PMID: 2117171Jan 1, 1990Paper

The role of chest physiotherapy in mucus hypersecretion

Lung
D Pavia

Abstract

Review of the data shows that chest physiotherapy (CP) is effective in clearing secretions from the lungs of patients with copious secretions (i.e., daily sputum production in excess of 30 ml). Assessment of the various components of CP shows that percussion, vibratory shaking, and breathing exercises have little to offer. Although instructed cough, the back up mucus clearance mechanism, is effective in clearing secretions its effect is less than that achieved with the forced expiration technique (FET). Postural drainage (PD) is on the whole successful in helping to drain secretions in the lungs. The administration of a beta 2-agonist via a nebulizer prior to CP in addition to promoting bronchodilation may also help to alter the physical properties of secretions, rendering them more amenable for clearance by FET/cough. Technology regarding high-frequency oscillations (HFO) has yet to be improved and its efficacy in clearing excess secretions proven prior to its inclusion in a CP treatment regimen. Intermittent positive pressure breathing (IPPB) may have a role to play in those patients where conventional CP is not possible. Data with positive expiratory pressure (PEP) are encouraging and direct evaluation is awaited regarding i...Continue Reading

References

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Citations

Jul 27, 2007·Thoracic Surgery Clinics·John P SutyakJennine Larson
Oct 26, 2001·The Australian Journal of Physiotherapy·Sonia BlazeyRay Smith
Jan 1, 1995·Thorax·U OzçelikN Kiper
Apr 29, 2020·Heart & Lung : the Journal of Critical Care·T SereearunoW Thirapatarapong

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