Manual Techniques

Created by: Fredcatley
Created on: 27-12-20 10:30

Describe the indications for manual techniques

-Patients who can't clear bronchial secretions with ACBT/GAP
-Where secretions can be cleared with less fatigue

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Describe the percussion technique

-Hand is cupped and used to percuss chest wall in rhythmical manner =flexing/ extending wrist
-One handed/ two handed/ 2-3 fingers
-Performed over towel

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Describe the mechanism of action

-Mechanism of vibration thought to loosen secretions from walls of airways
-Creates energy waves > transmitted to larger airways > increase in intra thoracic pressure = mobilise secretions

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Describe adverse effects of the treatment

-Increase hypoxemia
-May induce bronchospasm due to breathe holding

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Describe the technique of shaking

-Coarse vibratory action performed over chest wall during expiration
-Flat hand on chest wall (app. lung segment)
-Arm and shoulder stiffened + light pressure applied to create shaking
-Powerful

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Describe the technique of vibrations

-Similar to shaking but finer, lighter, and higher frequency
-Fine movement

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Describe the mechanism of action

-Vibrations help to mobilise secretions in airways
-Action forces air out of lungs may assist mob. of secretions

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Name the contraindications for manual techniques

-Uncontrolled pain in thoracic region
-Chest traumua > frac. ribs
-Osteoporosis > elderly, frail
-Haemoptysis
-Acute bronchospasm
-Cardiac arrhythmia's
-Metastic Ca Thorax
-Loss of skin integrity > burns, surgery
-Surgical Emphysema

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Other cards in this set

Card 2

Front

Describe the percussion technique

Back

-Hand is cupped and used to percuss chest wall in rhythmical manner =flexing/ extending wrist
-One handed/ two handed/ 2-3 fingers
-Performed over towel

Card 3

Front

Describe the mechanism of action

Back

Card 4

Front

Describe adverse effects of the treatment

Back

Card 5

Front

Describe the technique of shaking

Back

View more cards

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Manual Techniques