Chest Physiotherapy

Chest Physiotherapy’s aim is

  • To clear the lung of secretion and to maintain a patent airway.
  • To maintain & / or to improve compliance of lung.
  • To maintain & / or improve the thoracic mobility.
  • To improve the exercise tolerance in-patients with lung problems.

Principle of Chest Physiotherapy
The principle of CPT is to either clear the secretions or to prevent accumulation of secretions within the lung.

Indications Of CPT
Chest physiotherapy is indicated in patients in any conditions where the normal bronchial hygiene cannot be maintained.

I. Prophylactic
1. Chest physiotherapy is usually indicated in smokers, in those with abnormal lung function pre operative.
2. Pre operative respiratory muscle training in high-risk abdominal and thoracic surgery.
3. Post operative assistance in clearing secretions in high-risk abdominal and thoracic surgery.

II. Therapeutic
1. Acute atelectasis – Partial and total plugging of airways by mucus.
2. Mucus hypersecreting states, eg- Bronchiectasis and Cystic fibrosis, Pneumonia & Lung abscess.
3. Ventilation or perfusion abnormalities resulting from retained pulmonary secretions.
4. Patients with COPD and insufficient breathing pattern.
5. Respiratory failure – any condition, either musculoskeletal or neural resulting in abnormal breathing.