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Post Drainage Posit

Postural Drainage Positions, Obstructive Vs. Restrictive

QuestionAnswer
Obstructive Reductions in airflow with or without reductions in vital capacity
Restrictive Decreased vital capacity with normal expiratory airflows.
Obstructive Disease Increases = Total Lung Capacity, Functional Residual Volume, Residual Volume, PaCO2 Decreases: Vital Capacity, FEV1 (sharp decrease)
Restrictive Disease Normal: FEV1 Decreases: Total Lung Capacity, Functional Residual Capacity, Residual Volume, Vital Capacity, PaCO2
Upper Lobes (Apical segments) Pt leans back on pillow at 30 degree angle. Therapist claps with cupped hand over area between clavicle and top of scapula on each side.
Upper Lobes (Posterior segments) Pt leans over folded pillow at 30 degree angle. Therapist stands behind and claps over upper back on both sides.
Upper Lobes (Anterior segments) Pt lies on back with pillow under knees. Therapist claps between clavicle and nipple on each side.
Right Middle Lobe Foot of table or bed elevated 16 inches Patient lies head down on left side and rotates 1/4 turn backward, knees flexed. Therapist claps over right nipple area.
Left Upper Lobe (Lingular segments) Foot of table or bed elevated 16 inches. Pt lies head down on right side and rotates 1/4 turn backward, knees flexed. Therapist claps with moderately cupped hand over left nipple area.
Lower Lobes (Anterior Basal segments) Foot of table or bed elevated 20 inches Pt lies on side, head down, pillow under knees. Therapist claps with slightly cupped hand over lower ribs.
Lower Lobes (Lateral Basal segments) Foot of table or bed elevated 20 inches. Pt lies on abdomen, head down, then rotates 1/4 turn upward. Upper leg is flexed over a pillow for support. Therapist claps over uppermost portion of lower ribs.
Lower Lobes (Posteriro Basal segments) Foot of table or bed elevated 20 inches Patient lies on abdomen, head down, with pillow under hips. Therapist claps over lower ribs close to spine on each side.
Lower Lobes (Superior segments) Bed or table flat Pt lies on abdomen with two pillows under hips Therapist claps over middle of back at tip of scapula on either side of spine.
Created by: cdesai