Percussion breast massage. Treatment of cough in a child with drainage massage

Typical manifestations of inflammation of the bronchial mucosa are increased production of mucus - sputum, and a wet cough. Moreover, if the acute phase of bronchitis passes, as a rule, within a few days, then the cough can last quite a long time. One proven cough relief method is drainage or percussion massage.

Drainage massage can help separate mucus from the walls of the bronchi. Thus, the mucus will come out faster and the child will feel better. But it is important to understand that this massage is not a treatment, but only a way to slightly alleviate the child's condition with a painful cough.

How does percussion massage help? When tapping on a child's body, a slight vibration is created in the chest area, which affects the bronchi. This vibration causes the accumulated mucus to separate from the inner walls of the bronchi and come out with a cough. It is very important not to allow sputum to accumulate, since in places of stagnation a favorable environment is created for the reproduction of bacteria, and the risk of pneumonia increases, which cannot be cured without antibiotics.

When not to do percussion massage

• In the acute period of the disease, when the child has a fever and feels unwell, massage cannot be done.
• If you give your baby cough medicines or any drugs that inhibit the cough reflex, such massage can be dangerous.
• If you are unable to provide the air parameters necessary for recovery (cleanliness, temperature, humidity), or you cannot provide enough liquid to the child, refuse to drink, for example, refrain from percussion massage.

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How to do percussion massage

The very name of this type of massage comes from the Latin word percussion, which means “tapping” in translation.

1. Lay the child on his stomach, you can sit on the couch to put the baby on your knees, face down. It is important that the chest is slightly lower than the buttocks - you can put a pillow or a small roller under the ass, even a soft toy will do. The arms are extended forward.
2. Make a few stroking movements with your palms along the baby's spine from the bottom up.
3. With the pads of your fingers, gently tap on the intercostal spaces of the chest.
4. Continue massaging for 2-3 minutes, then let the baby sit up and cough. At the same time, sputum should leave, which, of course, is better to spit, but it's okay if the child swallows it. Do 2-3 more sets.

Precautionary measures

One of the important conditions for the effectiveness of percussion massage is the density of sputum, which depends on what kind of air the child breathes and how much he drinks. For a speedy recovery and reduce the risk of complications, the air in the room should be cool (about 19-20 degrees) and sufficiently humid.

• The child should not have.
• During the massage, movements should be light and not affect the spine.
• Experts recommend doing such a massage to a child with bronchitis 2-3 times a day.
• Percussion massage will help only with a productive cough, when sputum is produced, respectively, with a dry cough, it does not make sense.

See how Dr. Komarovsky recommends doing a drainage massage to a child:

Source:

The positive effect of massage for children with cough (drainage or other types) is to improve blood microcirculation in the lung tissue. Because of what, the sputum liquefies and begins to separate more easily. The airways during massage procedures are warmed up, as a result, expectoration improves. For effective coughing, the work of the abdominal and intercostal muscles is important, massage just strengthens these muscles.

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Indications and contraindications for massage

Indications for the use of massage for children:

• 4-6 days after the onset of a cold;
• dry or wet cough;
• bronchitis, except for obstructive;
• pneumosclerosis;
• bronchial asthma (not in the acute phase);
• pneumonia;
• emphysema;
• cystic fibrosis.

Do not massage your child if:

• high fever and acute inflammation;
• bronchitis with severe shortness of breath;
• acute attacks of bronchial asthma;
• purulent diseases of any organs;
• skin rashes (allergic, infectious);
• enlarged lymph nodes;
• oncology;
• psychopathology;
• lagging behind in physical development, low body weight.

How to perform a massage for coughs and runny noses in children and adults, you can find out in the video from the Beauty channel.

General rules for performing procedures

Important rules to follow when performing a massage:

1. The temperature in the room should be no higher than 25 degrees, and the humidity should be at least 65%.
2. Half an hour before the start of the massage, it is better to give the baby an expectorant that you use in the treatment of the disease. This will further stimulate the secretion of mucus in the lungs. Drinking plenty of water will also enhance the effect of the massage.
3. It is important to choose the right duration of the procedure depending on the age of the child. For babies, it is better to limit massage to 10-15 minutes. Older children can have a session and 25 minutes.
4. Single exposures are ineffective, it is better to massage in courses - 5-6 days, 2 procedures a day (immediately after waking up and before bedtime).
5. Massage should be started no earlier than 2 hours after the last meal.
6. The emotional background of the baby, especially a child under one year old, also matters. If the baby is out of sorts, naughty or crying, it is better to wait until he calms down.
7. It is difficult for young children to remain still during the procedure, so it is better to attract their attention with their favorite cartoon, music or fairy tale. It is possible and even necessary to talk to the child during the session. This will create additional vibrations that improve sputum discharge.
8. At the very beginning and at the end of the massage, it is necessary to carry out warming manipulations, they must be very careful and careful. It must be remembered that the strongest impacts are made in the middle of the procedure.
9. The younger the child, the more fragile are all his organs and systems. Therefore, avoid exposure to the spine, heart and kidney area.

Types of cough massage and technique

1. Vibrating. This is a very easy and safe type of massage and is therefore indicated even for babies. It does not require specific preparatory procedures and will quickly enhance the separation of mucus.
2. Drainage. It can be done with dry and wet cough, promotes sputum discharge.
3. Canned. In this type of massage, jars are used in which a vacuum is created. During the procedure, the banks are carefully moved, which stimulates blood flow and lymph circulation in the affected area. Massage will have a beneficial effect on the immune and respiratory systems of the child, improve sputum discharge, and it can also help with rhinitis.
4. Spot. The execution technique requires certain skills - you need to know the basics of acupuncture and the location of specific points for stimulation on the child's body.
5. Honey. This type of baby massage is indicated for better coughing up mucus. It is quite simple to make it, and the positive effect will be not only on the respiratory function, but also on the metabolism.

Drainage massage

During the session, you can use baby oil, the main thing is that it is not cold.

Technique for performing drainage massage for children when coughing:

1. The child is laid on the stomach, you can put a roller or pillow under the chest. It is allowed to lay the baby on your knees, supporting with one hand under the chest. The baby's head should be lower than the back.
2. You need to start with gentle strokes on the back.
3. Then, rubbing spiral movements are performed with the fingertips along the spine, then in the region of the ribs and collarbones. You need to massage from the bottom up on both sides of the spinal column. Gradually, you can increase the impact. This preheating takes 3 to 5 minutes.
4. After that, you should move on to pinching movements to the left and right of the spine. You need to move from the bottom (from the waist) up (to the shoulders).
5. Then tapping is performed. In this case, the palm must be folded with a “boat”, all movements should be very light. Avoid tapping on the kidney area.

Do not forget about the final phase of the procedure - it ends with light strokes of the child's back. After that, you need to dress him warmly and ensure peace.

User Nadezhda will tell you how to perform a drainage massage when coughing for a baby.

chest massage

Such a massage should lead to a cough, during which sputum will be discharged. The session is carried out using oil or a warming ointment for children.

Sequencing:

1. After laying the baby on his back, begin to gently stroke the chest in the direction of the armpits.
2. Then start rubbing from the middle of the chest to the collarbones. It is necessary to achieve a slight reddening of the skin.
3. You can continue the massage in a sitting position - rub the area of ​​​​the jugular cavity (the region of the larynx).

The location of the jugular cavity on the human body

Acupressure

Proper acupressure activates the immune system, improves blood supply to the lung tissue and the mucous membrane of the respiratory tract. To perform it, you need to know the location of biologically active points on the child's body. Therefore, entrust this procedure to a professional massage therapist.

During acupressure, an impact is made on points located in several areas:

• chest;
• faces;
• spine.

Doctors warn that self-activity in this matter can lead to a deterioration in the patient's condition.

Honey

The beneficial properties of honey make it possible to use it during massage for children. Especially this type of procedure helps well with a protracted cold. Honey warms the skin, dilates blood vessels, so that its beneficial substances penetrate into the bloodstream.

The sequence of actions when performing a massage:

1. Honey should be slightly heated in a water bath.
2. Lay the child on the stomach.
3. Apply warm composition to the shoulders and upper back.
4. Make smooth massaging movements towards the neck. Near the neck, the hand must be torn off with force. After a while, the honey will become thick, then it will be more difficult to make sharp jerky movements of the hand and the baby's skin will receive additional stimulation. She may blush a little, this should not be frightened.
5. When the honey becomes very thick, the child will experience discomfort. At this point, you need to end the session.
6. At the end of the procedure, the skin should be wiped, the remnants of honey should be removed, the child should be wrapped up and allowed to lie down for at least half an hour.

Cupping baby massage for coughing

To perform this procedure, glass or rubber jars are used, which can be bought at a pharmacy. This type of massage is more difficult to perform than others. You need to understand where the main blood and lymphatic vessels are located in order to avoid damaging them during the procedure. Therefore, cupping massage is performed by medical professionals.

To lubricate the skin before the session, oil or baby cream is also suitable. The jar is carefully moved from the middle of the back towards the shoulder blades. Movements can be straight, circular and zigzag. At the end of the massage, the child is covered with a warm blanket and allowed to lie down quietly.

Vibration cough massage

Technique for performing this type of massage:

1. The child should be laid on his stomach on a flat surface.
2. You need to start with gentle and quick tapping movements in the area where the lungs are located. In infants, tapping is done with the fingertips. The whole procedure should not take more than 2 minutes.
3. In younger children (from 3 years old), you can also pat on the back with a palm folded in a “boat” and increase the duration of the session to 5 minutes.
4. Vibration massage for teenagers can be carried out more intensively. Tapping with a fist on the hand of an adult located on the back of a child is allowed. The maximum duration of the massage is brought up to 10 minutes.

At the end of the vibration massage procedure, the child may cough intensively, while sputum will be discharged.

In pediatric practice, various types of massage are often prescribed for coughing in children for the treatment of acute respiratory infections, as well as serious diseases: bronchitis and pneumonia. Their treatment is complicated by the fact that in the airways there is an excess and stagnation of sputum, which is difficult to get rid of. Therefore, it is recommended to massage for sputum discharge in children suffering from chronic diseases - cystic fibrosis and bronchial asthma.

To understand when a child needs a massage when coughing, it is important to understand the manifestations of the disease:

1. In the initial phase, while the inflammatory process develops, the mucous membrane covering the bronchi is irritated and overdried. There is a dry cough, which is called unproductive. At this time, it is too early to do massage practices, there will be no benefit from them.
2. On the 3-5th day, the cough becomes wet, productive: a liquid discharge appears in the form of sputum. It's time to start the course of procedures.
3. After the completion of the active phase of the disease, the cessation of coughing, it is recommended to continue the course of procedures for several more days.

It must be understood that cough massage in children is always prescribed as an additional therapy. It does not replace the medical and physiotherapeutic treatment prescribed by the doctor.

• complications after acute respiratory infections, influenza;
• bronchitis, including COPD;
• some cases of pneumonia;
• pneumosclerosis;
• cystic fibrosis;
• remission during bronchial asthma.

Benefit: therapeutic effect of the procedure

The correct cough massage technique for children can significantly alleviate the condition during illness.

What happens as a result of high-quality manipulations:

• Bronchial mucus liquefies, becomes more transportable.
• The movement and evacuation of sputum from the bronchi is accelerated.
• Together with mucus, pathogenic microflora is excreted from the body: bacteria, viruses, microorganisms.
• The mobility of the ribs increases, breathing and blood circulation of the chest normalize.
• The effect of medicines is enhanced.

How does massage help loosen phlegm? With a weak development of the respiratory muscles, expectoration of sputum in children is difficult. The throat is irritated from constant coughing, and expectoration of sputum becomes very painful.

As a result of massage manipulations, special cilia on the surface of the bronchial mucosa, designed to push sputum out, increase their activity. Stimulation of blood circulation increases the production of bronchial secretions, which further thins the mucus.

Basic Techniques

Classical techniques are designed to be used alone or in combination, depending on the indication. General conditions to be observed:

1. It should take at least two hours after eating.
2. 30 minutes before the session, the child needs to take drugs to thin the sputum.
3. During the procedure, there should be no drafts in the room, the air temperature should preferably be within 22-24 ° C.
4. After the session, you can not eat for about 1 hour.

Back massage

When coughing, the greatest effect is produced by manipulations in the upper and middle parts of the back. General principles:

• The patient's body is positioned so that the head is lower than the torso. So sputum can move freely through the respiratory tract.
• All movements of the massage therapist's hands are directed from the waist to the neck, that is, they create a “wave” of mucus movement towards the exit.
• At the end of the session, you need to induce a cough.
• After manipulations, it is desirable to warmly cover the patient.

chest massage

With circular, light movements, the chest is massaged. After the procedure, it is recommended to apply a warm compress, such as a honey cake.

Additionally, a chest massage is performed on the child in the front. The patient is placed on his back. Circular rubbing processes the upper body of the child, avoiding the area of ​​​​the nipples, armpits and neck. The movements are directed upward, towards the neck. After massage practice, it is advisable to apply a warming compress to the chest area.

How to do chest exercises

Carry out procedures 40 minutes before feeding the baby or 1.5 hours after it. The specialist's hands must be warm. It is desirable to create a pleasant atmosphere so that the child does not burst into tears, otherwise the procedure will have to be interrupted. Sequencing:

• The child is placed belly on a soft pillow.
• With gentle movements of the fingers they stroke and lightly rub the back.
• When the skin turns pink, the child is warmly wrapped and laid down.

Having studied the available and popular methods with the help of the video and having familiarized yourself with different techniques, you can choose the best massage method for sputum discharge in children. By learning how to do it yourself, you will be able to successfully apply these techniques in the treatment of your children.

The goal of the body is to get rid of phlegm, and the goal of treatment is to help it do this. I always I recommend mothers to do drainage and honey massage for children over 3 years old in the treatment of wet cough.

Once you learn how to do it, you can successfully apply this skill for many years. Massage techniques not only help to cope with the disease faster, but also contribute to the proper development of the child’s skeleton and muscles (to the question of), improve posture, increase chest mobility, and increase immunity. The benefits of such procedures cannot be overestimated.

Types of massage

Child's age	Types and features of manipulations	Duration of procedures
Up to 3 months	Infants at this age are not prescribed massage	—
3 months-1 year	Only a professional massage therapist can perform medical procedures. The session consists of light stroking, rubbing and tapping with your fingers. Be sure to use a neutral oil for baby's skin.	Up to 5 minutes, once a day
1-3 years	You can carefully perform a light vibration massage, as well as honey - in the absence of an allergic reaction.	5 to 10 minutes, up to 2 times a day
3-7 years	It is allowed to use percussion, drainage and honey technique (without oil), and canning technique - with the use of neutral oils	15-20 minutes, up to 3 times a day
Over 7 years old	Allowed to apply all types of massage manipulations	25 minutes, up to 4 times a day

drainage

Performing drainage massage for children when coughing, carefully monitor that the middle part of the patient's torso is higher than the head. The patient lies face down with a pillow placed under the abdomen. The main stages of performing actions:

1. Chest warming. It is performed by stroking and rubbing movements.
2. Warm-up of the intercostal muscles. With light longitudinal movements, the back and sides are processed from the bottom up. The area of ​​the spine is not affected.
3. With pinching movements, the entire surface of the back is worked out in the direction from the lower back to the head.
4. The entire back is tapped with the edge of the palm from the bottom up.
5. With two hands, a slight compression of the body from the sides in the area of ​​the diaphragm is made.

The video below additionally tells in which cases drainage massage is prescribed and the correct technique for its implementation:

Vibrating (percussion)

An example of performing a vibration massage of the chest for children is presented in the video. This simple method consists in repeatedly tapping the back with the edge of the palm in the direction from the middle of the back to the neck.

The embodiment shown by Dr. Komarovsky is the tapping of a weakly clenched fist with the fingers. The spinal area is not processed. After the session, you need to offer the patient a good cough, moving him to a vertical position.

Percussion massage for children is the easiest and fastest method to get rid of excessive accumulation of sputum in the airways.

Honey

Having found out if the child is allergic to bee products, you can conduct a session of therapeutic manipulations with honey. This qualitatively warms up the chest and increases blood circulation. Sequencing:

1. Body position - lying on the stomach.
2. The back is warmed up with light rubbing and stroking movements.
3. A sufficient amount of liquid honey is applied, evenly distributed.
4. Stroking movements end with a sharp separation of the hands from the skin, while sticky honey creates difficulty.
5. The procedure is completed by erasing the remnants of honey and warm wrapping.

dotted

This popular method, developed in China, requires special knowledge and skills. Acupressure for coughing in children can only be effectively performed by a qualified specialist. The technique involves biologically active points located on the energy meridians of the body's organs. Not only the right choice of place is important, but also the strength and duration of the impact on the meridians.

Canned

This method enhances subcutaneous blood circulation in the chest, strengthens the overall immunity of the body. For it, medical jars made of glass or rubber are used. Stages of the treatment session:

1. Abundant lubrication of the skin with oil or cream.
2. Cans installation.
3. Sliding movements with cans, with the capture of a part of the skin inside the can.
4. The entire surface of the back is worked out, excluding the areas of the spine and armpits.
5. The session ends with a warm wrap.

How to prepare for the procedure for performing cupping massage and the technique of its implementation, see the video:

Contraindications: in what cases the procedure can not be done

There are a number of restrictions for procedures in children. In addition to the acute phase of a respiratory or infectious disease, which is always a contraindication, there are such risk factors:

• Heart disease, including congenital malformation.
• Diseases of the kidneys and liver in the acute phase.
• Allergic manifestations on the skin (see about the types of rash in a child).
• Asthma during an attack.
• Oncological diseases.
• Disorders of the nervous system.
• Deficiency in body weight.
• Hernias.

About the TOP-12 antiviral drugs for children from 1 year old is written in, and about the treatment of barking cough in the article.

From parent feedback

Julia, 33 years old, Podolsk, son 5 years old

During the treatment of my son from the local doctor, I learned about the possibility of taking a course of special drainage massage in the clinic. After 10 sessions, the son began to sleep better, and the nightly coughing attacks gradually disappeared.

Of course, this was done at the very end of the treatment, after a course of antibiotics and inhalations. But my baby liked the procedure, and now we often do it at home. The son himself comes up and asks him to massage!

I have already heard several times from friends and acquaintances that when coughing, percussion massage helps children very well. But no one really can explain anything. Tell me what kind of treatment is this and if I can help my son myself. We are already 11 years old, but with any cold we cough for two weeks.

Responsible

Tapping on the chest and the resulting vibration of the bronchi lead to the fact that the sputum, as it were, is separated from the inner surface of the bronchi. It is clear that sputum, which, let’s say, “stuck” to the bronchial mucosa, is difficult to cough up, and sputum that is freely in the lumen of the bronchi is easy to cough up. Tapping is Latin percussion, hence the name "percussion massage of the chest." Percussion massage greatly facilitates and accelerates the process of sputum discharge, but under no circumstances is it an independent method of treatment. It is always carried out against the background of drug therapy, its effectiveness is closely related to the "correct" air parameters and plenty of fluids. It is important to know that percussion massage is not done if at the time of the procedure the child's body is above normal. The most effective percussion method for parental self-treatment looks like this. The child is placed on the stomach. Hands are extended forward. Place a pillow under the pelvis. Thus, the child lies at an angle, while the butt is above the head. The masseur parent sits next to him and with his fingertips often, intensely, but not painfully, taps on the back, trying to make the tapping finger hit the skin not at a right angle, but in the direction of the head. After tapping for one minute, the child should be lifted (seated, put - in general, give him an upright position) and asked to cough. Then repeat tapping again for a minute, and so on 4-5 times. You don't have to hit your chest. The back and lateral surfaces of the chest available for “knocking” are quite sufficient for an effective massage. Another nuance - in the process of percussion, it is desirable to change the position of the child's head every 20-30 seconds. The described procedure can be repeated 5-6 times a day, of course, if there are indications. I recommend watching the episode of the program "

Massage procedures are one of the most effective methods of removing sputum when coughing. They help to alleviate the condition of the baby without the use of medications. The principle of action is to press on certain points of the back, transmitting a signal to the spinal cord to the nervous system. As a result of this process, the whole body relaxes, which contributes to the unhindered discharge of sputum.

Execution technique

There are several techniques that help to remove sputum when coughing in infants. Let's dwell on each of them in more detail.

drainage

The peculiarity of this technique is that the baby's head should be lower than the torso. To do this, under the child you need to put a small pillow or roller. After proper placement, you should proceed with the following manipulations:

After the procedure, the baby must be wrapped in a warm blanket. In this state, it should lie for about 1-2 hours. During this period, every 15 minutes it should be turned over to the other side. This will help to avoid stagnation of mucus in the lungs.

The duration of 1 session should be 10 minutes. At the same time, the number of procedures per day should be at least 2. The full course of treatment in this way is designed for 5 days.

Watch a video on how to do drainage cough massage:

vibrating

Vibration massage consists in tapping on the back of the baby. Step-by-step instruction:

1. Put the baby on the tummy.
2. Mom should put an open palm on her back, avoiding the area of ​​\u200b\u200bthe trunk of the spine.
3. The second hand should be clenched into a fist, making light taps from the fingers to the wrist.

The duration of 1 procedure should be no more than 3-4 minutes, their number - 3 per day. The entire course of treatment takes an average of 4-6 days. It all depends on the degree of neglect of the cough.

Expectorant (postural)

This type of exposure is similar to drainage massage. Let's see how it is done step by step:

1. Put the child on a pillow or cushion so that his head is lower than his torso, you can also place him on his knees.
2. The baby should lie face down.
3. On both sides of the middle of the spine, grab some skin.
4. Turning it over, move towards the shoulders.
5. Step back a couple of cm to the edges of the sides, do the same manipulation.
6. Do 10-20 approaches.

The duration of 1 session is no more than 3-5 minutes. It is necessary to do such manipulations 3 times a day for 5 days. After each session, the baby will be excreted sputum. For maximum effectiveness, he can be given an expectorant medicinal syrup before the massage.

Percussion (Komarovsky method)

This method consists of the following actions:

The duration of such treatment is 5 days. The number of procedures is 3 per day. In this case, you need to know about the following rules for conducting percussion massage:

• It is not an independent method of therapy, it is used as an adjunct to drug treatment.
• You should not do such a massage at elevated body temperature.
• Do not use this method while taking medications that inhibit the cough reflex.
• During the massage it is required to avoid the area of ​​the spine.

Cough massage for sputum discharge is highly effective. But to achieve the desired result, you need to pay attention to the following recommendations of experts:

• During the procedure, use baby cream or warming oil.
• Massages should be agreed with the attending physician.
• The first procedure is carried out on the fourth day of the child's illness.
• During the procedure, the baby should be without clothes, so you need to take care of a comfortable air temperature.
• Movements should not cause discomfort, the child should not cry after such exposure.
• If there is a deterioration in the condition, then the massage procedures must be stopped, and then consult a doctor.
• For faster and more effective coughing, the child needs to press the root of the tongue with a teaspoon.

Mandatory need to control the body temperature of the crumbs. If he has a fever, then massage as a cough treatment is not suitable.