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Autogenic drainage is a controlled airway clearance technique using different depths of inhalation, and different speeds of exhalation that enables mucus to be moved up the airway producing a voluntary cough. This method does not require any equipment, however, it is challenging to perform and appropriate training is required. [2]
Chest physiotherapy (CPT) are treatments generally performed by physical therapists and respiratory therapists, whereby breathing is improved by the indirect removal of mucus from the breathing passages of a patient. Other terms include respiratory or cardio-thoracic physiotherapy.
When compared with the technique of autogenic drainage (AD) Miller et al., reported no differences in efficacy, although ACBT was associated with oxygen desaturation in some cases. [14] There was, however, no significant overall difference in saturation between the two techniques.
Autogenic training is a relaxation technique first published by the German psychiatrist Johannes Heinrich Schultz in 1932. The technique involves repetitions of a set of visualisations accompanied by vocal suggestions that induce a state of relaxation and is based on passive concentration of bodily perceptions like heaviness and warmth of limbs, which are facilitated by self-suggestions.
Next, thrust in an inward and upward motion on the diaphragm. This will force air out of the lungs and remove the blockage. Repeat these abdominal thrusts up to five times, the doctor advised.
Postural drainage is more difficult if patients experience poor mobility, poor posture, pain, anxiety, and skin damage, usually requiring adaptations to the technique. [6] Trendelenburg position which is head down position is relatively contraindicated in patients who have uncontrolled hypertension, orthopnea , recent gross hemoptysis ...
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