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Module 8 of 40 · Media

Postural Drainage Positioning

Justin Lao

Postural Drainage Positioning
  • Apical segments
    • Sitting leaning back (30-40 degrees) or leaning forward with support 
    •  Percussion/vibration done above clavicles (lean back) or at traps (leaning forward)  
  • Anterior segments 
    • Supine 
    • Percussion/vibration done below clavicles
  • Posterior segments 
    • Left
      •  Prone turned 1/4 on the right side
      • Head elevated 45 degrees 
      • Shoulders on raised pillow 
      • Percussion/vibration done on medial border of left scapula  
    • Right 
      • Prone turned 1/4 on the left side 
      • Head elevated 45 degrees 
      • Shoulders on raised pillow 
      • Percussion/vibration done on medial border of right scapula  
  • Basal segments 
    • Anterior 
      • Supine 
      • Tilt head of bed downward so foot is about 18 inches (20 degrees) 
      • Percussion/vibration done below lower ribs on left/right depending on what side is being worked on 
    • Posterior 
      • Prone
      • Tilt head of bed downward so foot is about 18 inches (20 degrees) 
      • Percussion/vibration done below lower ribs on left/right depending on what side is being worked on 
    • Lateral 
      • Sidelying (lying opposite of what side is being worked on 
        • Working on right they lay on left side 
        • Working on left they lay on right side 
      • Tilt head of bed downward so foot is about 18 inches (20 degrees) 
      • Percussion/vibration done over the lower ribs 
  • Left lingula 
    • "Imaginary middle lobe" since the left lung is two lobes 
    • Supine turned 1/4 on the right side 
    • Tilt head of bed downward about 12 inches (15-30 degrees) 
    • Percussion/vibration done over left chest between axilla and left nipple 
  • Right middle lobe 
    • Supine turned 1/4 on the left side 
    • Tilt head of bed downward so foot is about 12 inches (15-30 degrees) 
    • Percussion/vibration done over right chest between axilla and right nipple 
  • Superior segments 
    • Referrers to the posterior segment of the upper lobes 
    • Prone 
    • Percussion/vibration done below inferior border of left/right scapula depending on what side is being worked on 

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