Postural drainage

Postural drainage is a physiotherapy technique used to assist in clearing mucus from the lungs. It involves positioning the body to use gravity to remove mucus from the lungs towards the trachea, from where it can be more easily coughed out. This technique is often used in conjunction with other techniques such as percussion and vibration.

Indications

Postural drainage is used in conditions where mucus accumulates in the lungs, such as cystic fibrosis, chronic bronchitis, pneumonia, and bronchiectasis. It can also be used in patients who have difficulty clearing mucus due to impaired cough reflex or decreased lung function.

Procedure

The procedure involves positioning the patient in various positions to drain different parts of the lung. The positions can include lying flat, on one side, or sitting up. Each position is held for a certain amount of time, usually between 5 and 15 minutes. The patient may also be asked to cough or perform deep breathing exercises during the procedure.

Risks and complications

While postural drainage is generally safe, it can cause complications in some patients. These can include increased shortness of breath, hypoxia, and pneumothorax. It should be used with caution in patients with unstable cardiovascular conditions, recent abdominal surgery, or severe lung disease.

See also

• Chest physiotherapy
• Respiratory therapy