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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
- Left
- 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
- Sidelying (lying opposite of what side is being worked on
- Anterior
- 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