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How To Do Chest Physical Therapy: Child Under Five

By Lori Alma, About.com

Updated: July 05, 2008

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Clearing the Back Of the Right Upper Lobe

Correct hand position - Back right upper lobe

Lori Alma © 2008

The first thing you need to do is clear the mucus out of the upper lobes of the lungs to make room for mucus in the lower lobes to pass through. It doesn't really matter which side you do first, but for the purposes of these instructions we will start with the right upper lobe.

  • Place the child facing you on your lap, resting his or her head on your right shoulder as if giving you a hug.
  • Place your cupped hand on the right side of the child's back, between the shoulder blade and the top of the shoulder. Begin percussions as described in step one.
  • Sit the child upright and ask him or her to cough and deep breathe.

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