The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.
Postural and autogenic drainage
Choose one of the available languages:
AI generated
Institution
Escola Superior de Saúde Atlântica (EIA, SA)
Institution Typology
University
Country
Portugal
Description
Postural drainage (PD) traditionally involves positioning individuals to use gravity to drain mucus from the peripheral regions of the lungs towards the proximal airways. However, in recent times, modified postural drainage techniques have emerged, eliminating the need to tilt the head downwards but maintaining effectiveness. Similarly, Autogenic Drainage (AD) aims for the patient to mobilize secretions from the smaller airways to the larger ones, using different body positions (sitting, semi-Fowler, lateral) while managing breathing control using a controlled inspiratory and expiratory airflow.
Innovation
By using a different body position and airflow control, the patient can effectively remove secretions.
Evaluation System
Autogenic drainage (AD) was compared with postural drainage (PD). In a long-term comparative study in adolescents with CF (McIlwaine et al., 2010), autogenic drainage (AD) was as effective as postural drainage, and participants showed a strong preference for AD
Assessment
When administered by a physiotherapist, Autogenic Drainage (AD) can reduce two measures of peripheral resistance, particularly in children with cystic fibrosis with moderate to severe bronchial congestion. In addition, the administration of bronchodilators after AD improves other indices of lung function.
McIlwaine M, Wong LT, Chilvers M, Davidson GF. (2010) Long-term comparative trial of two different physiotherapy techniques; postural drainage with percussion and autogenic drainage, in the treatment of cystic fibrosis. Pediatr Pulmonol. 45:1064–9.
Bokov, P., Gerardin, M., Brialix, G. et al. (2022). Beneficial short-term effect of autogenic drainage on peripheral resistance in childhood cystic fibrosis disease. BMC Pulm Med. 22, 241. doi.org/10.1186/s12890-022-02039-2" target="_blank">doi.org/10.1186/s12890-022-02039-2" target="_blank">doi.org/10.1186/s12890-022-02039-2
