Chest Physiotherapy

• Chest Physiotherapy procedure consisting of Percussion, Vibration, Drainage (PVD)
• Chest Physiotherapy must be done before meals and before bedtime
• Chest Physiotherapy should be maximum of 30 minutes only
• In Percussion, AVOID percussing bare skin and bony prominences
• Percussion - use cupped hands
• Percussion must be done going up
• Percussion should be done <5 minutes
• Vibration - to loosen or mobilize secretions
• Vibration must be done going down motion in one direction
• Apply vibration when patient exhales
• With Vibration, use palm or heel of the hand
• Vibration should be done in < 5 minutes 
• STOP vibration when patient inhales
• To facilitarte drainage, always elevate the affected side
• Postural drainage is based on the principle of gravity
• Postural drainage should be done for 10-15 minutes