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Chest physiotherapy: time for reappraisal.

P P Sutton1

  • 1Department of Respiratory Medicine, Aberdeen Royal Infirmary, Foresterhill.

British Journal of Diseases of the Chest
|April 1, 1988
PubMed
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Chest physiotherapy updates focus on patients producing sputum, aiming to improve expectoration. Techniques like forced expiration and postural drainage are recommended, while percussion and vibration are omitted.

Area of Science:

  • Respiratory therapy
  • Pulmonary rehabilitation

Background:

  • Chest physiotherapy is a common intervention for respiratory conditions.
  • Traditional methods may not be optimal for all patients.

Purpose of the Study:

  • To update recommendations for chest physiotherapy.
  • To emphasize techniques for effective sputum expectoration.

Main Methods:

  • Review and synthesis of current evidence on chest physiotherapy techniques.
  • Focus on forced expiration technique (FET) and postural drainage.
  • Evaluation of adjunct therapies like inhaled adrenergic agents and oral high-frequency oscillation.

Main Results:

  • Chest physiotherapy should be reserved for patients with sputum production.

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  • The forced expiration technique with postural drainage is recommended.
  • Percussion and vibration are not advised.
  • Inhaled adrenergic agents and oral high-frequency oscillation may enhance sputum clearance.

    • Conclusions:

    • Updated chest physiotherapy guidelines prioritize sputum expectoration.
    • The forced expiration technique and postural drainage are key components.
    • Adjunctive therapies show potential for improved sputum clearance.