Clinical studies have deepened the study of the accumulation of pathological secretions in different areas of the bronchopulmonary system. In the process of laboratory experiments, scientists found that positional (postural) drainage helps to speed up the outflow of purulent fluid in patients with respiratory diseases.
The inclusion of this technique in complex therapy can reduce the number of serious complications, treatment time, prevent the formation of pressure sores and deaths. The developed technique for cleansing the respiratory system, as medical practice shows, is absolutely safe and entails positive dynamics. It can be used in children from two years, but only as directed by a pediatrician or physiotherapist.
The value of therapeutic massage
First of all, you need to understand what postural drainage is. This is a medical procedure that allows you to remove pathological fluid from the tissues with the help of special tapping, stroking and patting. Its significance becomes clear after careful observation of the patient who undergoes such a massage. In one session, the patient can cough up up to 200 ml of sputum with an unpleasant odor.
From this it is clear that the purulent exudate was previously in the trachea and caused terrible intoxication. The developed method of secretion outflow significantly improves ventilation of lung segments, reduces the occurrence of hypostatic pneumonia, and facilitates blood flow and respiratory function. The use of therapeutic manipulations for various pathologies of the abdominal cavity surpasses traditional drainage methods in terms of the rate of elimination of difficult to separate and purulent sputum.
Postural drainage: indications and procedure
Special exercises are prescribed for patients with the following diseases:
- pneumonia;
- bronchitis;
- cystic fibrosis;
- bronchiectasis and other chronic pathologies of the respiratory tract.
As described above, the treatment procedure removes the formed mucus from the trachea, causing a productive cough and muscle contractions of the bronchi. Only with exact observance of these criteria is sputum discharge observed. Postural drainage is carried out in all medical centers. Everyone can master the technique of exercises.
But before conducting it is necessary to thin the mucus with mucolytic drugs and alkaline drink. The time of the procedure, body position and intensity of execution for an adult and a child vary. It is important to strictly adhere to the instructions in order to see positive progress in the treatment of bronchopulmonary diseases.
Educational technology
Postural drainage is carried out in three variations: on the stomach, back, side. The position is chosen by the therapist. You can apply all poses with the permission of the doctor. The patient should lie on a flat hard surface, slip a pillow or blanket under his knees so that his head is below the spine.
- Lubricate the hands with oil or cream and begin to make rhythmic movements along the back (up / down) for about 30 seconds.
- Then we rub the area of ββthe shoulder blades and ribs, gradually accelerating the rhythm. After three minutes, when the back has warmed up well, we proceed to patting movements (fold a palm in the shape of a boat) from the sides to the spinal column - on both sides.
- After all the manipulations, massage the sternum for a better outflow of mucus.
- After completing the exercise cycle, we ask the patient to take a deep breath and cough violently so that the collected fluid in the trachea comes out.
It is recommended to carry out a complex of therapeutic cleaning sessions 2-3 times a day for five days.
Who is forbidden to carry out postural bronchial drainage?
The technique is simple and available for home use, but it has a number of contraindications. It is dangerous to carry out the procedure for people with heart diseases, hypertension and brain pathologies. It is forbidden in the acute phase of pneumonia, when there is a high temperature. Do not prescribe for pulmonary bleeding, injuries of the spine, ribs and damage to the connective tissue.
In conclusion, I want to emphasize that postural drainage reduces the severity of the course of the disease, contributes to the quickest recovery and rehabilitation after diseases.