children who either have difficulties or are unable to use usual sanitary and hygienic techniques.

Conclusion. Initially, the technique was developed by the author to solve his own problems and to minimize the consequences of the formation of polyps in the nose. After eliminating polyps without surgery, he continues to exercise routinely to clear the airways in the morning, evening, and as needed, such as during a cold. This article was written on the recommendation of colleagues from the Albrecht Federal Scientific Centre of Rehabilitation of the Disabled, St. Petersburg, Russia, to discuss the possibility and feasibility of using the technique in the rehabilitation system for children and adults after bilateral amputation or congenital underdevelopment of the upper limbs.

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