

Does flutter device work in sinuses and chest how to#
Find out more about how to use a PEP mask. Your CF physiotherapist will check your PEP device regularly, as the resistance setting may need to be changed. Positive Expiratory Pressure (PEP), where you breathe out through a mask or mouthpiece against a resistance to build up pressure behind mucus to move it.This helps to move mucus higher up in your airway, where it easier to huff and cough out. Some use positive pressure to help open up your airways and some also create vibrations within the airways. Other techniques use a device to help to clear mucus. To find out more about positioning and percussion for babies and young children, read our leaflet on airway clearance for babies and young children with CF. Your CF physiotherapist will show you how do this safely. Vibrations involve giving several short rhythmic squeezes to your chest as you breathe out. Percussion or chest clapping involves using a cupped hand to clap the chest rhythmically, which you can do yourself or with a helper. Percussions and vibrations are another technique that might be done with breathing exercises and/or PD to help loosen mucus.

Traditional PD included some positions where a person would lay with their head tipped down below their body, but research has shown that these positions increase reflux of food from the stomach so these positions aren’t used anymore. Your CF physiotherapist will tell you which positions to use during your airway clearance. This involves placing a person in different positions to use gravity to drain mucus from the lungs. Find out more in our AD leaflet.īreathing exercises may be combined with postural drainage (PD). Once the mucus has moved to the bigger airways, it is easier to clear. Autogenic Drainage (AD), which uses high flows of air to move mucus from smaller to bigger airways.You can combine ACBT with other devices and techniques. You use deep breathing to move the mucus, rest in between deep breaths, and then clear the mucus with a huff.

