CARDIOPULMONARY PHYSIOTHERAPY TECHNIQUES: ACBT, PD & MANUAL CHEST THERAPY

Question 1

What are the GOALS OF CARDIOPULMONARY
PHYSIOTHERAPY PATIENT
MANAGEMENT? 6

Answer 1

1. Prevent accumulation of secretions (phlegm) in the lower respiratory tract (LRT)
2. Improve mobilisation and clearance of secretions from the LRT
3. Promote efficient breathing patterns
4. Improve the distribution of ventilation through the LRT
5. Improve compliance of the lung tissue
6. Improve the patient’s cardiopulmonary exercise tolerance

Question 2

What are the general physiotherapy aims that also apply when treating a
patient on the medical, surgical or trauma wards: 4

Answer 2

1. Maintain or improve peripheral joints and trunk range of motion
2. Maintain or improve peripheral and respiratory muscle strength
3. Maintain or improve the patient’s ability to perform functional activities in and out of bed and in the ward
4. Retrain a normal gait pattern & re-educate the patient on their posture

Question 3

What indirect techniques are USED TO ACHIEVE CARDIOPULMONARY PHYSIOTHERAPY GOALS? 2

Answer 3

1. Active cycle of breathing technique (ACBT)
2. Active exercise and mobilisation

Question 4

What direct TECHNIQUES are USED TO ACHIEVE
CARDIOPULMONARY PHYSIOTHERAPY GOALS? 2

Answer 4

1. Body positioning for postural drainage (PD) or modified PD (MPD)
2. Manual chest therapy techniques