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1. Hemorrhage (severe hemoptysis) 2. Untreated acute conditions 3. Cardiovascular instability 4. Recent neurosurgery
Manual Techniques Used During Postural Drainage Therapy
In addition to the use of body positioning, deep breathing and effective cough to facilitate clearance of secretions from the airways, a variety of manual techniques are used in conjunction with postural drainage to maximize the effectiveness of the mucociliary transport system. They include:

1. Percussion 2. Vibration 3. Shaking