← Return to Listen to Dr PJ McShane's Recent Talk on Airway Clearance!

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@becleartoday

Hi Liliana,

I understand why you feel confused. There’s very little research on this, if any, so there isn’t much guidance. I think National Jewish likes their approach because it takes the least amount of time and they say the best airway clearance is the one that people are willing to do. That said, if my memory serves me, Dr. McShane’s focus was on wetting down our lungs first. She thinks that’s very effective. And then she said the Texas phrase is to “go at it.” How you choose to go at it… whether you use an aerobika, vest, postural drainage, Autogenic Drainage, or as she mentioned Zumba, is your decision.

I am an educator not a clinician so I’m just telling you what I remember her saying. Of course it would be best to meet with the respiratory therapist to review your technique. However, over the years I have learned that airway clearances as much an art form as it is a science.

All the best to you and I hope this helps,
Linda

PS this is a YouTube video Idid on this issue-

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Replies to "Hi Liliana, I understand why you feel confused. There’s very little research on this, if any,..."

Thank you Linda- I noticed that whatever mucus comes out for me it’s during the inhalation of saline. That’s when I also cough. Later nothing whatever I try but I do it no matter what.

Goodness, I know we are all different as to effective AC. For me drinking water at regular intervals before I feel thirsty is essential to keep my mucus "juicy" and easy to expectorate. Hydration and aeeobic exercise are s effective as my Aerobika. I also thought that the dilated bronchioles made the cilia ineffective. I am grateful to learn about ABC and am practicing this. Thank you for sharing!

I use an Aerobika and have added the Active Cycle of Breathing. Is it best to do the ACB first or use the device first? Does it matter? Thanks!