salo_spin
12-01-2007, 03:35 PM
Chest physical therapy
Multifaceted area of professional practice that deal with the evaluation and treatment of patients of all ages with acute chronic lung disorders .
Goals: prevent airway obstruction &accumulation of secretion that interfere with normal respiration
2-improv endurance and general exercise tolerance
3-reduce energy costs during respiration through breathing retraining
4-privint or correct postural deformities associated with respiratory diseases
5-promterelaxation
6-improve cough affectivity
Maintain or improve chest mobility
Birthing RETRAINING :
Ventilator muscle training improves the efficiency of breathing by decreasing the work of breathing
Aspiratory muscle trainers –decrease o2 consumption of ventilator muscles during respiration
abdominal weights -increase efficiency of diaphragm birthing
Decrease use of accessory muscles biofeedback
Pursed lip breathing -decrease respiratory heart ;increase tidal volume
Birthing retiring in differed **** position
Birthing exercise
-diaphragmatic birthing –patient can be taught voluntary control by correct use of diaphragmatic and relaxation of accessory muscles
Patient is positioned in relaxed position with hand placed on the rectos abdomens just below the anterior costal margin .maybe done in sitting ,standing or during activity.
Lateral costal expansion (lateral ****l expansion )
Hands are placed along the lateral aspect of the lower ribs and patient is asked to breathe out feeling the the rib cage moving downward and inward .
b.poseterior basal expansion
hand are placed over the posterior aspect of the lower ribs
c. right middle lob of lingual
hands over the (R) 0R (L) SIDE OF THE patient’s chest just below the axils
d . apical expansion
pressure placed at clavicle with fingertips.useful in apical pneumothorax after lobotomy
.glosspharyngeal breathing -means of increasing a patient aspiratory capacity when there is severe weakness of the muscles of aspiratory capacity when there is severe weakness of the muscles of aspiratory
-patient takes in several gulps of air .mouth is closed and tongue pushed far back and traps it in the pharynx
Air is forced into the lungs when the glottis is opened
pursed lip breathing –patient is instructed breath in slowly and deeply have patient loosely purse his lips and exhale : avoid using abdominals to force expiration
COUGHHING EXERCISES :
1- manually assisted cough –manual pressure applied over abdominal area
2- splinting -hand pillow firmly placed over incision to support painful area as he coughs
3- humidification –maybe through ultrasonic nebula zed therapy
4- TRACHEL TICKEL-fingers placed at the sternly notch and apply a circular motion with pressure downward into the trachea to facilitate a reflexive
AIRWAY CLE ARANECE
1-COUGH –simplest way of airway clearance
Deep inhalation ---close glottis –clearance
Release glottis –expel air –abdominal muscle contraction
2-huff same with coughing but with the glottis open
Aids in stabilizing collapsible airway walls .in COPD
3-tracheal STIMULITION
Apply a quick pressure over the trachea above the supernatural notch mannerism in young patients with neuralgic deficits
4-ASISSTED COUGH –fisted hand is positioned below the xiphoid process: pushed upward and inward as the patient exhales :in SCI patients with weak abdominal muscles
5-SUCTIONING –invasive :least desirable
ECRTION REMOVAL TECHNIQUES
Excessive pulmonary secretions
1- aspiration
2- telecasts caused by mucus plugs
postural drainage
the patient is varying position for optimal gravity assisted drainage of the secretions and increased expansion of the involved segment
duration :usually patient is maintained for 20 minutes per postural daring position daring position
anterior apical segment of the upper lobs .
patient is seated : leaning backward by billow approx .45 percussion is applied directly under the clavicle .
posterior APICAL SEGMENT –UPPER LOBES
patient is seated : leaning forward onto a pillow .percussion is done over both sides is the back above the scapula with the fingers curving a little over the shoulder >
INTRODUCTION:
salo turkmany
Multifaceted area of professional practice that deal with the evaluation and treatment of patients of all ages with acute chronic lung disorders .
Goals: prevent airway obstruction &accumulation of secretion that interfere with normal respiration
2-improv endurance and general exercise tolerance
3-reduce energy costs during respiration through breathing retraining
4-privint or correct postural deformities associated with respiratory diseases
5-promterelaxation
6-improve cough affectivity
Maintain or improve chest mobility
Birthing RETRAINING :
Ventilator muscle training improves the efficiency of breathing by decreasing the work of breathing
Aspiratory muscle trainers –decrease o2 consumption of ventilator muscles during respiration
abdominal weights -increase efficiency of diaphragm birthing
Decrease use of accessory muscles biofeedback
Pursed lip breathing -decrease respiratory heart ;increase tidal volume
Birthing retiring in differed **** position
Birthing exercise
-diaphragmatic birthing –patient can be taught voluntary control by correct use of diaphragmatic and relaxation of accessory muscles
Patient is positioned in relaxed position with hand placed on the rectos abdomens just below the anterior costal margin .maybe done in sitting ,standing or during activity.
Lateral costal expansion (lateral ****l expansion )
Hands are placed along the lateral aspect of the lower ribs and patient is asked to breathe out feeling the the rib cage moving downward and inward .
b.poseterior basal expansion
hand are placed over the posterior aspect of the lower ribs
c. right middle lob of lingual
hands over the (R) 0R (L) SIDE OF THE patient’s chest just below the axils
d . apical expansion
pressure placed at clavicle with fingertips.useful in apical pneumothorax after lobotomy
.glosspharyngeal breathing -means of increasing a patient aspiratory capacity when there is severe weakness of the muscles of aspiratory capacity when there is severe weakness of the muscles of aspiratory
-patient takes in several gulps of air .mouth is closed and tongue pushed far back and traps it in the pharynx
Air is forced into the lungs when the glottis is opened
pursed lip breathing –patient is instructed breath in slowly and deeply have patient loosely purse his lips and exhale : avoid using abdominals to force expiration
COUGHHING EXERCISES :
1- manually assisted cough –manual pressure applied over abdominal area
2- splinting -hand pillow firmly placed over incision to support painful area as he coughs
3- humidification –maybe through ultrasonic nebula zed therapy
4- TRACHEL TICKEL-fingers placed at the sternly notch and apply a circular motion with pressure downward into the trachea to facilitate a reflexive
AIRWAY CLE ARANECE
1-COUGH –simplest way of airway clearance
Deep inhalation ---close glottis –clearance
Release glottis –expel air –abdominal muscle contraction
2-huff same with coughing but with the glottis open
Aids in stabilizing collapsible airway walls .in COPD
3-tracheal STIMULITION
Apply a quick pressure over the trachea above the supernatural notch mannerism in young patients with neuralgic deficits
4-ASISSTED COUGH –fisted hand is positioned below the xiphoid process: pushed upward and inward as the patient exhales :in SCI patients with weak abdominal muscles
5-SUCTIONING –invasive :least desirable
ECRTION REMOVAL TECHNIQUES
Excessive pulmonary secretions
1- aspiration
2- telecasts caused by mucus plugs
postural drainage
the patient is varying position for optimal gravity assisted drainage of the secretions and increased expansion of the involved segment
duration :usually patient is maintained for 20 minutes per postural daring position daring position
anterior apical segment of the upper lobs .
patient is seated : leaning backward by billow approx .45 percussion is applied directly under the clavicle .
posterior APICAL SEGMENT –UPPER LOBES
patient is seated : leaning forward onto a pillow .percussion is done over both sides is the back above the scapula with the fingers curving a little over the shoulder >
INTRODUCTION:
salo turkmany