FLUTTER DEVICE.ppt

A PART OF AIRWAY CLEARANCE DEVICES. USEFUL PPT FOR PHYSIOTHERAPY STUDENTS.

1. Flutter
Dr. Blessy Joel (PT)
MPT (Cardio-Resp.)

3. Introduction
Oscillatory positive pressure device
Will create the positive pressure in
expiratory phase.

4. Purpose of flutter
Decrease the viscosity of mucus.
Mobilize the secretions
Prevention or for treatment of atelectasis.
Facilitate the collateral ventilation.

7. Flutter
It is a small portable device
Shape-pipe shape
Single opening at mouth piece and multiple
opening at top end( bowl shape)
Bowl contain a ball within a cone

8. During expiration
there will be
movement of ball
within the cone -that
result into creation of
positive pressure and
vibratory motion.

9. Technique
Position of patient: sitting or upright position
Flutter should be paced in to mouth
↓
Inspiration through noseor from mouth
( around mouth piece)
↓
A slow deep ( slight) breath
Hold 2-3seconds
↓
Breath out thro’ flutter at faster ratethan normal rate of expiration
This phase is for mucus loosening and mobilization
Repeat 4-8 times

10. Second phase
Deep breathingwith breath hold
Forced expiration
This stage for mucus elimination

11. Third stage
Breath control
Coughing / huffing
Gentle exhalation( 10 min) followed by
forced expiratory technique

13. Recent studies
1) Comparative study between
Flutter, voluntary coughing, postural
drainage
Flutter was more effective in amount of
production of sputum
2) Comparative study between flutter and
AD
Compare to AD, flutter is easy to teach

14. Thank You