Health & Wellness

Position for Chest Physiotherapy

Chest Physiotherapy (CPT) is a physical procedure that helps improve lung function and breathing. It dilates the lungs, strengthens the respiratory muscles, and relaxes and enhances water retention in the lungs. It helps treat conditions such as cystic fibrosis and obstructive pulmonary disease (COPD). It also cleanses the lungs to prevent pneumonia after surgery and during times of weakness. CPT is the only method used to treat breathing problems. There are different types and various positions for CPT. In this article, I have discussed everything about CPT, which position for chest physiotherapy is best, and everything else. Let’s go ahead.

Types of CPT

  • Chest percussion and vibration
  • Controlled cough procedures
  • Deep breathing
  • Incentive spirometry
  • Positioning and turning side to side
  • Postural fluid

Position for Chest Physiotherapy

CPT has been performed in hospitals, clinics, long-term care facilities, or homes. This is usually done several times a day, and knowledge depends on age, diagnosis, and health.

Some chest physiotherapists want you to sit down, and others may lie on their back, sides, or back, depending on the area of the lungs that needs fluids. In some cases, the head is lower than the chest, and gravity supports drainage.

Different Techniques for CPT

Respiratory nebulizer therapy is usually effective in opening the airways or moistening, clearing, or clearing the sputum. If your doctor agrees, inhale an air solution containing saline solution or medicine before your chest PT. Doctors often perform cardiac PT procedures in combination, You can consult a Physiotherapist in Karachi to know more about it.

Chest Percussion

Usually involves tapping the chest wall with the palm, in addition to the postural drainage technique.

Cough Controlled Methods

Includes a soft cough, short growls, or two or three jerky coughs with the mouth slightly open. Cough control strategies are done daily with postural drainage techniques.

Deep Breathing

Involves inhaling deeply through your nose and exhaling slowly through closed lips.

Incentive Spirometry

Involves transporting the balloon to a closed chamber by suction through a tube. You have to keep the ball as long as possible.

Position and Turn Side to Side

It consists of raising the head of the bed and turning it every 1 to 2 hours in bed. This promotes the secretion of fluid. The doctors help the patient who cannot do it on his own.

Postural drainage

It involves adopting such positions in which gravity helps flush out secretions. It is often beneficial for chest percussion and coughing.


It consists of placing your hands on the patient’s chest. The hands contract and relax quickly, creating vibrations. There are also CPT vests that can be worn in case of strong vibrations. Another name for this vest is the Airway Clearance System. A physiotherapist in Karachi can also guide you more about this.

Purpose of Chest Physiotherapy

Your doctor may recommend CPT to help release excessive or thick secretions and to relieve a cough in the following situations:


In which all or part of the lung tissue is damaged


In which the large airways in the lungs are damaged and dilated

COPD (Chronic Obstructive Pulmonary Disease)

Including emphysema and pneumonia.

Cystic Fibrosis

A disease caused by bacteria causes thick, sticky mucous membranes in the lungs and other organs.


Poor function from lying in bed or a wheelchair. Chest therapy can help prevent pneumonia and other breathing problems from becoming chronic.

Lung Infections

It includes acute bronchitis, lung abscesses, and pneumonia.

Neuromuscular Disorders

Including cerebral palsy, multiple sclerosis, muscular dystrophy, and Guillain-Barré syndrome.


Including removal of the lungs and other surgeries involving deep breathing. Certain types of chest therapy can help prevent pneumonia and other respiratory conditions after surgery.

Risk and Complications of CPT

The CPT is often safe for patients, usually if the technology is suitable for the patient’s situation.

CPT can result in the following problems in most conditions, like when the head is lowered.

  • Bleeding in lungs and coughs with blood
  • Cardiac arrhythmia (abnormal heartbeats)
  • Inhaling discharges within the lung
  • Elevated pressure in the head
  • Ribs or spinal cord or pain
  • Low Blood Pressure
  • Low blood oxygen
  • Vomiting

Specific individuals have a greater risk of complications and should not have CPT comprising those with

  • Burn or other open bruises
  • Anticoagulants (Blood-thinning drugs)
  • Could not produce secretions
  • Respiratory diseases, like:
  • Asthma
  • Pneumothorax
  • Bronchopleural fistula
  • Lung abscess
  • Pulmonary embolism
  • Uncontrolled BP or recent heart attacks
  • Vertebral or ribs fracture or osteoporosis
  • Severe neck or head injury or intracranial pressure (enhanced pressure in the skull)
  • Hemorrhage (Severe active bleeding)
  • Uncontrolled or severe pain
  • Vomiting

If you are facing any trouble doing Chest Physiotherapy or want it to be done by a professional, you should consult a Physiotherapist in Karachi. If you face difficulty finding the best physiotherapist, you can visit Marham. You can find all of the best doctors in Marham. Book your appointment with the Best Physiotherapist in Karachi through Marham.

Frequently Asked Questions(FAQs)

What is positioning in chest physiotherapy?

The position is essential in the breathing of the respiratory system to maximize breathing. It releases sputum from the base of the lungs into the large airways and induces coughing.

What positions are there in the postural drainage?

It depends on the anatomical angle of the lung lobe or the area to be drained. The patient may sit, lie down, supine, or lie on the side with the head tilted down to 15 and 30 degrees.

Can a nurse do CPT?

Nurses can use advanced physiotherapy procedures prophylactically to manage severe patients.

What is manual CPT?

It involves an external check of the chest using percussion and vibration techniques. Their goal is to continuously apply kinetic energy to the chest wall to remove bronchial secretions.

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