The aims of physiotherapy are:
• removal of retained secretions
• passive/active movements.
Chest physiotherapy involves four principal manoeuvers: positioning to enhance removal of secretions and to improve gas exchange; manual hyperinflation: endotracheal suctioning: and manual techniques (which include shakings and vibrations).
Passive and active exercises need to be performed regularly whilst the patient’s mobility remains restricted during the critical stages of their disease, in order to maintain the mobility of joints and the extensibility of the soft tissues (e.g. the muscles, tendons and