6
Technique
Stage 1 - Loosening and motion
1. Slowly, breathe in beyond a normal breath, do not fill your lungs completely.
2. Hold your breath for 2 to 3 seconds.
3. Place the Flutter in the mouth with lips closed around the stem, making
sure no air can escape around the mouthpiece.
Do not cover the exit holes while holding the Flutter.
4. Position the Flutter at the desired angle.
5. Begin to breathe out through the Flutter at a reasonably fast but not too
forceful speed.
Exhaling too fast and too forcefully at this point should be avoided.
Concentrate on feeling the vibration in your airways, since the best results
are obtained when there is maximum fluttering in your chest.
6. Continue to exhale through the Flutter to a level slightly further than you
would exhale during normal breathing.
For the moment, any urge to cough should be suppressed.
7. Repeat this breathing technique for 5 to 10 breaths to loosen and move
as much mucus as possible from your airways. The mucus will move
further up the airways with each Flutter exhalation. It is important to inhale
slowly (away from the Flutter or through your nose) and hold your breath,
for 2 to 3 seconds, before each exhalation through the Flutter.
For the moment, any urge to cough should still be suppressed.
Inhaling slowly helps to avoid mucus being sucked back into the lungs.
‘First-time’ users or those with particularly thick mucus may find that
repeating stage 1 many times is necessary before starting stage 2. Several
attempts may be necessary to help determine the appropriate number of
breaths you need to perform at each stage.
