Recommended Usage Directions
(How to effectively use the Vibralung)
Always follow your health care professionals' instructions.
While the following are recommendations only, they are based on the Vibralung Acoustical Percussor applying principles of sound to the respiratory system. One such principle is resonance which is applied as the Vibralung generates three tonal frequency stepping modes, L-Low, M-Medium, and H-High, which are all 10 minutes each. At or near resonant frequency the mucus, mucus plaque, and/or the airway surfaces themselves will vibrate, that is resonant, creating a shearing effect, promoting the breaking down, and mobilization of, mucous secretions. This makes it easier for the respiratory system to expel the secretions.
Another is the smaller the structures the higher the frequencies, which is the reason to start with Low first.
Because the largest airways have the lowest frequencies the first step is to clear them. This will create a clear path for mucus cleared further down in the lungs to be expelled as the patient moves to the higher ranges.
Another mode called Random Noise appears to help reduce constriction of the airways to improve breathing. The Vibralung generates frequencies from 5 – 1,200 Hz, which are within the normal range of human speech.
Summary: The tonal settings (L-Low, M-Medium, and H-High) mobilize mucus for airway clearance, and the random noise settings (R2 and R5) relax and open the airways.
Start with the PEP (Positive Expiratory Pressure) valve half open and adjust as needed.
Chronic Conditions Directions
COPD, chronic bronchitis, emphysema, refractory asthma, bronchiectasis, cystic fibrosis.
L-Low followed by R2, 2 or 3 times per day until mucus production amount has diminished.
M-Medium followed by R2, 2 or 3 times per day until mucus production amount has diminished.
Mornings one day L-Low, and the next M-Medium followed by R2, evenings H-High followed by R2
Continue until mucus production amount has diminished or symptoms have improved.
As symptoms continue to improve the patient may start the maintenance schedule. Note the patient may vary the
settings to best facilitate airway clearance. The patient may now begin to spread out treatments, that is, treat
once a day for about a week, then treat once every other day for about a week, and continue spacing the
treatments out more and more.
The patient should do a treatment at least twice a month to maintain airway clearance.
Cystic fibrosis patients may find they need more treatments to maintain airway clearance.
If at any time the patient has an exacerbation of their symptoms, immediately re-start at the beginning of these
Morning R5 treatment, mid-day R5 treatment, evening L-Low plus R5 for one week.
Morning R5 treatment, mid-day R5 treatment, evening M-Medium plus R5 for one week.
Mornings continue with the R5 treatments, and alternate the evening treatments between L-Low and
M-Medium plus R5. Treatments may be spaced out and patient may find they only need random noise.
If the patient experiences any exacerbation, immediately do a R5 treatment which may be repeated up to three
times as needed. Return to twice a day treatments: mornings continue with the R5 treatments, and alternate the
evening treatments between L-Low and M-Medium followed by R5.
L-Low followed by R5 three times a day for one day.
L-Low followed by R5 mornings and M-Medium followed by R5 evenings.
If pneumonia appears to be in the lowest lobe, after day one, M-Medium followed by R5 in the mornings
and H-High followed by R5 in the evenings.
Continue treatments until symptoms abate.
Morning L-Low, followed by R2 or R5.
Afternoon M-Medium, followed by R2 or R5.
Evening L-Low, followed by R2 or R5.
After the first week, every third or fourth day change to these directions.
Morning M-Medium, followed by R2 or R5.
Afternoon H-High, followed by R2 or R5.
Evening M-Medium, followed by R2 or R5.
If necessary, follow each treatment with postural drainage.
Your health care professional may also write their own directions for you.
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