![]() The surface that the person with CF lies on should be at a comfortable height for the caregiver. The caregiver should not lean forward when doing percussion, but should remain in an upright position to protect his or her back. Keep a supply of tissues or a place to cough out the mucus nearby. The caregiver should remove rings and other bulky jewelry, such as watches or bracelets. Light, soft clothing, such as a T-shirt, may be worn. Before starting, the person should remove tight clothing, jewelry, buttons, and zippers around the neck, chest and waist. Doing CPT Comfortably and Carefullyīoth the person with CF and the caregiver should be comfortable during CPT. Your CF doctor or respiratory therapist can recommend what positions, how often and how long CPT should be done. The length of CPT and the number of times a day it is done may need to be increased if the person is more congested or getting sick. Early morning and bedtimes are usually recommended. CPT is best done before meals or one-and-a-half to two hours after eating, to decrease the chance of vomiting. Generally, each treatment session can last between 20 to 40 minutes. Your CF respiratory or physical therapist can help you learn more about this type of breathing. The belly moves outward when the person breathes in and sinks in when he or she breathes out. Breathing with the diaphragm (belly breathing or lower chest breathing) is used to help the person take deeper breaths and get the air into the lower lungs. Exhalation should be as slow and as complete as possible.ĭeep breathing moves the loosened mucus and may lead to coughing. Vibration is done with the flattened hand, not the cupped hand (see the figure below). ![]() (The caregiver may also place one hand over the other, then press the top and bottom hand into each other to vibrate.) Then, the caregiver applies a light pressure over the area being vibrated. The caregiver places a firm hand on the chest wall over the part of the lung being drained and tenses the muscles of the arm and shoulder to create a fine shaking motion. Vibration is a technique that gently shakes the mucus so it can move into the larger airways. Ask your CF doctor or respiratory therapist to recommend one that may work best for you.
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