Chemisty with physical therapy

Chemisty with physical therapy  physioatis.com

Chemisty with physical therapy 

When Your Child Needs Chest Physical Therapy (CPT)

Chest physical therapy (CPT) is a method for cleaning mucus from the gland. Keeping your lungs clean helps your child breathe more easily. CPT involves 3 main steps:

- Put your child in a certain position

- Clapping on the body

- Coughing up your child

When to do CPT with your child

Perform CPT with your child 1 to 4 times a day for no more than 20 to 60 minutes each time. If your child has a respiratory infection, you may need to do CPT more often. Discuss the schedule with your child's physical or respiratory therapist. It may be useful for more than one person to know this technique, so you can stay on schedule. In general, do CPT:

The first thing in the morning and right before going to bed. Women with boys sitting on their laps carry four types of CPT on their chest, back, shoulders, and shoulder blades.

When your child's stomach is empty, either before eating or at least one hour after eating.

Before or after breathing treatment (as instructed).

After exercise, which helps loosen mucus (ask your doctor first about this).

Position your child

Special positions help you use gravity to drain mucus from your child's lungs. This is sometimes called postural drainage. Be sure to have a box of tissue that is useful when your child coughs up mucus. The health care provider will show you the position to use with your child. This may depend in part on your child's age. For example, you can put a child in your lap. You can make an older child lie on a flat surface, such as a bed or floor. In both cases, when the child is lying down, the child's head and chest are lower than his hips. You can use pillows or foam slices to create this position. However, do not use this position with the baby or if your child has a problem with gastroesophageal reflux (GERD). GERD is a chronic condition in which stomach acid returns to the esophagus.

Pat your child

Once your child is positioned, you can start clapping to loosen the secretions in the lungs. Remove any rings, watches or bracelets before you start. The following steps are clapping:

If your child is not wearing a shirt, put a cloth or thin sheet on his body.

Hold your hands to trap air between your child's hands and body. Keep your thumb next to your index finger.

Pat your child's ribs, move your wrist, not your arms and shoulders. Tap on the left side of the ribs, then the right side. Be careful not to clap on the abdomen, sternum or spine.

Keep clapping steady and steady, but not too hard, for about 3 to 5 minutes in each area.

You can also use other airway cleansing devices, such as vests, to get the same effect. The vest is attached to an air generator which causes gentle and continuous vibration. The movement vibrates the chest to loosen mucus. Positive oscillating expiratory pressure (PEP) is another technique. With PEP, your child can use one of the various devices to fully air, while the device creates airwaves to help break thick mucus. You can ask your pediatrician or physical or respiratory therapist about these options.

Chemisty with physical therapy ptlinktheraphy.com

Ask for your child's cough

Cough cleanses mucus from the lungs. If your child is bigger, ask him to cough after you applaud in each area. Don't continue clapping until your child stops coughing. To make your child cough, have your child do this:

- Sit and bend slightly forward.

- Take a breath.

- Open the mouth and tighten the abdominal muscles to cough deeply, not only from the throat.

- Take another breath.

- Repeat until the lungs are clean.

Make it easy for your child to work with CPT

You can do many things to make CPT easier for your child. With experience, your child may feel better and come to enjoy time with you.

Think of ways to help your child relax and take control. If possible, have your child choose the position to start.

Explain in a simple way how the technique helps.

Ask your child to choose activities that are fun to do during CPT, such as listening to music or watching videos.

P

raise your child for working together.

Potential side effects of CPT

Some children have CPT side effects. Most are mild and disappear immediately after stopping CPT. Make sure the little baby is positioned so you can check your breathing and face color. Here are the 

possible side effects of CPT:

Stop coughing. Stop CPT. Continue only when your child can breathe easily.

Nausea. Have your child take a break. If your child vomits, end the CPT session. Make sure you do CPT when your child's stomach is empty. Encourage your child to remove mucus, not swallow it.

Pain. Stop CPT. Make sure your hands are cupped, not even.

Difficulty breathing. Stop CPT. Have your child sit down. When breathing returns to normal, continue CPT.

Cry. Divert your child's attention by giving him something to do. Small children still have difficulty lying down.

Dizzy. Stop CPT for a while and let your child relax. Continue when the dizzy passes.

Gastroesophageal reflux. This is when stomach acid returns to the esophagus. If this happens, avoid positioning with the head down.

Chemisty with physical therapy spinuniverse.com

Chest physical therapy for patients in the intensive care unit.

Chest physical therapy is used in the intensive care unit (ICU) to minimize retention of pulmonary secretions, to maximize oxygenation, and to re-expand the atelectric lung segment. This article reviews how chest physical therapy is used with critically ill patients. A brief historical review of the literature is presented. Chest physical therapy treatments that apply to patients in the ICU are discussed. Posture drainage, percussion, vibration, breathing exercises, cough stimulation techniques, and airway suctioning are described in detail, with current references. The importance of patient mobilization is emphasized. The advantages of chest physical therapy compared to therapeutic bronchoscopy are also discussed. Two patient samples are used to show the beneficial effects that can be obtained by chest physical therapy. After removal of retained secretions, arterial oxygenation and arterial oxygen partial pressure / fraction of the ratio of inspired oxygen concentration increases, and atelectasis improves without negative hemodynamic side effects from therapeutic bronchoscopy. Physical therapists trained in ICU can safely perform chest physical therapy with the majority of critically ill patients.

People who suffer from cystic fibrosis (CF) need regular airway cleaning to help keep their lungs healthy. Over the years progress in the life expectancy of patients with cystic fibrosis can be directly related to advances in the treatment of lung diseases associated with CF. A major foundation for the treatment of cystic fibrosis, and the gold standard of airway cleaning, is chest physical therapy (also called CPT, PT dada, chest physiotherapy).