Echniques of Chest Physiotherapy
Echniques of Chest Physiotherapy
PHYSIOTHERAPY
WHAT IS CHEST PHYSIOTHERAPY…??
TYPES OF TECHNIQUES
Airway clearance techniques
Facilitating airway clearance technique with
effective coughing techniques
Technique to facilitate ventilation pattern
Vibration/shaking
Manual hyperinflation
Autogenic drainage
Breathing control
Borg’s scale
INDICATIONS AND CAUTIONS
Cystic fibrosis
Atelectasis
Asthama
Bronchiectasis
Mechanical ventilation
Uncontrolled hypertension
Distended abdomen
Esophageal surgery
Motivation
Patient’s goals
Physician/caregiver’s goals Effectiveness
( of considered technique Patient’s age
Ease (of learning and of teaching)
Skill of therapist/teachers Fatigue or
work required
Need for assistants or equipment
Limitations of technique based on
disease type and severity
Costs (direct and indirect)
Desirability of combing methods
FACILITATING AIRWAY CLEARANCE WITH EFFECTIVE
COUGHING TECHNIQUE
What is cough….???
Stages of cough
Body positioning
Breathing technique
Pectoralis Major
Sternocleido mastoid
Trapezius
Serratus anterior
INDICATIONS
To increase ventilation
Respiratory muscle weakness
MOBILIZATION AND EXERCISES
What is mobilization.?
Mobilization is defined as the therapeutic and
prescriptive application of low-intensity exercise in the
management of cardiopulmonary dysfunction usually
in acutely ill patients.
Primarily, the goal of mobilization is to exploit the
acute effects of exercise to optimize oxygen
transport.
Even a relatively low intensity mobilization
stimulus can impose considerable metabolic
demand on the patient with cardiopulmonary
compromise.
In addition, mobilization is performed in the upright
position, that is the physiologic position, whenever
possible,
to optimize the effects of being upright on central and
peripheral hemodynamics and fluid shifts.
Thus mobilization is prescribed to elicit both a
gravitational stimulus and an exercise stimulus
EXERCISE
What are the exercises given
Exercise is the term used to describe the therapeu tic
and prescriptive application of exercise in the
management of subacute and chronic cardiopul
monary and cardiovascular dysfunction. Primarily, the
goal of exercise is to exploit the cumulative ef fects of
and adaptation to long-term exercise and thereby
optimize the function of all steps in the oxy gen
transport pathway.
TREATMENT PRESCRIPTION FOR
MOBILIZATION AND EXERCISES
Set the intensity within therapeutic and safe limits of the patient's
oxygen transport capacity.
Step 5
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