This method is flexible, and can be used with a lot of other techniques.

It is easy to remember, and can be used in conjunction with postural drainage and blowing games etc.

The active cycle of breathing technique uses:

  • Breathing control
  • Thoracic expansion
  • Forced expiration/huffing


For babies and young children it helps to make physiotherapy fun. If you finish off a session with tickling it helps clear the chest and they enjoy it too. Playing hide and seek with a toy car/doll/hand puppet whilst the child is upside down on the wedge doing chest physio postural drainage.

The hand puppet can be used to give physio instructions, sometimes in funny voices, daft instructions, or hiding under clothes or behind the wedge. The puppet can sit on the child’s his tummy in order to move in and out when tummy breaths (diaphragmatic breathing) are needed.

Another technique is to get the child to blow. Blowing anything: bubbles or cotton wool off a hand, or kazoos or blowing the hand puppet off the tummy or wedge can help.

Keeping ahead of COVID-19

Covid-19 is very unsettling for all of our PCD community – we will be regularly updating this page with latest information and ideas on how to keep yourselves entertained whilst self-isolating.