Postural Drainage Positions

Question 1

Distinguish R post lobe vs L post lobe

Answer 1

Both “quarter turn”/partial sidelying with opposite side (unaffected side) down. knees bent and level. Difference is BED ELEVATED for Left lobe.

Percussion on medial border of scap

Question 2

Upper/apical lobes

Answer 2

Sitting leaning back 30-40 degrees b/c highest pointlet gravity work
Top of lungs (distinguish from superior segments which are more middle than at top)

Or long sit

Percussion above clavicle

Question 3

R middle lobe (actually lower)

Answer 3

Quarter turn partial side-lying on left side with legs 12 inches up. Percusssion between R axilla and nipple

Legs raised 12 inches due to Middle lobe actually being vary low on R side

Question 4

Posterior (basal segments)

Answer 4

Prone with feet up 18 inches b/c posterior are basal segments
Percussion over lower ribs post

Question 5

Anterior segments (lower/basal)

Answer 5

Supine with feet ip 18 inches
Percussion over lower ribs ant

Question 6

Superior segments

Answer 6

Prone with pillows under chest. PEercussion below inf angles b/c really in mid region not actually all the way superior/ (distinguish from upper/apical)

Question 7

Lateral segments

Answer 7

Sidelying on unnafected side with foot of bed at 18 inches. Percussion at lower ribs

Question 8

R lobe vs L lobe

Answer 8

R has 3 parts (upper, middle, lower)
L has 2 parts (upper, lower)

Question 9

L upper lobe (lingula)

Answer 9

In superior lobe but still very low in lungs b/c sup lobe is majority of lobe so can he high or low. In this case it is low

So partial 1/4 turn with r side down and feet 12 inches up

Question 10

Posterior apical segments

Answer 10

Sitting and leaning forward. Pillow under knees

Question 11

Lingula

Answer 11

Supine with head down and one quarter turn

Question 12

Anterior segments (upper lobes)

Answer 12

Supine, percussion on clavicles