Chest Physiotherapy

1. CHEST PHYSIOTHERAPY
Dr.Padmesh. V

2. 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).

3. 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.

4. 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 .

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

37. • 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

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