Widely used in pulmonology physiotherapy method - massage with bronchitis - helps to reduce the intensity of the symptoms of this disease and improve the state of the respiratory system.
This is possible due to the basic principles of therapeutic massage: improving blood circulation, circulation of lymphatic fluid, metabolism and trophic tissue.
Indications for the procedure
Massage with bronchitis in adults and children with subacute disease is designated as an adjuvant combination therapy - to facilitate the expectoration of thick mucus that accumulates in the bronchi, causing shortness of breath and difficulty breathing.
For the same purpose use massage chronic bronchitis with a persistent cough and massage obstructive bronchitis with characteristic swelling of mucosal bronchial constriction and spasm of the lumen of the respiratory muscles.
Correct chest compressions at a bronchitis, as well as a back massage with bronchitis
Can significantly alleviate the condition, to quickly clear the bronchi of excess mucus and restoring their function.
In complex treatment of bronchitis, massage techniques such as drainage, vibration, canal (or vacuum), point, honey and percussion (for bronchitis in young children) are used.
Special preparation before this physiotherapeutic procedure is not provided, only it should be conducted not less than an hour and a half after eating. It is also recommended an hour before the procedure to take a bronchodilator drug that liquefies phlegm. To lubricate the skin before the massage is used warm olive oil, massage or baby cream. The average duration of one massage session is 15-20 minutes.
The technique of any massage is based on various techniques: rubbing, kneading, stroking, effleurage, vibrating pressure, tingling, "rubbing" or "sawing."
Most often, a back massage is performed with bronchitis (lying on the stomach) - rub your back in the area of the scapula, between the shoulder blades (in both directions from the spine); Also trapezoidal and broadest muscles are affected (the vibrations and strokes are directed upwards - into the area of the armpits).
A chest massage (in the "lying on the back" position, with knees bent at the knees) begins to stroke and rub from her gray (sternum) to the sides - along the intercostal muscles in the direction of the spine (on inspiration); on exhalation massage movements are made in the opposite direction - with periodic compression of the chest in the diaphragm area (using the pressure of the palms).
Next - about each of the above massage techniques.
Drainage massage with bronchitis
Drainage massage with bronchitis is a back massage that promotes sputum coughing accompanied by chronic and obstructive bronchial inflammation. To carry it under the abdomen, a bead must be placed, so that the lower part of the chest in the patient's "lying on the stomach" position is above the level of the head.
The back strokes are made from the bottom up, that is from the waist to the shoulder blades and shoulders. Then the masseur moves to the area of the ribs: grinding, "sawing" the intercostal muscles with the end part of the palm, tapping with the whole palm, folded "boat".
After the massage the patient should sit down, warmly wrapped himself and rest for half an hour. Sessions are held every day for a week.
Vibration massage with bronchitis
From the drainage, vibrating massage with bronchitis differs only in that tapping on the back is made by the rib of the palm, moving from the spine (retreating 4-5 cm from it) along the ribs - to the lateral surfaces of the chest. Every five minutes, the patient is allowed to cough up phlegm.
Bacterial massage with bronchitis
A can or vacuum massage with bronchitis is particularly intense on the influx of blood to the bronchi, which activates the intracellular metabolism of their tissues. Most often it is used for chronic bronchitis.
This massage is performed by traditional medical cans, which are placed on the back in the usual way (with ignition of an alcohol impregnated wick to create a vacuum). You can also use a special vacuum massage jar, consisting of a glass part and a rubber (which creates a vacuum in the can when installed on the skin).
Banks put at a distance of the width of the palm from the spine.
The canal massage with bronchitis is made by moving the cans attached to the oil lubricated with the skin.
Acupressure with bronchitis
Acupressure with bronchitis or acupressure - the effect of fingers on the active points of the body - is considered the most effective in the chronic course of the disease.
When bronchitis coughing should be pressed on the points that are located:
at the top of the skin fold between the index and thumbs;
back neck - about VII cervical vertebra;
on both sides of the IV cervical vertebra;
between the clavicles - above the jugular fossa;
on the chest - three fingers below the lateral protrusion of the clavicle, in the interval between the first and second ribs;
between the clavicle and the bone of the sternum.
When pressing these points with a finger pad, rotational movements (directed against the clockwise direction) or vibrating movements are performed for 20-30 seconds.
Honey massage with bronchitis
Honey massage is performed with bronchitis using natural liquid honey, heated to + 40 ° C. Massage movements on the front wall of the chest and in the area of the shoulder blades on the back are limited to grinding honey, which should continue until almost complete absorption of honey by the skin. After that, the remnants of honey are washed off under a warm shower and wrap the chest for at least an hour.
Massage with bronchitis in children
Massage for bronchitis in children includes chest massage, vibrating and drainage back massage - rising from the lumbar region to the shoulders.
But children up to three years of tapping are made not with the palm of your hand, but with your fingertips. Therefore, this type of drainage massage is often called percussion massage for bronchitis (from Latin percutere - to strike).
The duration of one procedure should not exceed a quarter of an hour, during which several times the child should be cough up phlegm.
Contraindications to the procedure
But you can not always do massage with bronchitis and not all. First and foremost, massage is contraindicated in acute bronchitis - at the peak of inflammation of the bronchial mucosa. Also among the contraindications to its use are noted:
subfebrile and elevated body temperature;
any purulent inflammation (first of all, pneumonia and pleurisy);
dermatological diseases of an infectious and allergic nature;
presence of inflamed or enlarged lymph nodes;
severe arterial hypertension;
heart failure and myocardial ischemia;
Consequences after the procedure
Massage physiotherapy has no noticeable side effects, but with the wrong technique, there may be consequences after the procedure in the form of a headache (after impact on the points in the cervical vertebrae), muscle pain (due to too strong kneading and tapping).
Complications after the procedure
Do not rule out such complications after the procedure, as pain in the region of the heart and increased blood pressure. And if the enlarged lymph nodes have been affected, it can cause their inflammation.
Care after the procedure
Care after the procedure of massage with bronchitis is a mandatory short rest and protection from hypothermia.
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