Strong For Recommendation
Targeted postural drainage should be provided to improve secretion clearance in people with SCI who have respiratory muscle weakness or paralysis.
| Postural drainage (v no intervention) on secretion clearance in people with SCI who have respiratory muscle weakness or paralysis | |||||||
|---|---|---|---|---|---|---|---|
| P | People with SCI who have respiratory muscle weakness or paralysis | Evidence recommendation No evidence recommendation Reason: No RCTs | Strong opinion statement FOR Targeted postural drainage should be provided to improve secretion clearance in people with SCI who have respiratory muscle weakness or paralysis. Clinical note: Postural drainage (including head down tilt) is usually provided as an adjunct to other respiratory therapies. Head down tilt is contraindicated in conditions that include but are not limited to heart failure, reflux and acute Traumatic Brain Injury with increased/poorly controlled intracranial pressure. |
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| I | Postural drainage | ||||||
| C | No intervention | Consensus-based opinion statement Strong for (85%) |
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| O | Secretion clearance | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends targeted postural drainage to improve secretion clearance in people with SCI who have respiratory muscle weakness or paralysis.
This is a consensus-based opinion statement supported by the opinions of the experts. There are no randomized controlled trials on this topic. The guideline states:
Targeted postural drainage should be provided to improve secretion clearance in people with SCI who have respiratory muscle weakness or paralysis.
This statement was formed by considering the opinions of the experts alongside other factors. The other factors that were considered were benefits and harms, values and preferences, resource use, equity, accessibility, and feasibility. This is a consensus-based opinion statement. Consensus-based opinion statements are less robust than evidence-based recommendations. They can be strong or weak.
This is a strong consensus-based opinion statement which means that the guideline panel is confident they can recommend targeted postural drainage to improve secretion clearance based on opinion. To learn more about the research related to this intervention go to the clinicians tab on this website