♪ Bob and Brad, the two most famous physical therapists ♪
♪ on the internet. ♪
- Hi folks I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Because we are the most famous physical therapists
on the internet.
- In our opinion of course Bob.
- We want to let, Brad,
people out there know there is hope.
There's three ways to improve your COPD,
chronic bronchitis and/or emphysema.
- And this is a population.
We work with these people quite a bit...
- Yeah we see a lot of this,
and actually chronic bronchitis and emphysema
are types of COPD,
which is chronic obstructive pulmonary disease.
- Right.
- So, well...
and we're not going to go over, you know,
what that is because we're assuming you know,
but we are going to go over some things you can do
to actually improve your situation.
- Sure.
- If you're new to our channel,
please take a second to subscribe to us.
We provide videos on how to stay healthy, fit, pain free,
and we upload every day.
Also you want to join us on our social media channels,
we're usually giving something away,
we will be starting to give away something
again tomorrow night.
- It's not nice to tease them though Bob.
- Well I mean we're always giving something away,
but we're kind of in transition right now
this is the day we pick the winner.
- Alright, yup.
- So go to bobandbrad.com giveaway section
you can see what we were giving away
and what we're gonna give away.
[Both Together] Also the Facebook
- It's pinned.
- Yeah pinned to the top of the page.
Especially by tomorrow.
So, when you have, you know,
COPD or chronic bronchitis emphysema,
you're gonna have the symptoms of shortness of breath,
you're gonna have the the chronic cough,
and you're gonna have sputum production.
- Sure.
- But you're also not going to feel well.
- Right.
- I mean, you're gonna start not being able to do things
you wanna do, like walk the dog are going to get the mail.
And so we want to show you some things you can do
to get that back again.
- Right.
- It's quality of life.
- Exactly.
And you can tell a lot of our patients
live in rural areas because to get the mail
is usually a distance.
- Right it's not walking down to the door.
So you want to start off in a pulmonary function tests.
You know, if you haven't had one already.
I think that's really important because your doctor...
if you go to your doctor,
I'm sure sure if you haven't had one you say,
"Oh yeah, you probably should have one."
- Sure.
- Just so you know what your baseline is.
- Right.
- And then you can see if you get improvement
with what doing some of these things.
- Right, exactly.
- And the other thing you're going to get,
if you start doing some of this stuff
you're going to not only feel better,
but you're also going to have less readmissions
to the hospital.
I think, Brad I see that a lot
working in a lot of skilled nursing facilities.
People always going in, what's the, you know,
it's re-exacerbation.
- Sure, right.
- Exacerbation of a chronic bronchitis,
we see that the time. - People go home,
they start getting back into their old habits,
they're not doing what they need to do to maintain,
and then they cycle through again so..
- So number one thing we want you to try
is we want you to strengthen your inspiratory
and expository muscles.
That's the muscles that help you breathe in and breathe out.
It's like weightlifting for your lungs.
And the thing that we recommend that we highly recommend
is actually use of the breather.
- Right.
Which is a nice product invented by
an occupational therapist?
- Respiratory therapist.
- I'm sorry respiratory.
- She was at it for 38 years,
and she invented this device.
They just improved it lately.
They just redesigned it.
- Sure.
- But the original design sold over a million
so this isn't their first rodeo.
They've been around.
- So they improved it.
- They improved it,
and what you have is you have a dial
that you can apply the resistance for inhaling,
and they have a dial that can apply the resistance
for exhaling.
So again it's just like weightlifting for your lungs.
- You start at a lower resistance.
As you gets stronger, you increase the resistance on it.
It's a wonderful device and the cost is very cheap.
I'm impressed - It's very amenable,
and anybody can do this.
I mean because you can even have oxygen in place.
- Sure
- And still be doing this.
You can be non-mobile.
I mean you can be in a wheelchair and work on this.
- They even made one for the athletes for stronger...
- Yes they do...
- So it's across the board
- Right.
- So what are we gonna do Bob?
- Well, you know we're not going to spend any time really
showing you how to use this because
they have fantastic videos.
- They do.
I watched all of them.
- Yep, and they have a person...
Go and take a look and see if you agree with me,
if you know who Sarah Jessica Parker is...
I made this joke before, but it looks just like her
in my mind or looks very much like her.
- Sure.
- So, I know she's no longer doing movies and she's...
- I never heard of her...
- You don't even know who she is.
- I don't get out much.
- It's all wasted on you, so...
Anyway, if you go ahead and get this device,
it's 20% off if you use the link that we provide,
plus free shipping.
So, you know, they're almost giving them away.
(Brad laughs)
All right, number two, once you work this out a bit,
and you get your lungs better,
then I would like to see you do some exercise.
- Right.
Exactly.
Once you get that oxygen transfer and a carbon dioxide out,
get the body moving right along with it as capable.
- Right.
And so, I'm gonna recommend two things.
One is just regular old walking.
And you know, obviously, you want to set it up
so that you don't get out too far and can't make it back.
- Sure.
- But another thing that I like is using
like this elliptical.
- Right.
If walking is safer for you, you may be unstable,
concerned about falling, get a nice seated exercise,
and this is a nice one that we've been using for years.
- Brad came up with this idea, by the way,
because you saw it in a store, didn't you?
- Right, I was at MC sports,
which I don't think they exist anymore.
And I was looking for something that we could use
with people in wheelchairs.
- Right.
- To get their legs moving and get some exercise.
And this is actually made to stand on.
It's like a home mini elliptical.
- Yeah.
It's an elliptical yeah, and exactly.
So when Brad first came up with this idea,
I was like, "That's a great idea."
We first just put a couple two by fours underneath there.
And that's all you need to do too.
- Right because this is actually made the be flat,
and then you have to turn it around 180 degrees
from where it's supposed to be used,
and then you can use it like this.
- Yeah.
And so, you really get just this part here.
And I don't know, are they still like 80-90 bucks?
- Something like that, yeah.
I think they've actually come down a little bit.
- Yeah, and I think they make one now that is for people
who do sit.
- Right, yeah.
- I think they...
- They're a little lower profile.
- Yeah.
So but what you'll find about this is that
they really move easy.
I mean, you can, you know, it doesn't take much effort
to get it going.
- Right.
And you can adjust the resistance, but typically,
this is good.
Has a time on it.
Tells you how many revolutions you make.
- I don't know how well that works, but...
- Actually, it works good.
I used to use it all the time.
But they tend...
I mean after a year to two - They wear off.
- Sometimes.
We've had some last a long time.
I mean, we've had I don't know how many of these
in our clinics over the years,
but they really last.
They're built well.
- Yeah, they've done a good job with them.
- Do that again Bob.
I wanted to point something out.
- Oh, sorry.
- Yeah, the nice thing as a therapist,
we get ankle range of motion,
we get some new range of motion...
- Right.
- So people with arthritis, you still get some movement,
And the hip. - The hip.
So what's nice about this is you can set this up
and you can be in your house.
You get tired, you stop.
- Right, exactly.
- So the third thing we're gonna recommend,
which I imagine is gonna be hard for a lot of people
to understand is that: you actually...
Oh, I'm gonna grab the...
You wanna grab that book over there, Brad?
- Yes, I do.
- You actually can affect your lungs by what you eat.
So there was a study done that 100 people
and 50 people they kept on their same diet.
Yep, that's it.
And the other 50 they actually had them increase
their portions of fruits and vegetables.
- Sure.
- And they studied them over three years.
The people that were on their same diet
progressively got worse, because that's often what happens
with COPD.
It just progressively gets worse.
The people who increase their fruits and vegetables,
and not only didn't get worse,
it got a little bit better.
- Yeah
- So you are what you eat,
and I've mentioned this book before: How Not To Die.
Really well done.
Done by a physician, and he just has studies galore on here.
- Sure.
- And it'll change your life, I think if you read this book.
- Sure.
- And because you'll find out that you've been eating
some of the things you shouldn't be eating.
Processed meats, bacon and stuff, unfortunately not good
for COPD. - Oh really?
- I know you really hate to hear that Brad, right?
- But if it's not processed, it's better for you?
- Well it's better than processed meats anyway,
especially COPD is what they're talking about in particular.
Anyway, those are three suggestions.
Give them a try.
And remember Brad and I can fix just about anything.
- Except for...
- A broken heart.
- There you go.
- But we're working on it.
- Right, right.
I don't know if this will
help with that. - Probably would help.
- Well, we'll give it a try.
We'll put it in the recipe.
- Okay, thanks for watching.