@rmoore901 Glad you noticed the post about the KINTEGOOD Massage Hammer, Meridians Back Knock Massager, Double Head Back Scratcher Percussion Massager, Manual Massage Hammer I ordered on Amazon.

I bend my arms at my elbows and do the left side of my lungs/spine by using my right arm and then reverse it. Each person would have to just start off lightly with the amount of force to know what they can and cannot handle in terms of the pounding of it on the lung. That is all dependent upon the persons own tolerance for the pressure/pounding applied that they can tolerate and not injure themselves. I, for me, I use it after a bit of nebulizing and huff coughing and then use it before and after postural drainage and huff coughing. I call that a set. I do a good few sets each therapy session, meaning 2x a day...meaning I do a set and then begin this cycle over again several times with the huff coughing after each part of what I do. That's what I am doing for me, for now. Looking forward to another C Scan to see if it is doing the trick.

I had the vest and did not like it because it applied pressure and pounding in areas that I did not want it pounding. As I have said in another post they should be tailored made for each person and pound only in the area of the lungs. I also found it, for me, to be a big nuisance. We all tolerate things differently.
Barbara