More mucus in the lungs can lead to more infections. This cycle of infection, inflammation and more mucus can hurt the lungs and lower lung function. Brisk percussion of the chest wall helps to break up and dislodge mucus, so it can be more easily huffed or coughed out of the body. Use a cupped hand or percussor cup. If done right, you will hear a popping sound. Percussion should not cause red marks on your child. A respiratory therapist RT will show you how to do percussion.
The patient is also asked to reposition his or her body to allow certain parts of the lungs to drain, with each session lasting up to 40 minutes. Using SmartVest , both children and adults can wear their lightweight percussion vest and sit back as the vest does the HFCWO therapy for them. Therapy is typically performed twice a day for minutes. SmartVest Connect uses built-in cellular connectivity to provide real-time data to patients, and their clinicians, the moment they plug in their device and begin treatment.
Patients can share notes and progress updates with their clinicians, allowing them to take a proactive approach to ensure bronchiectasis treatment is performed correctly and efficiently.
To learn more about treating bronchiectasis via SmartVest , request a free informational patient packet today! Though manual chest physiotherapy is an effective method of treating bronchiectasis, its technique presents certain limitations, especially without the aid of a caregiver.
Receiving airway clearance therapy with the SmartVest may provide a more simple yet effective solution and allow you to perform therapy independently. This website uses cookies so that we can provide you with the best user experience possible.
When your child can hold up his or her head and keep it steady, contact the doctor to ask about starting to use a chest vest for chest therapy. Chest Physiotherapy PDF. Skip to Content. Urgent Care. In This Section. How Chest Physiotherapy is Done Chest physiotherapy uses chest percussion.
Percussor Cups Never percuss over bare skin. Make sure the child is wearing a t-shirt or onesie. Hold the percussor between your fingers and firmly pat over 6 areas of the child's chest and back for 2 to 4 minutes. Do the patting in a regular rhythm.
It is based on the theory that when various areas of the chest and back are percussed, shock waves are transmitted through the chest wall, loosening the airway secretions. If the child is positioned appropriately, the loosened secretions will then drain into the upper airways, where they can then be cleared using coughing and deep breathing techniques. The following techniques are all part of chest physical therapy. Turning from side to side permits lung expansion.
The child may turn on his or her own, or be turned by a caregiver. Turning should be done at a minimum of every two hours if the child is bedridden. The head of the bed can also be elevated in order to promote drainage. Coughing helps to break up secretions in the lungs so that the mucus can be expectorated or suctioned out if necessary. Patients sit upright and inhale deeply through the nose. They then exhale in short puffs or coughs.
This procedure is repeated several times a day. Deep breathing helps expand the lungs and forces an improved distribution of the air into all sections of the lungs. The patient either sits in a chair or sits upright in bed and inhales then pushes the abdomen out to force maximum amounts of air into the lung.
The abdomen is then contracted, and the patient exhales. Deep breathing exercises are done several times each day for short periods. Because of the mind-body awareness required to perform coughing and deep breathing exercises, they are unsuitable for most children under the age of eight. Postural drainage uses the force of gravity to assist in effectively draining secretions from the smaller airways into the central airway where they can either be coughed up or suctioned out.
The child is placed in a head- or chest-down position and is kept in this position for up to 15 minutes. To obtain the head-down positions, the use of a pillow, beanbag chair, or couch cushions can be helpful.
Often, percussion and vibration are performed in conjunction with postural drainage. Percussion involves rhythmically striking the chest wall with cupped hands. It is also called cupping or clapping. The purpose of percussion is to break up thick secretions in the lungs so they can more easily be removed. Percussion is performed on each lung segment for one to two minutes at a time. Mechanical percussors are available and may be suitable for children over two years of age.
The percussor is moved over one lobe of the lung for approximately five minutes, while the patient is encouraged to performing coughing and deep breathing techniques. This process is repeated until each segment of the lung is percussed.
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