Chest physiotherapy (CPT) is a way to help get mucus out of the lungs. The lobes of the lungs, both back and front, are shown below.
There are two parts to CPT bronchial drainage and percussion. Do CPT only after you have been taught by a Respiratory Therapist.
Bronchial drainage (BD) is positioning the body to allow gravity to help in moving the mucus. Different positions are used so that the area to be drained is highest.
Percussion or clapping is tapping the chest wall rhythmically to loosen mucus and move it into the bronchial tubes (large airways) of the lungs.
The air pocket created between the hand and the chest makes a popping sound. Although this procedure is noisy, if your hands are cupped properly it will not hurt your child.
The doctor will decide what positions your child will need for CPT, and how often to do the therapy. Schedule it before or at least 1 hour after eating.
Percussion is less tiring if you keep your arms relaxed and do the movement with your wrists.
If your child has trouble with a position (poor color, hard time breathing, fighting it), sit him or her up until breathing returns to normal, and try again. If you have tried a position 3 times and your child still has trouble, go on to the next position. If you cannot give the full therapy again at the next session, call the doctor.
Various mechanical devices may be used for percussion. If your child needs CPT often, you may want to consult your doctor or therapist for advice.
This sheet is not specific to your child, but provides general information. If you have any questions, please call the doctor.
Note: your therapist may teach you to adjust some of these positions to meet your child's needs.
___ 1. Right and left upper lobes – apical segments
Place child in an upright position with back supported. Percuss just below the collarbones.
___ 2. Right and left upper lobes – anterior segments
Place child on the back. Percuss between the collarbone and nipple on both sides.
___ 3. Right and left lower lobes – anterior segments
Place child on the back. Percuss both sides just below the nipple and above the lower ribs.
___ 4. Right upper lobe – posterior segment
Place child on the left side. Percuss on the top part of the right shoulder blade.
___ 5. Right lower lobe – lateral segment
Place child on the left side. Percuss below the right armpit and above the lower ribs.
___ 6. Right and left lower lobes – superior segments
Place child on the abdomen (belly). Percuss on the bottom of, and just below, the shoulder blades.
___ 7. Right and left lower lobes – basal segments
Place child on the abdomen (belly). Percuss below the shoulder blades and above the lower ribs.
8. Left upper lobe – posterior segment
Place child on the right side. Percuss on the top part of the left shoulder blade.
9. Left lower lobe – lateral segment
Place child on the right side. Percuss below the left armpit and above the lower ribs.
Children's Hospitals and Clinics of Minnesota
Patient/Family Education
2525 Chicago Avenue South
Minneapolis, MN 55404
Reviewed 6/2015 © Copyright
This page is not specific to your child, but provides general information on the topic above. If you have any questions, please call your clinic. For more reading material about this and other health topics, please call or visit Children's Minnesota Family Resource Center library, or visit www.childrensmn.org/educationmaterials.
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