This technique requires practice and should be checked by a respiratory physiotherapist to ensure you are being as effective as possible. Huffing is designed to move the secretions from the smaller airways upwards to where it is easier to cough and clear. Repeat the above steps for 20 to 30 minutes.If you can feel sputum ready to be cleared, try one or two huffs or cough (described below).Repeat the relaxed breathing for another one to two minutes.Try to suppress your cough during these breaths.Repeat these breaths in and out through the Flutter five to ten times as advised by your respiratory physiotherapist.Try to ensure your cheeks stay still as you breathe out they should not vibrate.Breathe out through the Flutter at a steady rate so that you feel the vibrations in your chest.Pause for two to five seconds to allow your lungs to fill properly.Breathe in slowly through your nose and slightly deeper than normal.Place the Flutter mouthpiece in your mouth and ensure you have a tight seal around it with your lips.Maintain this relaxed breathing for one to two minutes, or as guided by your respiratory physiotherapist.You should feel your tummy softly moving in and out with your breathing.Breathe out through your mouth, at a comfortable speed, without the Flutter.Breathe in slowly through your nose, at a comfortable speed.The Flutter can be used whilst sitting, lying down or in a particular position advised by a respiratory physiotherapist but ensure that the Flutter is well positioned. Get into a comfortable position, with your shoulders and arms relaxed.You can then tilt the device up or down until you get the desired fluttering from the device. This causes the cone to be placed at a slight tilt and allows the ball to bounce and roll within the device which causes the vibrations you feel as you breathe out. The Flutter should be used with the stem in a horizontal position. The angle at which you hold this device is critical. How do I use my Flutter? Positioning when using the Flutter:
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