Manual Techniques

Question 1

Percussion

Answer 1

Rhythmical patting of the chest with a cupped hand; create a cushion of air
Perform during normal tidal breathing
Loosens the sputum from the walls of the airways
Use a towel
Side lying

Question 2

Shakes

Answer 2

Application of large oscillatory movements to the chest wall
Usually performed on expiration
Mobilise secretions along the airways
Push in and out not up and down

Question 3

Vibrations

Answer 3

Fine oscillatory movements to teh chest wall
Usually performed on expiration
Mobilise secretions along the airways
Push in and out not up and down
Smaller and quicker movements

Question 4

Precautions

Answer 4

Bronchospasm
Pain
Osteoporosis
Bone metastases
Near chest drains

Question 5

Contraindications

Answer 5

Fractures (rib)
Surgical wounds
Frank haemoptysis
Severe osteoporosis
Severe hypoxia