Best practice guidelines for the use of manual chest clearance techniques

During recent years there has been increasing debate and confusion about the
use of manual chest therapy clearance techniques amongst South African physiotherapists.
Some omit this treatment modality altogether even in instances where cardiopulmonary
patients could have benefited clinically. Others use manual chest therapy techniques
for all cardiopulmonary patients disregarding the fact that it may be detrimental
to some of their patients. The Cardiopulmonary Rehabilitation Group of the South
African Society of Physiotherapy therefore decided to review the available literature
on manual chest therapy clearance techniques and to draw up this best practice
guideline in an attempt to clarify some of the above issues. A literature search
was done on PubMed to identify articles pertaining to cardiopulmonary physiotherapy.
In addition, reference lists of identified articles were reviewed and textbooks
written by cardiopulmonary physiotherapy experts were consulted.

For more information, look under Latest Articles / Documents on the home page,
the title of the document is "CPRG Guidelines".


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