Modified Postural Drainage

Question 1

What are the limitations of postural drainage

Answer 1

More active clearance techniques, precautions, unhelpful side effects, patients unable to tolerate

Question 2

What are the results of WOB

Answer 2

Breathlessness and distressed breathing pattern, increases energy use and oxygen demand

Question 3

How can you position to reduce WOB

Answer 3

You can position to optimise respiratory muscle function, without excess energy demand, optimise diaphragm, decrease active fixation of shoulder girdle which uses muscle contraction

Question 4

Modified postural drainage for upper lobes

Answer 4

Patient sat up and leans back on physio, therapist claps over upper lobes on back

Question 5

Another modified postural drainage position for upper lobes

Answer 5

Patient leans over pillow, therapist stands behind and claps over upper back on both sides

Question 6

Another modified postural drainage position for upper lobes

Answer 6

Patient supine, pillow under knees, therapist claps between clavicle and nipple