Postural drainage

**emad** · 23-03-2006, 02:48 PM

Hi all ;

I studied only chest physiotherapy during my undergraduate school, i have not practised that practically .

I have a patient needs me to apply postural drainage .

Any one have a link to begin with or advice .

Regards
Emad

**bernard** · 23-03-2006, 03:29 PM

Hi Emad,

Postural Drainage Therapy

hope it helps.

**cedric** · 23-03-2006, 05:00 PM

postural drainage is not well considered here in france... we do prefear flow acceleration

**emad** · 24-03-2006, 01:41 PM

Thanks Bernad & Ced;

Another good link with images and 12 positions.
http://www.cysticfibrosismedicine.co...t/postural.htm

Regards
Emad

**nari** · 24-03-2006, 11:55 PM

emad

What is the condition that your patient has?

If it is chronic, such as bronchiectasis, the patient needs to learn to do it himself/herself at home. Unless the patient lives alone, this is the best way to maintain clearance of secretions. Autogenic drainage involves positioning, controlled breathing, self-application of vibrations and as much activity as possible.
If acute, the same applies, but a couple of visits may be necessary to review.
Modern drugs have made chest physiotherapy largely redundant in Australia.
In three years at a health centre, I saw one patient, whose doctor was still old-fashioned and believed we still treated bronchitis. Deep breathing control and activity works just as effectively with no drain on resources.

Nari

**emad** · 25-03-2006, 01:17 PM

Nari;

Thank you ,will be my first chest practical work ,his doctor diagnosed the patient as chronic bronchectasis, with Rt.middle and lower lobes sputum this what i received through the reference ,i meet that chest specialist today asked him , i searched for driange , i found that there are different positions for each segment of the lobes How could be more specialised for which segments affected ,he replied me we performed MRI for the chest ,and the report mentioned what i wrote to you .

Personally , i do not have skills in assessing chest patient even i do not know how to locate that affected segments ???

I have stethoscope , but i do not have cortical experience in listening to chest sounds .

Regards
Emad

23-03-2006, 02:48 PM	#1
emad Arbiter Join Date: Mar 2004 Location: The Earth Planet Age: 38 Posts: 2,067 Thanks: 1 Thanked 2 Times in 2 Posts	Postural drainage Hi all ; I studied only chest physiotherapy during my undergraduate school, i have not practised that practically . I have a patient needs me to apply postural drainage . Any one have a link to begin with or advice . Regards Emad __________________ Last edited by bernard; 23-03-2006 at 03:20 PM.

23-03-2006, 03:29 PM	#2
bernard Admin, Moderator... Join Date: Mar 2004 Location: France Age: 56 Posts: 12,029 Thanks: 260 Thanked 159 Times in 97 Posts	Hi Emad, Postural Drainage Therapy hope it helps. __________________ Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard

23-03-2006, 05:00 PM	#3
cedric the real friskey Join Date: Oct 2005 Location: 93 - gournay sur marne (close to disneyland paris) Age: 36 Posts: 344 Thanks: 1 Thanked 0 Times in 0 Posts	postural drainage is not well considered here in france... we do prefear flow acceleration __________________ ------------------------------------------------------ french physio like paediatrics and sports trauma

24-03-2006, 01:41 PM	#4
emad Arbiter Join Date: Mar 2004 Location: The Earth Planet Age: 38 Posts: 2,067 Thanks: 1 Thanked 2 Times in 2 Posts	Thanks Bernad & Ced; Another good link with images and 12 positions. http://www.cysticfibrosismedicine.co...t/postural.htm Regards Emad __________________

25-03-2006, 01:17 PM	#6
emad Arbiter Join Date: Mar 2004 Location: The Earth Planet Age: 38 Posts: 2,067 Thanks: 1 Thanked 2 Times in 2 Posts	Nari; Thank you ,will be my first chest practical work ,his doctor diagnosed the patient as chronic bronchectasis, with Rt.middle and lower lobes sputum this what i received through the reference ,i meet that chest specialist today asked him , i searched for driange , i found that there are different positions for each segment of the lobes How could be more specialised for which segments affected ,he replied me we performed MRI for the chest ,and the report mentioned what i wrote to you . Personally , i do not have skills in assessing chest patient even i do not know how to locate that affected segments ??? I have stethoscope , but i do not have cortical experience in listening to chest sounds . Regards Emad __________________

24-03-2006, 11:55 PM	#5
nari NeuroNut Evangelist Join Date: Mar 2004 Location: ACT Aust Posts: 7,716 Thanks: 739 Thanked 241 Times in 175 Posts	emad What is the condition that your patient has? If it is chronic, such as bronchiectasis, the patient needs to learn to do it himself/herself at home. Unless the patient lives alone, this is the best way to maintain clearance of secretions. Autogenic drainage involves positioning, controlled breathing, self-application of vibrations and as much activity as possible. If acute, the same applies, but a couple of visits may be necessary to review. Modern drugs have made chest physiotherapy largely redundant in Australia. In three years at a health centre, I saw one patient, whose doctor was still old-fashioned and believed we still treated bronchitis. Deep breathing control and activity works just as effectively with no drain on resources. Nari

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