A respiratory pathology I have never experienced, however have witnessed in a few friends and relatives is pneumonia. Pneumonia is an infection or inflammation of the alveoli caused by streptococcus pneumoniae, but other infectious agents such as viruses, protozoans, and fungi could be responsible. During pneumonia, the alveoli fill with fluid and exudates such as dead WBC’s and pus. Exudates are substances that have been slowly discharged from cells or blood vessels as waste. Massage is contraindicated during the acute phase of pneumonia because it is infectious. If the client is not acute, percussion and vibration on the ribcage for five minutes can assist in draining secretions. The treatment should focus on the primary and secondary muscles of respiration. Deep friction, kneading, ischemic compression, and deep gliding strokes can help loosen these muscles.

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