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breathing technique deep breathing hyperinflation drainage positions postural drainage pd physiotherapy rmt imt pt for cystic fibrosis cystic fibrosis acute respiratory distress syndrome acute respiratory syndrome ards autogenic drainage ad physiotherapy active movements exercise therapy facilitation techniques neuromuscular facilitation pnf basal breathing apical breathing segmental breathing breathing exercises diaphragmatic breathing spirometer incentive spirometry chest mobilization biomechanics of tmj tmj biomechanics tmj medico-social worker msw manual hyperinflation