The majority of our traineeship was focused on respiratory physiotherapy.
Due to the diversity of culture in this country, we were able to meet unknown or rare diseases in France.
How is respiratory physiotherapy practiced?
Respiratory physiotherapy allows, thanks to specific physiotherapy techniques, to unclog the upper airways and evacuate bronchial secretions.
It is indicated in case of obstructive respiratory pathologies with children as well as with adults.
It can be used for babies with bronchiolitis or for adults with chronic obstructive pulmonary disease (COPD).
Cluttering of the upper and lower airways, carried out at the start of the secretory phase, may be combined with drug treatment, making it possible to avoid secondary lung infection and its complications, while shortening the healing time.
Our traineeship tutor explained to us the role of physiotherapy in lung diseases. We are there to unclutter the patient to prevent the buildup of secretions.
Naturally, we have two ways to expectorate secretions: using the eyelashes, and air movement.
In physiotherapy we are interested in air movements, because we have no action on eyelashes.
The goal is to create a motor behind the mucus to facilitate its ascent.
For this, there are two methods: by diffusion or with resistance.
- Diffusion, bring in a laminar way (in order to play with the different pressures of the pipe) some air in the collaterals so that the air goes from a healthy bronchiole to a congested bronchiole and will thus allow the ascent of the secretions
This is based on a physical phenomenon which is that air goes from P + to P-
We use a breathing aid (called mechael in Israel and cough assist in France).
- Resistance: during expiration, the air goes in the freeest possible part, so if we put a resistance at the level of the mouth, the air will go in the least blocked pipe, the one where secretion lies. Air will therefore pass to the obstructed bronchiole and thus allow the secretions to rise.
In the decluttering strategy, we first need to remove the proximal secretions and then the distal secretions to free up the passage (for example : a fire in a room, people closest to the exit door must exit first). So, we play on the flows.