Acapella flutter valve cleaning12/4/2023 ![]() I recently fell and broke one shoulder and sprained the other and finding CPT options has been a nightmare and very stressful - finally tried the Acapella, don’t love it either. However, I find that wheezing can be very aggravated by the vest. However GERD & stomach surgeries made lying upside down problematic, plus I was single for many years so didn’t have help, and the vest was my only option. ![]() He doesn’t have the Acapella.Īs a stubborn old-timer (44), manual CPT is my favorite and most effective. I don’t know what we would do without insurance coverage. After insurance was billed and they paid, we owe $700. Funny thing is, we finally got the “final” bill on his Vest. He doesn’t feel like it is as effective as the first 2, but will resort to it when he is too tired for the others. His Vest, which is a newer Hill-Rom, much like the inCourage, is third. The light-headed, dizzy, wanna puke feelings are what he hates. I don’t have the strength to beat on him for more than a few minutes. It is at least 15 years old, but still does the job. If there is a particular area of his chest bothering him, he will use the hand held percussor. □ Just kidding of course, but I do know what he does when he really needs relief. I am entitled, I know him better than he knows himself. Which method(s) is/are your preference for airway clearance? I find using both the Flutter and Acapella exhausting to use because of the deep breathing and strenuous spasms that follow, but I know they work. I was keeping one in the car for my way to school if I had a wheeze and I keep one by my Vest. Acapella – I have 2 of them that I bought out of pocket because my HMO wouldn’t pay for the device.It’s quite expensive, even with insurance (our durable medical equipment co-pay was still $1200, and I have an excellent HMO package. I don’t go crazy coughing with it, but it does a fantastic job alleviating any wheezing I have at the time. I couldn’t be happier with my inCourage Vest system that I got last August, but it serves a purpose, but not the one I thought. Vest – Not all vests are created equal.It’s so small, it’s ridiculous, not to mention it only being 3 parts and the easiest thing in our arsenal to keep sterile. I was able to get the percussion sensation longer with Flutter than Acapella, so I think it did more, and I seem to remember it being a stronger feeling, even though the Acapella is adjustable. Flutter – I’d rank this as the second best.If I had unlimited time and resources, I’d opt to have this as my treatment, but I have a life/job, and so does Beautiful. You can’t help but cough if you have anything in a particular lobe that needs to come out. The downsides are the obvious space/time requirement, as well as a willing second party unless you’re somehow able to do it yourself. Manual CPT – In my opinion, this is THE best method for airway clearance when done properly.Here are my thoughts and results from each: About 13 years of manual chest physiotherapy, a couple of years trying Flutter in the car on the way to school functions, years of non-compliance with the very old Hill-Rom Vest that never stayed turned on because of that stupid foot pedal, and now a new inCourage Vest and Acapella. You are welcome here, anyway, but you are a rarity. It’s something we’re all familiar with unless your mutation rocks and your lungs are pristine without this much treatment. By rotating the dial clockwise through numbers one to five the resistance gets harder.Let’s get some community feedback going for the masses with this topic. The pressure and flow can be made harder or easier by changing the position of the frequency adjustment dial. This cycle should continue for 10-20 minutes or until you have cleared all your sputum. You should then have a period of relaxed breathing before continuing. Following this you should put the Acapella ® Choice down and do huffing and coughing to clear any sputum.You may feel vibrations on your chest wall. Take a slightly bigger breath in through your nose and then blow out through the Acapella ® Choice.Close your lips around the mouthpiece of the Acapella ® Choice, making sure there is a good seal.Relax your stomach muscles and take a few normal breaths before using the Acapella ® Choice.Treatment can be carried out in sitting or any postural drainage position (where possible).The Acapella ® Choice should be held in a horizontal position for treatment. Your physiotherapist will show you how to use the Acapella ® Choice. ![]() Transition to adolescent and adult services
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