CHEST PHYSIOTHERAPY

Dr.Padmesh. V

Chest Physiotherapy
Definition:
Chest physiotherapy (CPT) is one aspect of
bronchial hygiene and may include:
-Turning,
-Postural drainage,
-Chest percussion and vibration,
-Specialized cough techniques known as directed cough.

Any or all of these techniques may be performed in

conjunction with medicinal aerosol therapy
(i.e.,bronchodilators or mucolytics).

Chest Physiotherapy
The goals of CPT are :
-To move bronchial secretions to the
central airways via gravity,
-External manipulation of the chest,
and to eliminate secretions by cough
or aspiration with a catheter.
Improved mobilization of bronchial secretions
contributes to improved ventilation-perfusion
matching and the normalization of the
functional residual capacity.

Chest Physiotherapy
Preparation :
1) Ensure that several hours have
passed since the child has eaten .
2) Perform a baseline respiratory
assessment. Place the child on a pulse
oximeter .
3) Place the child in the position to
permit gravity drainage of secretion .
4) Administer the bronchodilator , if
needed , to relax the airway muscles .

Chest Physiotherapy
EQUIPMENT:
1) Oxygen mask , baby bottle nipple (for
infant) .
2 ) Emesis basin or sputum cup .
3 ) Pulse oximeter .
4 ) Tissues
5) Pillows

ANATOMY

Pillow

 ABSOLUTE CONTRA INDICATIONS TO

CHEST PT:
Unstabilized head and/or neck injury
Active hemorrhage with hemodynamic instability
or significant possibility of occurrence.
Osteogenesis imperfecta or other bone disease
associated with brittle or extremely fragile bones/
Fracture of ribs

OTHER CONTRA INDICATIONS:

Intracranial pressure > 20 mm Hg
Active hemoptysis
Acute spinal injury/ Spine surgery
Pulmonary embolism
Worsening bronchospasm etc

The End!
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