Questioning chest physiotherapy.

In the context of excess bronchial secretions respiratory physiotherapy too often involves treatment by the therapist alone for the bronchial secretions. A more detailed analysis of the causes of the secretions often show evidence of the incapacity of the patient to manage autonomous bronchial drainage. Education thus becomes a priority in an attempt to improve the quality of life, and to slow the alteration of respiratory function linked to chronic hypersecretion and perhaps to reduce the consumption of medication and care. Such an outcome does not exclude regular supervision of respiratory prescriptions and treatment; maintenance of the learning process is also required to assist the patient when autonomy becomes too difficult to cope with.

Drainage, Postural↗