Methods: Exercises are therapeutic tools. They are mucokineses and a recipe for healthy ageing. They reduce C-reactive protein resulting in reduced inflammation. Exercises strengthen the remodeled airways and reset the biological ageing process. They are a) Nasal irrigation exercises. These exercises should be practiced with hypertonic saline solution i.e., a solution having greater osmotic pressure than that of cells or body fluids and draws water out of cells thus inducing plasmolysis. Osmotic pressure varies with concentration of the solution and with temperature increase. b) Bronchial airways cleaning exercises: They are based on forced expiratory techniques. They help in draining out excess mucus from bronchial airways. c) Physical, aerobic and yogic exercises: help in strengthening the inspiratory and expiratory muscles and make the airways flexible.
Results: see below
Conclusions: Any mucus related respiratory health problem commences from upper respiratory tract and spreads to tracheo bronchial tree as they constitute only one path way. The mucociliary clearance mechanism becomes defunct when excess and sticky mucus forms. Once the upper respiratory tract is cleaned of it, the defunct cilia become active and ciliate mucus towards nasal passages and it can be blown out easily. The bronchial airways cleaning exercises help in draining out total mucus from airways. The respiratory and other diseases originating from its pathway come under control. Healthy ageing process commences.