Tissue or pinwheel exercises

Hold a tissue or pinwheel in front of your mouth with 1 hand or have someone hold it for you. Use diaphragmatic breathing to take a deep breath in. Breathe out slowly through pursed lips, and watch the pinwheel spin or tissue move. Repeat, but with each breath in, move the tissue or pinwheel a little farther away from your mouth. Keep moving the object farther away until the tissue or pinwheel no longer moves when you breathe out.