Conducted clinical studies have deepened the study of the accumulation of pathological secretions in different areas of the bronchopulmonary system. In the course of laboratory experiments, scientists have found that positional (postural) drainage helps to accelerate the outflow of purulent fluid in patients with respiratory diseases.
Inclusion of this technique in complex therapy can reduce the number of serious complications, treatment time, prevent the formation of bedsores and deaths. The developed technique for cleansing the respiratory system, as medical practice shows, is absolutely safe and entails positive dynamics. May be used in children 2 years of age and older, but only as directed by a pediatrician or physiotherapist.
Meaning of therapeutic massage
First of all, you need to understand what postural drainage is. This is a medical procedure that removes pathological fluid from tissues usingspecial 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 expectorate up to 200 ml of sputum with an unpleasant odor.
From here it is clear that the purulent exudate was previously in the trachea and caused terrible intoxication. The developed method of secretion outflow significantly improves the ventilation of lung segments, reduces the occurrence of hypostatic pneumonia, 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 speed of removing difficult-to-separate and purulent sputum.
Postural drainage: indications and procedure
Special exercises are prescribed for patients with the following conditions:
- pneumonia;
- bronchitis;
- cystic fibrosis;
- bronchiectasis and other chronic respiratory pathologies.
As described above, the medical procedure removes the formed mucus from the trachea, causing a productive cough and muscle contractions of the bronchi. Only if these criteria are strictly observed, sputum discharge is observed. Postural drainage is carried out in all medical centers. Everyone can master the technique of exercises.
But before carrying out it is necessary to thin the mucus with the help of mucolytic drugs and alkaline drink. The time of the procedure, the position of the body and the intensity of execution for an adult and a child vary. Importantstrictly adhere to the instructions to see positive progress in the treatment of bronchopulmonary diseases.
Teaching technology
Postural drainage is carried out in three variations: on the abdomen, back, side. The position is chosen by the therapist. All poses can be used with the permission of the doctor. The patient should lie on a flat hard surface with a pillow or blanket under the knees so that the head is lower than the spine.
- Lubricate 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 the shoulder blades and ribs, gradually accelerating the rhythm. After three minutes, when the back is well warmed up, we start patting movements (fold the palm in the shape of a boat) from the sides to the spinal column - from both sides.
- After all the manipulations, massage the sternum for a better outflow of mucus.
- After completing the cycle of exercises, we ask the patient to take a deep breath and cough strongly so that the collected fluid in the trachea comes out.
It is recommended to carry out a complex of therapeutic cleansing sessions 2-3 times a day for five days.
Who is prohibited from 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 disease, hypertension and brain pathologies. It is forbidden in the acute phasepneumonia 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 would like to emphasize that postural drainage reduces the severity of the course of the disease, contributes to the fastest recovery and rehabilitation after illnesses.
