Guy Postiaux is the author of:
"This book has a double vocation, one to be a treatise and one to be a practical manual. How can those two concepts meet in one book?
The purpose of the treatise is to state on the question about the CPT techniques and to support them with scientific arguments that justify their indications, their potential and proven effects. Actually is it a kind of catalog. And any catalog needs a classification.
Usual classification of CPT techniques, based on nosology, is not satisfying , because, beyond its lack of pedagogic structure, it underestimates often the semiology and the specific physiology that guide the pratician on the field.
The realisation of the manual to a practical end, allowed me to propose another classification of CPT techniques that constitutes the skeleton of the present book. The title already contains its main key : the description of nCPT techniques inconceivable without the guidance of auscultation. The clinical observation on its own is incomplete if the therapeutic reasonning is not based on ventilatory mechanics. It is finally the association between sthetacoustic and mechanics that permitted to establish, from a staged concept of bronchial obstruction, an anatomical and functionnal classification of CPT techniques and to conciliate treatise and manual.
The proposed classification of CPT techniques rests on the four possible ventilatoires modes a human being is capable of : breathe in, breathe out, slowly or rapidly. The aim is to provoque, in the sake of broncho-pulmonary clearance, slow and rapid inspirations or expirations, whatever the etiology of the obstruction is. Those four groups of techniques are the essential tools, the so-called principal techniques of bronchial clearance with straight effects on clearance. The other methodologic tools are only adjuvants : positioning, instrumental aids, vibrations, … have only indirect effects, useful, but still less efficient than the previous.
The major aim of the present manual is to teach how to observe but above all how to auscultate, in order to operate a pertinent technical choice depending on the age of the little patient, and after that , to evaluate the achieved result. These three steps have indeed been examined closely by sufficient and necessary objectivations. This book results from a large number of clinical observations, particularly stethacoustical, treated by Fast Fourrier Transform analysis process.
However the relationships between the doctor and the physiotherapist cannot suffer any ambiguity. It should not be necessary to remind and justify that the use of the stethoscope by the PT is only a tool to observe a physico-acoustical signal, and not to pose a diagnosis. The stethoscope will help him to orient the therapeutic choice and to control its effects. The reasoning is not based on receipes, traps of a simple technical manual. The richness of this type of PT certainly lies in its semiologic basement : the specific assessment of CPT, and not nosologic. The specific, individual character of each disease escapes anyway systematisation.
My avowed ambition is that the present book would contribute to the recognition of what should already be considered as a specialization of CPT : nCPT of the child. This fascinating discipline does not only require a broad knowledge, but also a certain know-how the young PT can build by working with an elder due to the potential risks it implies, specially for the very young children, but also because auscultation can only be tought on the field by a trained teacher. "
Chapter 1. Environemental contexts requesting CPT
Chapter 2. Obstruction and hyperinflation
Chapter 3. Auscultation
Chapter 4. Decision tree and nCPT assessments
Chapter 5. General principles of CPT
Chapter 6. Main techniques of nCPT in pediatrics
Chapter 7. Complementary techniques of bronchiall clearance
Chapter 8. nCPT in neonatalogy
Chapter 9. Control and follow-up parameters
The book contains numerous notes of physiology, physiopathology, semiology and technique: