2. DEFINATION
• NPF involves the use of selective external proprioceptive and tactile
stimuli that produce reflex responses in the rib cage and diaphragm to
assist respiration in unconscious patients
8. MECHANISM AND BENEFITS
• Initiates increased epigastric movement
• Sustained pressure promote further excursion of the thoracic region,so
the patient appears to be deep breathing
Physiology
• Activates the primitive reflex of sucking and swallowing
10. MECHANISM AND BEBEFITS
• When pressure is applied over T2-T4 = Increased epigastric
abdominal excursion
• T9-T11 = Increased respiratory movement of the apical thorax
12. MECHANISM AND BENEFITS
• Increased excursion of the ribs laterally and posteriorly both the sides
• Increased epigastric movements
Physiology
• Dorsal root mediated intersegmental reflex
16. MECHANISM AND BENEFITS
• Increase epigastric excursion
• Observable increase in abdominal tone
• As tone excursion of rib will
Stimulate coughing if secretions present
PHYSIOLOGY
• Abdominals muscles are activated by Intrafusal stretch receptor
18. MECHANISM AND BENEFITS
• Gradual increase in rib movement under the area of pressure
• Specific for localized lung pathology
PHYSIOLOGY
• Stretch reflex
19. References :
1. Jennifer A Pryor , S Ammani Prasad. Physiotherapy for respiratory
and cardiac problems 4th edition, pg no.199-203