Physiotherapy of the thorax consists in external mechanical maneuvers such as knocking and vibration massage as well as to improve the postural drainage mobilizing secretion and promotion. it is indicated for patients in whom cough is not sufficient to rid the lungs of thickened, viscous or fixed dental secretions. Examples of diseases include cystic fibrosis, bronchiectasis, lung abscess, neuromuscular diseases and pneumonia in dependent parts of the lung. Contraindications Contraindications are all relative and include the following: pain due to physical locations or manipulation anticoagulation rib or vertebral fractures or osteoporosis Current hemoptysis procedure physiotherapy of the thorax can be performed by a trained respiratory therapists, but often can learn these techniques and family members of the patient. The most commonly used maneuvers is the postural drainage and tapping massages, where the patient is rotated so that the secretion drainage is facilitated from a specific lung lobe or segment, while it is beaten with cupped hands on the chest to loosen retiniertes secretions and mobilize that can be coughed characterized or drainage. This procedure is somewhat uncomfortable for the patient and tiring. Among the alternatives for tapping massage by hand include the use of mechanical vibrators and inflatable west. Other methods that can help to clean the air ways include controlled breathing techniques, PEP-masks to hold open the airways and tools with oscillating positive expiratory pressure to Sputummobilisation (n. D. Talk .: z. B. VRP1-Flutter, the RC Cornet). The methods of secretion removal are comparable, and they should be selected based on the individual needs of patients and preferences. Complications are uncommon, but include position-related hypoxia and suction of secretions liberated in other regions of the lung.

Health Life Media Team

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