ISSN 2398-2942      

Coupage

icanis

Synonym(s): Chest physiotherapy, percussion, clapping, cupping, postural drainage


Introduction

  • Coupage is a manual and mechanical 'chest physiotherapy' technique used in the treatment of specific respiratory patients to loosen retained airway secretions and improve mucociliary transport velocity.
  • Generally used in conjunction with other physiotherapy techniques such as postural drainage and vibrations.
  • The technique of coupage can also be used as a form of percussion massage to muscles to improve circulation and sensory stimulation. This latter effect is particularly useful as a form of therapy for flaccid muscles following neurological injury (lower motor neuron lesions) as it stimulates muscle activity via the muscle spindles.
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Chest physiotherapy

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The technique of coupage

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Adjuncts to coupage

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Chest physiotherapy regime

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Benefits and concerns of chest physiotherapy

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • McCool F D & Rosen M J (2006) Nonpharmacologic airway clearance therapies: ACCP evidence-based clinical practice guidelines. Chest 129 (1 Suppl), 250S-259S PubMed.
  • Dunning D, Haling K B & Ehrhart N (2005) Rehabilitation of medical and acute care patients. Vet Clin North Am Small Anim Pract 35 (6), 1411-1426 PubMed.
  • Levine D, Millis D L, Marcellin-Little D J et al (2005) Rehabilitation and physical therapy. Vet Clin North Am Small Anim Pract 35 (6), 1247-1517 VetMedResource.
  • Stiller K (2000) Physiotherapy in intensive care: towards an evidence-based practice. Chest 118 (6), 1801-1813 PubMed.
  • Manning A M, Ellis D R & Rush J (1997) Physical therapy for critically ill veterinary patients. Part 1. Chest physical therapy. Compend Contin Educ Pract Vet 19 (6), 675-689 VetMedResource.
  • Stiller K, Geake T, Taylor J et al (1990) Acute lobar atelectasis: A comparison of two chest physiotherapy regimens. Chest 98 (6), 1336-1340 PubMed.
  • Zidulka A, Chrome J F, Wight D W et al (1989) Clapping or percussion causes atelectasis in dogs and influences gas exchange. J Appl Physiol 66 (2), 2833-2838 PubMed.
  • Mazzocco M C, Owens G R, Kirilloff L H et al (1985) Chest percussion and postural drainage in patients with bronchiectasis. Chest 88 (3), 360-363 PubMed.
  • Connors A F Jr., Hammon W E, Martin R J et al (1980) Chest physical therapy. The immediate effect on oxygenation in acutely ill patients. Chest 78 (4), 559-564 PubMed.

Other sources of information

  • Sharp B J (2008) Physiotherapy and rehabilitation. In: BSAVA Manual of Canine and Feline Advanced Veterinary Nursing, 2nd Ed. Hotson Moore A and Rudd S (eds). Gloucester: BSAVA Publications, 72-102.
  • Nicholson H (2007) Respiratory physiotherapy. In: Animal Physiotherapy. McGowan C, Goff L and Stubbs N (eds). Oxford: Blackwell, 224-227.
  • Millis D L, Levine D and Taylor R A (2004) Canine rehabilitation and physical therapy. St Louis: Saunders.
  • Manning A M (2004) Physical rehabilitation for the critically injured veterinary patient. In: Canine rehabilitation and physical therapy. Millis DA, Levine D and Taylor RA (eds). Philadelphia: Saunders, 404-410.

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