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McIlwaine PM, Wong LT, Peacock D, et al (1997) Long-term comparative trial of conventional postural drainage and percussion versus positive expiratory pressure physiotherapy in the treatment of cystic fibrosis.
CPT requires physical tolerance; contraindications arising from anatomical deformity-especially bony prominences-transient hypoxemia associated with postural drainage, predisposition to gastroesophageal reflux, inability to perform breathing techniques, etc.
Although there have been no controlled studies examining the effect of chest PT in SCI patients to guide practice, knowledge gained from research findings in studies examining the effectiveness of postural drainage and percussion in patients with acute and chronic lung disease can perhaps guide future SCI research.
Between attacks a graduated scheme of forced expiration and breathing control was prescribed to continue to remove mucus along with exercises that focussed on changing posture and thoracic mobility as well as postural drainage.
We have used it in patients where other postural drainage and CPT devices have been tried to clear secretions, and the FLUTTER(R) has been more effective in getting patients to clear secretions and is better tolerated.
The respiratory problems that result from CF usually require patients to undergo rigorous daily treatment programs involving percussion, postural drainage and aerosol medications.