Friday, August 4, 2017

Chest Physiotherapy



Chest Physiotherapy
It's also called Chest physiotherapy (CPT ). It's a treatment that helps to remove the surplus secretions (also called mucus, phlegm, sputum ) from the lungs, by physiotherapy. It's used to assists a cough, re- educate breathing muscles to try and improve ventilation from the lungs. For some people, this treatment is just needed for a short time following a lung illness. Others with chronic lung diseases will have to perform this treatment daily simply because they have a lot of mucus towards the upper airways where it may be coughed out. This cuts down on the chance of lung infection and ensures breathing is more comfortable.
causes of the surplus secretions
The lungs are kept moist having a thin film of fluid to prevent them drying out. If you find a chest infection or occasionally in other situations, this fluid increases and be thick and putrid. Within the normal situation, these secretions are removed by coughing however in the presence of weakness, or perhaps in chronic lung disease, this isn't always possible. Although antibiotics can control the problem, they do not remove the secretions that occur. Many will be reabsorbed into the body but very thick ones will stay. It is important to remove the secretion to permit more effective breathing and boost the amount of oxygen engaging in the body.
Aims of cardiopulmonary physiotherapy-
-To prevent accumulation of secretion.
-Drainage of secretion.
-To lessen the work done in breathing.
-To maintain and improve chest wall mobility.
-To improve respiratory rate.
-To educate normal and efficient respiratory rate.
-To develop respiratory muscles endurance.
-To improve cardiopulmonary exercise tolerance.
Precautions of CPT
-have just eaten or are vomiting
-have acute asthma or tuberculosis
-have weak bones or broken ribs
-are bleeding in the lungs or are paying blood
-are experiencing intense pain
-have increased pressure within the skull
-have head or neck injuries
-have collapsed lungs or perhaps a damaged chest wall
-recently experienced cardiac arrest
-have a pulmonary embolism or lung abscess
-have an energetic hemorrhage
-have injuries towards the spine
-have open wounds or burns
-have had recent surgery
Patients who may receive chest physiotherapy include individuals with cystic fibrosis, neuromuscular diseases (such as Guillain-Barré syndrome), progressive muscle weakness (for example myasthenia gravis), or tetanus. People with lung diseases for example pneumonia, bronchitis, and some types of chronic obstructive pulmonary disease (COPD), including chronic bronchitis, also take advantage of chest physiotherapy. CPT shouldn't be used in the treatment of patients identified as having asthma.
People without specific lung problems but who're likely to aspirate their mucous secretions due to diseases such as cerebral palsy or muscular dystrophy also receive chest physical rehabilitation, as do those who are bedridden or limited to a wheelchair. Additionally, CPT may be part of treatment after surgery for patients who develop difficulty taking deep breaths.
Chest physiotherapy technique includes :
postural drainage(bronchial drainage therapy)
active cycle of breathing technique(ACBT)
autogenic drainage
positive expiratory pressure technique(PEPT)
chest percussion
chest vibration
turning
breathing exercises
forced expiratory techniques(FET) eg.coughing and huffing
incentive spirometry
CPT is generally done in conjunction with anything else to rid the airways of secretions. Other treatments include suctioning, nebulizer treatments, and also the administration of expectorant drugs.
Chest physiotherapy are begin using includes disease :
Postural Drainage
Disease Emphysema
Chronic Bronchitis
COPD Physiotherapy
Myocardial Infarction Treatment
Lymphedema Physical rehabilitation



1 comment:

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