Physiotherapy and bronchial mucus transport

The use of physiotherapeutic techniques may increase mucus transport in patients with airways disease including COPD, asthma, cystic fibrosis and primary ciliary dyskinesia. The most effective parts of the treatment are probably forced expirations with open glottis and coughing. However, in patients with decreased elastic recoil pressure of the lung tissue the effect of these measures is limited as a result of bronchial collapse. In these patients the bronchial collapse can be reduced by a positive expiratory pressure breathing. ... Zie: Summary