There are certain conditions that Percussions and Vibrations shouldn’t be used on or they will cause more damage.  Your therapist will know these conditions and will do a full assessment before using these techniques.  There are other ways to aid the phlegm removal.  They also have techniques which help in the following:


*       Increase the amount of air in which goes into your lungs


*       Increase the amount of air in which goes out of your lungs


*       Increase the effectiveness of your cough



Percussions --- Percussions loosen phlegm in your lungs which makes it easier for you to have a productive Cough.  The Physiotherapist will apply force to your chest using their hands by striking the chest with cupped hands at

                            different speeds.  The length of time for each compression depends on what type of injury or lung disease you have.  This will be done in various different positions Percussions are movements which will enable the

                            phlegm to break loose.


Vibrations --- Vibrations accomplishes the same as percussions, by loosening the phlegm.  This technique involves compressions of the chest at the same time you are breathing out.  Vibrations will allow the phlegm to move up and

                          out of the smaller air passages.  Depending on the type of injury or disease you have the length of time will vary. 



Some other types of techniques your therapist may suggest are:


*       massage

*       passive joint mobilization

*       manipulation

*       spinal mobilization

*       myofascial release

*       passive stretching

*       hold-relax stretching

*       reciprocal inhibition stretching

*       proprioceptive neuromuscular facilitation

*       manual resistance training

*       therapeutic ultrasound

*       transcutaneous electrical nerve stimulation (TENS)

*       interferential

*       electromyography (EMG)

*       laser therapy

*       shortwave diathermy

*       microwave diathermy

*       cryotherapy (ice)

*       neuromuscular electrical stimulation (NMES)

*       infrared radiation

*       ultraviolet radiation

*       postural retraining

*       free active strengthening

*       active-assisted strengthening/mobilization

*       isometric strengthening

*       isotonic strengthening

*       resisted strengthening

*       passive stretching

*       hold-relax stretching

*       cardiovascular training

*       proprioceptive training

*       hydrotherapy --- Hydrotherapy is a form of physiotherapy treatment conducted in a heated pool. Supervised by physiotherapists with specific training in hydrotherapy, clients undertake specifically designed exercises to help regain or enhance their physical wellbeing.

*       strengthen muscles

*       mobilise joints

*       relieve pain

*       promote relaxation

*       improve general fitness

*       develop water confidence

*       people with a disability learn to swim

*       improve balance and coordination

*       people with Parkinson's Disease

                                       Hydrotherapy is usually one component of an overall program. It can offer specific relief to people with: 

*       arthritic problems

*       back and neck pain

*       sports injuries

*       work-related injuries

*       Cerebral Palsy

                                                    It can also assist those who have experienced a stroke, brain injury, or for women before and after birth and for those recovering from orthopedic surgery