Chest physical therapy; CPT; COPD - postural drainage; Cystic fibrosis - postural drainage; Bronchopulmonary dysplasia - postural drainage
Postural drainage is one way to help treat breathing problems due to swelling and too much mucus in the airways of the lungs.
Follow your health care provider's instructions on how to do postural drainage at home. Use the information below as a reminder.
With postural drainage, you get into a position that helps drain fluid out of the lungs. It may help:
A respiratory therapist, nurse, or provider will show you the best position for postural drainage.
The best time to do postural drainage is either before a meal or an hour and a half after a meal, when your stomach is emptiest.
Use one of the following positions:
Stay in the position for as long as your provider instructed (at least 5 minutes). Wear comfortable clothes and use pillows to get as comfortable as possible. Repeat the position as often as instructed.
Breathe in slowly through your nose, and then out through your mouth. Breathing out should take about twice as long as breathing in.
Your provider may also recommend doing percussion or vibration.
Percussion helps break up thick fluids in your lungs. Either you or someone else claps a hand on your ribs while you are lying down. You can do this with or without clothing on your chest:
Vibration is like percussion, but with a flat hand that gently shakes your ribs.
Your provider will show you how to do this the right way.
Do percussion or vibration for 5 to 7 minutes in each area of the chest. Do this on all of the areas of your chest or back that your provider tells you to. When you finish, take a deep breath and cough. This helps bring up any phlegm, which you can then spit out.
Contact your provider if you have:
Mort TC, Keck JP Jr, Subramanya S, Palaniappan D, Sharofi S. The endotracheal tube and respiratory therapy. In: Hagberg CA, Artime CA, Aziz MF, eds. Hagberg and Benumof's Airway Management. 5th ed. Philadelphia, PA: Elsevier; 2023:chap 44.
Netter FH. Therapies and therapeutic procedures. In: Netter FH, ed. Netter Collection of Medical Illustrations: Respiratory System. 3rd ed. Philadelphia, PA: Elsevier; 2025:chap 5.
Rochester CL, Nici L. Pulmonary rehabilitation. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 139.
BACK TO TOPReview Date: 4/1/2024
Reviewed By: Charles I. Schwartz, MD, FAAP, Clinical Assistant Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, General Pediatrician at PennCare for Kids, Phoenixville, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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