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Airway clearance therapy is treatment that uses a number of airway clearance techniques to clear the respiratory airways of mucus and other secretions. [1] Several respiratory diseases cause the normal mucociliary clearance mechanism to become impaired resulting in a build-up of mucus which obstructs breathing, and also affects the cough reflex.
These respiratory conditions all have a common requirement of chest physiotherapy to assist the mucus clearance due to defects with mucociliary clearance. Techniques include chest percussion using clapping: the therapist lightly claps the patient's chest, back, and area under the arms.
However, respiratory dysfunction remains responsible for much of the morbidity and mortality associated with the disorder. Physiotherapy has long played an important role in the respiratory management of the disease, and has had to adapt to the changes in disease pattern from infancy to adulthood.
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 ...
Checking for general respiratory distress, such as use of accessory muscles to breathe, abdominal breathing, position of the patient, sweating, or cyanosis; Checking the respiratory rate, depth and rhythm - Normal breathing is between 12 and 20 in a healthy patient, with a regular pattern and depth.
The respiratory tract is lined by respiratory epithelium or respiratory mucosa, with hair-like projections called cilia that beat rhythmically and carry mucus. This mucociliary clearance is an important defence system against air-borne infection. [ 34 ]
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Pulmonology (/ ˌ p ʌ l m ə ˈ n ɒ l ə dʒ i /, / ˌ p ʊ l m ə ˈ n ɒ l ə dʒ i /, from Latin pulmō, -ōnis "lung" and the Greek suffix -λογία-logía "study of"), pneumology (/ n ʊ ˈ m ɒ l ə dʒ i, n j ʊ-/, built on Greek πνεύμων pneúmōn "lung") or pneumonology [1] (/ n ʊ m ə n ˈ ɒ l ə dʒ i, n j ʊ-/) is a medical specialty that deals with diseases involving ...