Abstract
Chest physiotherapy involves the use of a package of techniques directed at a variety of problems including those experienced by patients with cystic fibrosis (CF). Positioning forms an integral part of chest physiotherapy; yet the role of positioning has rarely been investigated. The aim of this study was to compare the effects of prone positioning with the effects of a physiotherapy package within an alternating single case design in a patient with CF.
Measurements of oxygen saturation (SaO2,) and sputum production were recorded over a 5 day period during both physiotherapy and prone positioning sessions. Both physiotherapy and prone positioning improved SaO2 values. Readings of SaO2 within each session during prone positioning showed more improvement than those recorded during physiotherapy; however, mean SaO2, and sputum production were significantly greater during physiotherapy. The implications for clinical practice are discussed.