Postural Drainage, Percussion & Vibration

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Last updated 6:24 PM on 8/25/26
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5 Terms

1
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What is the purpose of postural drainage?

  • Uses gravity

  • Moves bronchial secretions toward central airways

  • Secretions can then be removed by:

    • Cough

    • Mechanical aspiration


2
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What is percussion?

  • Rhythmic cupping/clapping

  • Applied over lung segment being drained

  • Helps mobilize secretions


3
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What is vibration?

  • Fine tremulous action over chest wall

  • Applied over affected lung segment

  • Performed during exhalation


4
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How long should each postural drainage position be maintained?

2–3 minutes

5
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What are major contraindications to postural drainage positions?

  • ICP >20 mmHg

  • Unstable head/neck injury

  • Active hemorrhage/hemodynamic instability

  • Active hemoptysis

  • Empyema

  • Bronchopleural fistula

  • CHF-associated pulmonary edema

  • Large pleural effusion

  • Pulmonary embolism

  • Rib fracture/flail chest

  • Surgical wound/healing tissue