In many rare lung diseases, such as BO, the ventilation of the small airways (bronchioles) and the self-cleaning mechanisms are disturbed. In addition to regular inhalation, special physiotherapy is required to remove the mucus from the respiratory tract. Therefore, special paediatric chest physiotherapy should be instructed and taught by physiotherapists who have been qualified in this special area through additional training. It is important that chest physiotherapy is carried out regularly and that it is always adapted to current findings and special needs.
Expectorate Phlegm in the lungs
The patient must learn and master the required chest physiotherapeutic skills, e.g. autogenous drainage, independently. Children from the age of 4 years can learn this technique step by step. The aim of these exeprcises is to remove mucus from the respiratory tract to improve lung function and to facilitate the gas exchange.
To support these exercises, several devices can be used. These include devices which prevent bronchial collapse by offering resistance during exhalation (e.g. flutter, PEP-system) and devices which liquefy and dissolve mucus plugs by oscillations (e.g. RC Cornet).
In addition, trampolines and sport medicine equipment (bicycle ergometers, treadmills, muscle strengthening equipment) can be used as complementary therapy.
Keep Chest free to move
Care should be taken specifically to ensure good chest mobility, as difficult breathing and recurrent coughing episodes can lead to significant reduction in chest mobility. For this purpose, either manual techniques or exercises with physiotherapeutic devices can be applied usefully. (e.g. Pezzi-ball)
Start Physiotherapy as early as possible
Breathing therapy and chest physiotherapy should be started as early as possible.
There are several reasons for this: Children are more willing than teenagers to integrate daily chest physiotherapy into their daily routine and they learn breathing therapies playfully. Additionally, good body perception, which is an inevitable prerequisite for effectual chest physiotherapy, can be trained much better in childhood.
Better quality of life
Effective therapy helps to keep the lungs healthier and more functional.
As children grow older, they become more self-confident and independent. They learn how to deal with their illness and therapeutic options. This independence is a very important success factor in order to help the small patients to take own responsibility for their physiotherapy during puberty and later in life.
Special training in paediatric chest physiotherapy is extremely important, especially in children with rare lung disease. The Muko e.V. (German Cystic Fibrosis Foundation) has a physiotherapist search, which we gladly recommend.
*Bronchial collapse: small airway collapses during exhalation. This leads to difficult and / or incomplete exhalation and ultimately to over-inflation of the lungs.