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RE: RE: [CYSTIC-L] Interesting report....

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Is this only in Europe that clapping isn't used?Isn't " clapping " the same as

CPT with the little blue things?Have a nice day everybody.

Mandy

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,

Here in Belgium, we do the same as you describe and it is generally

accepted that clapping is not useful. It is not used anymore for years now.

So, we do no clapping or 'tapottage' as it is called here in French.

's therapy starts with 5 minutes of jumping on a trampoline. After

that she's lying on a big, big ball while we make the pression with one

hand on each side of the thorax in different positions. We also jump with

her on the ball while making pression on the thorax. During all this, she

has to " blow " the air out slowly or sing loudly. We end with a few minutes

of fluttering. In total the therapy is taking 30 minutes and is done twice

a day. In fact, likes her therapy a lot and usually sings plenty of

songs during her therapy.

As of this year, we will start using the pepmask. Are you using that in

Switzerland ?

Liesbeth, mom to (2wCF) and Kasper (8 months woCF)

RE: [CYSTIC-L] Interesting report....

Ok I am new to the list... but may I ask you whether you mean " Clapping " by

chest physiotherapy ?

Because in Europe, at least in France, Belgium and Switzerland,( I don't

know for the other countries) they say that Clapping is totally obsolete

and

they haven't practised it for years. What we do is a bronchial drainage. it

is much more gentle than clapping... we make a strong pression with one

hand

on the upper part of the thorax, while maintaining the other hand on the

bottom of the abdomenn, this forces the patient to breathe with his abdomen

and helps draining the mucus out of the airways. This action lasts a few

seconds and is repeated for about 15 minutes. Also by making pression with

your hands on the thorax, you can actually FEEL

if there are any secretions below and you actually know, when you drained

them out, because you don't feel anything anymore.

I am talking about small child drainage, when you cannot ask them to

cooperate, but when they are 3 or 4, you can do a much more interactive

drainage. Now that I do drainage instead of clapping, my doc always says

that Leo is very clear.

What are you guys doing in Germany and Spain ?

-----

<<snip

<< MAIN RESULTS: There were no randomised controlled trials or cross over

trials eligible for inclusion in the review. REVIEWER'S CONCLUSIONS:

Short-term crossover trials, which had to be excluded from this review,

suggest that airway clearance regimens could have beneficial effects in

patients with cystic fibrosis. However based on this review there is

currently no robust scientific

evidence to support the hypothesis that chest physiotherapy for the

purpose of clearing airway secretions has a beneficial effect in

patients with cystic fibrosis >>

Barbara,

Very interesting.... I guess we will have to go on faith and common sense

that chest physiotherapy makes a difference since no one seems to want to

study it.

Hugs,

Muriel

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