Question

Chest Physiotherapy Technique percussion should be avoided in all the below mentioned cases except:

• A. Severe Osteoporosis
• B. Acute Pain
• C. Acute Pulmonary Tuberculosis
• D. Cystic Fibrosis

Hint:

Percussion is used in mucus conditions (e.g., CF) Avoid in fragile bones, pain, infections.

Answer 1

The Correct Option is D

Concept:
Chest physiotherapy (CPT) includes techniques like percussion, vibration, and postural drainage to remove secretions from lungs. However, certain conditions are contraindications for percussion.

Step 1: Understanding contraindications.
Percussion should be avoided in:
• Severe osteoporosis → risk of fractures
• Acute pain → worsens discomfort
• Acute pulmonary TB → risk of spread and tissue damage

Step 2: Understanding cystic fibrosis.
Cystic fibrosis is characterized by:
• Thick mucus in lungs
• Need for airway clearance

Step 3: Role of percussion in cystic fibrosis.
Percussion is:
• Indicated
• Helps loosen secretions
• Improves ventilation

Step 4: Evaluating options.

• Osteoporosis → contraindicated
• Acute pain → contraindicated
• Pulmonary TB → contraindicated
• Cystic fibrosis → indicated (exception)

Step 5: Conclusion.
\[ \boxed{\text{Cystic Fibrosis}} \]