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Techniques include chest percussion using clapping: the therapist lightly claps the patient's chest, back, and area under the arms. Percussion, while effective in the treatment of infants and children, is no longer used in adults due to the introduction of more effective and self-management focused treatments.
Chest physiotherapy is a manual airway clearance therapy that uses chest percussion (clapping, and vibration), and postural drainage. [ 1 ] [ 7 ] [ 8 ] However, they are labour-intensive, and time-consuming, and mechanical devices are often used instead.
Postural drainage is often used in conjunction with a technique for loosening secretions in the chest cavity such as chest percussion. [13] Chest percussion is performed by clapping the back or chest with a cupped hand. Bronchodilator medications may also be used before postural drainage to improve its effectiveness. [6]
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The most common treatment of atelectasis in the hospital setting is manual chest physiotherapy [9] though there is limited evidence of its efficacy. [10] [11] Chest percussion and postural drainage are used in bronchiectasis and lung abscess. The patient's body is positioned so that the trachea is inclined downward and below the affected chest ...
Percussion is performed in a systematic matter, from the upper chest to the lower ribs, and resonance is compared between the left and right sides of the chest. This is done from the front and back of the thorax. [14] Percussion over different body tissues results in five common "notes". [14] Resonance: Loud and low pitched. Normal lung sound. [15]
Normal resonance/ Resonant, the sound produced by percussing a normal chest. Impaired resonance (mass, consolidation) lower than normal percussion sounds. Dull (consolidation), similar to percussion of a mass such as a liver. Stony dull, the sounds produced on percussion from the pleximeter with no contribution from the underlying area.
Chest wall oscillation is when devices are used in airway clearance therapy to clear excess mucus from lung airways (bronchi and bronchioles).It is principally used in the treatment of cystic fibrosis, but is gaining use in the treatment of other diseases, such as bronchiectasis, COPD, cerebral palsy and muscular dystrophy, in which excessive mucus can block airways due to excessive production ...