The main goal is to facilitate secretion transport and thereby decrease secretion retention in the airways. Exhalation should be as slow and as complete as possible. This site uses Akismet to reduce spam. If possible it is best to have the patient facing the practitioner as to notice any changes in the patients’ condition. Learn about cystic fibrosis, a genetic disorder that affects the lungs, pancreas, and other organs, and how to treat and live with this chronic disease. The lungs make mucus to help defend against germs. Clinical study at UCSD. Cupping of the hand will create vibrations through the thoracic cavity. Oscillating devices like this create vibrations when you exhale. In the diagrams, shaded areas show where the chest should be clapped or vibrated. Subscribe to Codify and get the code details in a flash. Researchers, supported by the CF Foundation, have made tremendous advances to improve the health and quality of life of people with CF. Cystic fibrosis changes the mucus, making it thick and hard to clear. As a part of CPT we manage and treat not only the disease itself but its clinical consequences as well. out of the body. CPT® Code 32960 for Surgical Procedures on the Lungs and Pleura and more details about Surgical Collapse Therapy Procedures on the Lungs and Pleura Chest Physiotherapy (CPT) is an airway clearance technique that involves manually percussing the chest wall to help clear the lungs of mucus build up. Postural drainage In postural drainage, the person is tilted or propped at an angle selected to help drain secretions from the lungs. Clap both sides at the bottom of his or her chest just above the bottom edge of the ribcage. Such exercises are particularly helpful for sedentary … Effective January 1, 2018, the payment rate for this code will decrease from $137.09 to $116.64. Keeping the lungs clear helps your child breathe easier. *Children shown without shirts to better demonstrate the PD&P technique in illustrations. 2020 Dec 1;12(12):E1169. HOW THE LUNGS WORK Chest physical therapy (CPT) is a treatment that helps remove mucus from your lungs. Coding and documentation tips, with a special emphasis on the gray areas of “medical indications” versus “medical necessity” in the physician order, plus knowing when medical necessity extends to durable medical equipment ... 2021 Coding Essentials for Respiratory Therapy/Pulmonary Function. CPT ® 32940, Under Surgical Collapse Therapy Procedures on the Lungs and Pleura The Current Procedural Terminology (CPT ®) code 32940 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Collapse Therapy Procedures on the Lungs and Pleura. Diary was assessed and discussed with patient. We are committed to providing the tools and resources you need to continuously build upon this work. The parietal pleura coats the lungs on the outside, and separates them from the chest cavity. Contact the company (or visit the company's website) for details. 32900 - CPT® Code in category: Surgical Collapse Therapy Procedures on the Lungs and Pleura. Having your child cough In the hospital, a nurse or respiratory therapist will clap on your child’s chest with a cupped hand. Although insurance providers often do not cover equipment of this kind, check with your insurance provider for your specific plan’s benefits. Need Help? Subscribe to Codify and get the code details in a flash. CPT code information is copyright by the AMA. It uses gravity and vibration to help move mucus out of the lungs and cause coughing. CF is a rare genetic disease found in about 30,000 people in the U.S. Active hemorrhage with hemodynamic instability, Recently place transvenous pacemaker or subcutaneous pacemaker. Clap on both sides of the upper front chest over the muscular area between the collarbone and the top of the shoulder blade. Chest physiotherapy is a modality that is commonly used by RT’s. Chest physical therapy (CPT) is a widely used intervention for patients with airway diseases. Clap over the lower ribs just below the nipple area on the front side of left chest. Portal Vein Pulsatility Index to Differentiate Hypervolemic and Hypovolemic Hyponatremia. Endobronchial valves are typically implanted using a flexible delivery catheter advanced through a bronchoscope, and thus they are minimally invasive.The valves are also removable if they are … Infants can be positioned with or Giving your child CPT treatments helps keep extra mucus from building up. Whenever the topic of coding and billing for RT services comes up it’s only a matter of time before discussion turns to “it.” ... continuous episode of care. This drainage is accomplished by simply placing the segmental bronchus to be drained in a more vertical position, permitting gravity to assist in the process. This is particularly true of patients with voluminous secretions, thick tenacious secretions, and patients with neuromuscular disorders. People with CF are living longer, healthier lives than ever before. People with cystic fibrosis are living longer and more fulfilling lives, thanks in part to specialized CF care and a range of treatment options. A good acronym to remember when performing postural drainage is BLU (Bad Lung Up). Controlled Coughing. This is usually done for three to five minutes and is sometimes followed by vibration over the same area for approximately 15 seconds (or during five The person is then encouraged to Cystic fibrosis, COPD, asthma, lung disease with secretory problems, and patients with atelectasis are some of the typical patients that would benefit from Percussion and Vibration. The cupped If you or a loved one suffers from COPD, the Lung Health Institute might be able to help. The hand is cupped as if to hold water but with the palm facing down (as shown in the figure below). The decision to use HFCWO therapy or not is a choice based on personal preference and physician recommendations (see chart below). Sometimes, companies that make 94644 – Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour. When Your Child Needs Chest Physical Therapy (CPT) Chest physical therapy (CPT) is a method for clearing mucus out of the lungs. Ask willing and capable relatives, friends, brothers, and sisters to do CPT. Time per session: Alternatives to chest percussion by hand … Most of the movement is in the wrist with the arm relaxed, making percussion less tiring to do. Contraindications for high-frequency chest wall oscillation include: With the therapies noted, as well as the ones to come in the next coming weeks,  the RT must be aware of the hazards and complications of the therapies chosen and able to recommend another adjunct therapy if not sufficient. As part of the Cystic Fibrosis Foundation's mission to help improve the lives of people living with cystic fibrosis, the PSDC initiative taps the CF community to inform key efforts to support the management of daily care. Acute Cor Pulmonale in ARDS: Top 10 things... Oscillator in the NICU Part 1: The Basics, The Procedural Teaching Series: Endotracheal Intubation. Once loosened, the mucus will fall to the large airways, then can be coughed out. This can provide a welcome break from the daily routine. An essential difference between manual CPT and percussion vest therapy is the latter can be performed independently. Please remember to clap and vibrate only over the ribs. Contraindications for percussion and postural drainage include: This modality is commonly referred to as Vest therapy where a variable air pulse generator and an inflatable vest covers the patient’s chest while small volumes of gas are injected at a fast rate creating an oscillatory effect against the patient’s chest. It also keeps the lungs clear to prevent pneumonia after surgery and during periods of immobility. Differentiating Peak and Plateau Pressures, Riding the Waves: Ventilator Waveform Interpretation, The Art of Pediatric Ventilation: Flow Inflating Bags. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by this entire LCD) as if they are covered. 32900 CPT 2011: Surgical Collapse Therapy Procedures on the Lungs and Pleura, Surgery. Chest physiotherapy (CPT) is a technique used to mobilize or loose secretions in the lungs and respiratory tract. Minimize interruptions. Merck Manual . Vibration is a technique that gently shakes the mucus so it can move into the larger airways. with percussion, it may be known as postural drainage and percussion (PD&P). Having your child cough. Patient reports reduced dosing with inhaled steroids and fewer asthmatic episodes. Both the person with CF and the caregiver should be comfortable during CPT. Having your child cough. Cystic Fibrosis Foundation-accredited care centers provide expert care and specialized disease management to people living with cystic fibrosis. Infections cause inflammation or swelling of the lungs. With chest physical therapy (CPT), the person gets in different positions to use gravity to drain mucus (postural drainage) from the five lobes of the lungs. When updating the 2020 edition of Coding Essentials for Respiratory Therapy/Pulmonary Function, our team paid extra attention to: Inhalation treatments. With postural drainage, the person lies or sits in various positions so the part of the lung to be drained is as high as possible. Postural drainage involves the use of gravity and mechanical energy to help mobilize secretions. CPT involves 3 main steps: Putting your child in certain positions. Cell therapy offers another alternative to traditional treatment options for COPD. This is a skill the RT must master in order to perform correctly, but to avoid fatigue it is advised that the RT use the pneumatic percussor instead of by hand. Objective: To evaluate the effect of 4 weeks of pulmonary rehabilitation (PR) versus chest physical therapy (CPT) on the preoperative functional capacity and postoperative respiratory morbidity of patients undergoing lung cancer resection. Request a Demo 14 Day Free Trial Buy Now The Current Procedural Terminology (CPT) code range for Surgical Collapse Therapy Procedures on the Lungs and Pleura 32900-32960 is a medical code set CPT® Code - Surgical Collapse Therapy Procedures on the Lungs and Pleura 32900-32960 - Codify by AAPC Diagnosing CF is a multistep process. The surface that the person with CF lies on should be at a comfortable height for the caregiver. Deleted Codes 32420 - Pneumocentesis, puncture of lung for aspiration 32421 - Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent … Often coupled with CPT, postural drainage is an airway clearance therapy that uses gravity to facilitate mucus clearance from the air passages. CF care team members are paramount in providing highly specialized care to people living with CF. The Current Procedural Terminology (CPT ®) code 32701 as maintained by American Medical Association, is a medical procedural code under the range - Stereotactic Radiation Therapy Procedures on the Lungs and Pleura. The caregiver places a firm hand on the chest wall over the part of the lung being drained and tenses the muscles of the arm and shoulder to create a fine shaking Clapping on certain parts of the body . More mucus in the lungs can lead to more infections. If the hand is cupped properly, percussion should not be painful BF-M-US-2017-028 New CPT Codes for Photodynamic Therapy Currently, only one CPT code for treatment with photodynamic therapy is in place. You also can contact CF Foundation Compass, a personalized service that can help you with insurance, financial, legal and other issues. To make CPT more fun, consider one of the following: The following diagrams describe the positions for CPT. This is especially helpful for patients with large amount of secretions or ineffective cough. The main goal is to … By learning more about how you can manage your disease every day, you can ultimately help find a balance between your busy lifestyle and your CF care. This is important because too much mucus can block the air passages in the lungs. CPT involves 3 main steps: Putting your child in certain positions. As a clinician, you’re critical in helping people with CF maintain their quality of life. We made sure the guidance for these services is … High-frequency Chest Wall oscillation creates microscopic “coughs” in the patient’s alveoli … Chest Physical Therapy - Explore from the Merck Manuals - Medical Consumer Version. The procedure is somewhat uncomfortable and tiring for the patient. Manual CPT involves a series of positions to use gravity to help drain mucus from the lungs and the assistance of a caregiver or therapist. Ask your CF doctor or respiratory therapist to recommend one that may work best for you. The three parts of CPT are: • Postural drainage - This involves placing the person in different positions to drain segments or areas of the lungs being treated. A flat hand will not create vibrations and will hurt! For observation stays, the documentation of start and stop times for individual inhalation therapy treatments is very important – more on that below. Talk to These insights drive the development of new and better treatments and bring us one step closer to a cure. @2020 - All Right Reserved. CF Foundation Compass can help you navigate insurance, financial, legal, and other issues you are facing. Postural Drainage. Keeping the lungs clear helps your child breathe easier. Percussion and Vibration combined with other physiotherapy techniques helps to move secretions to where they can easily be coughed up and cleared. Keep a supply of tissues or a place to cough out the mucus nearby. Percussion is done forcefully and with a steady beat. Suite 1100 N CPT Treatment: Madaling gawin, para sa mga mahal niyo o kaibigan- ay may sipon o pakiramdam niyo o nila ay maraming plema sa baga at hirap huminga. Designed and Developed by Scimple Education, LLC for CriticalCareNow, This website uses cookies to improve your experience. Keeping the lungs clear helps your child breathe easier. CHEST PHYSICAL THERAPY (CPT): INFANTS AND TODDLERS Chest Physical Therapy (CPT), also called postural drainage, is a way for you to help your child get rid of extra mucus in his lungs. It is used to assists a cough, re- educate breathing muscles to try to improve ventilation of the lungs. Chest physical therapy (CPT) is the term for a group of treatments designed to improve respiratory efficiency, promote expansion of the lungs, strengthen respiratory muscles, and eliminate secretions from the respiratory system.. Purpose. As an adult with CF, you may reach key milestones you might not have considered. This can be performed in quite a number of ways dependent upon the patient, the lobe that requires the therapy, and any contraindication that can prevent a certain method of therapy. The rhythmic strikes and vibrations help loosen secretions from the airways. This starts with … CPT  therapy is indicated in any patient whose cough alone cannot provide adequate lung clearance or the mucociliary escalator malfunctions. CHEST PHYSICAL THERAPY (CPT): CHILDREN AND ADULTS Chest Physical Therapy (CPT), also called postural drainage, is a way for you to help your child get rid of extra mucus in his lungs. A complete diagnostic evaluation should include a newborn screening, a sweat chloride test, a genetic or carrier test, and a clinical evaluation at a CF Foundation-accredited care center. Chest physical therapy (CPT or Chest PT) is an airway clearance technique (ACT) to drain the lungs and may include percussion (clapping), vibration, deep breathing, and huffing or coughing. (The caregiver may also place one hand over the other, then press the top and bottom hand into each other to vibrate.). 32960 - CPT® Code in category: Surgical Collapse Therapy Procedures on the Lungs and Pleura. Self-Assembled Disulfide Bond Bearing Paclitaxel-Camptothecin Prodrug Nanoparticle for Lung Cancer Therapy Pharmaceutics. RT’s perform 10-30 minute therapy sessions at frequencies between 5 Hertz and 25 Hertz. to your or your child’s needs. If you have CF or are considering testing for it, knowing about the role of genetics in CF can help you make informed decisions about your health care. A strong cough is one of the most effective airway clearance therapies … CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Do not clap the lower ribcage or over the backbone. CF Foundation Compass is a service that helps people with CF and their families with navigating insurance options, connecting to legal information and experts, finding available financial resources, and tackling other life issues. Deep breathing moves the loosened mucus and may lead to coughing. Learn how your comment data is processed. CPT (chest physical therapy) works in combination with postural drainage by turning a patient in various positions allowing segments of the lungs to point downward, then clapping firmly over chest and back on part of the lung segment to shake the mucus loose. Setting: A teaching hospital. CPT works best after treatment with a bronchodilator. all collapse extrapleural lungs pleura procedures resection ribs stages surgery surgical therapy. Find a clinical trial that may be right for you. The purpose of chest physical therapy, also called chest physiotherapy, is to help patients … Access to this feature is available in the following products: Find-A-Code Essentials; without pillows in the caregiver’s lap. exhalations). Giving your child CPT treatments helps keep extra mucus from building up. Help us blaze a trail to better treatments and a cure for CF. Have your child lie on his or her stomach. In postural drainage and chest percussion, the patient is rotated to facilitate drainage of secretions from a specific lung lobe or segment while being clapped with cupped hands to loosen and mobilize retained secretions that can then be expectorated or drained. Chest physical therapy (CPT or Chest PT) is an airway clearance technique (ACT) to drain the lungs and may include percussion (clapping), vibration, deep breathing, and huffing or coughing. Chest physiotherapy also known as chest physical therapy (CPT ) is a treatment that helps to remove the excess secretions (also called mucus, phlegm, sputum ) from inside the lungs, by physical means. CPT therapy is indicated in any patient whose cough alone cannot provide adequate lung clearance or the mucociliary escalator malfunctions. Administered with the help of a caregiver or respiratory therapist, manual CPT is used for patients living with a chronic lung condition, such as cystic fibrosis or bronchiectasis , where the lungs are unable to clear mucus naturally. Spend time playing, talking, or singing before, during, and after CPT. CPT consists of two therapies: • Postural drainage or positioning • Percussion, clapping, or cupping Postural Drainage Postural drainage removes mucus from It involves striking the lungs manually with your hands, with a cuff, or with an automatic percussor. Registered Respiratory Therapist with a diverse background in healthcare but a keen interest in trauma intensive care. Clap both sides of your child's chest between the collarbone and nipple. For a child with cystic fibrosis, CPT can be done by anyone, including parents, siblings, and friends. Living with cystic fibrosis comes with many challenges, including medical, social, and financial. Respiratory Therapy Rehabilitation CPT G0237, G0238,G0239 Indications and Limitations of Coverage and/or Medical Necessity. CPT involves 3 main steps: Putting your child in certain positions. Vibration is done with the flattened hand, not the cupped hand (see the figure below). Clapping on certain parts of the body . Light, soft clothing, such as a T-shirt, may be worn. Many people living with cystic fibrosis and their families face complicated issues related to getting the care they need. HOW THE LUNGS WORK The high quality of specialized care available throughout the care center network has led to the improved length and quality of life for people with CF. The key to any pulmonary rehab program for COPD is exercise, which will help your lungs and heart work better. This will not hurt your child. O baka may covid19 na. Have your child lie with left side up and raise his or her left arm overhead. High-frequency Chest Wall oscillation creates microscopic “coughs” in the patient’s alveoli releasing mucus from blocked airways and moving them into larger airways to be coughed out or suctioned. your doctor or respiratory therapist at your CF care center about equipment for CPT. Other terms, include respiratory or cardio-thoracic physiotherapy. For some, the vest offers a great alternative or addition to manual chest physiotherapy (CPT), but it’s not necessarily the best option for everyone. When combined It is a triangularly shaped cylinder and is sometimes green or blue in color. 32900 - CPT® Code in category: Surgical Collapse Therapy Procedures on the Lungs and Pleura. Stand behind your child's head. the person breathes in and sinks in when he or she breathes out. Percussion and vibration involves the application of mechanical energy to the chest wall by the use of either hands or various electric or pneumatic devices like a percussor. CPT is best done before meals or one-and-a-half to two hours after eating, to decrease the chance of vomiting. CPT ® 32900, Under Surgical Collapse Therapy Procedures on the Lungs and Pleura The Current Procedural Terminology (CPT ®) code 32900 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Collapse Therapy Procedures on the Lungs and Pleura. The Lung Health Institute uses a patient’s own cells to accelerate the body’s natural healing process. Sue Smith does CPT on her 4-year-old son, Zack, to help clear his lungs of mucus. CPT code information is copyright by the AMA. Here’s some more about these exercises, which … Ozone therapy refers to the process of administering ozone gas into your body to treat a disease or wound. Chest PT helps treat such diseases as cystic fibrosis and COPD (chronic obstructive pulmonary disease). Call Us! Lungs and respiratory resistance assessed. Breathing with the diaphragm (belly breathing or lower chest breathing) is used to help the person take deeper breaths and get the air into the lower lungs. When to do CPT with your child. If the RT chooses to perform Percussion and vibration by hand the RT must be aware of the patient at all times. Have your child lie with right side up and roll toward you a quarter turn so you can reach your child's back. Giving CPT treatments to your child at home helps keep extra mucus from building up. Postural drainage involves the use of gravity and mechanical energy to help mobilize secretions. The final and largest area of the respiratory system subsection is that of the lungs and pleura. Our understanding of CF continues to evolve as scientists study what causes the disease and how it affects the body. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. It is one of the Airway Clearance Therapies (ACT). Before starting, the person should remove tight clothing, jewelry, buttons, and zippers around the neck, chest and waist. Chest physical therapy (CPT) is a widely used intervention for patients with airway diseases. Chest Physical Therapy Definition Chest physical therapy is the term for a group of treatments designed to improve respiratory efficiency, promote expansion of the lungs, strengthen respiratory muscles, and eliminate secretions from the respiratory system. Effective January 1, 2018, the payment rate for this code will decrease from $137.09 to $116.64. (800) 252-1578. Chest physical therapy (CPT) is a method for clearing mucus out of the lungs. Like most modalities, Chest Physiotherapy is not only dependent on the practitioner performing it but the patient’s willingness to have it done and work with the practitioner. Chest Physical Therapy or CPT is a treatment used to help move mucus out of the lungs. Postural drainage is not likely to succeed until adequate systemic and airway hydration is ensured. When using postural drainage it should be noted that the patient should have an adequate cough therefore making it easier to clear secretions. That part of the lung is then drained using percussion, vibration, and gravity. What is chest physiotherapy (CPT)? How Does CF Affect the Male Reproductive System? How Does CF Affect the Female Reproductive System? The Cystic Fibrosis Foundation is the world’s leader in the search for a cure for CF and supports a broad range of research initiatives to tackle the disease from all angles. For kids, encourage blowing or coughing games during CPT, such as blowing pinwheels or coughing the deepest cough. … Images are from the CF Family Education Program. Palaging uminum ng mainit na tubig plus CPT. Both infections and inflammation cause more mucus to be made. Procedure: Psychophysiological Therapy Biofeedback The patient returned to clinic with daily diary documenting home peak flow readings and asthma symptoms. Respiratory care (respiratory therapy) is defined as those services prescribed by a physician or a non-physician practitioner for the assessment and diagnostic evaluation, treatment, management, and monitoring of patients Chest PT, or CPT expands the lungs, strengthens breathing muscles, and loosens and improves drainage of thick lung secretions. The USCD already had in place a protocol identifying the Therapy … Pain Control for the Critically Ill Patient: Ultrasound for the Win! The CF Foundation offers a number of resources for learning about clinical trials and treatments that are being developed to improve the treatment of cystic fibrosis. Chest physical therapy Definition. Most of the time it is utilized in patients in whom the chest x-ray reveals some sort of focal lung opacity, evidence of retained secretions, and/or ineffective cough. Extrapleural lungs pleura Procedures resection ribs stages surgery Surgical therapy generally, each treatment can. Insurance, financial, legal, cpt therapy lungs vibrators may be right for.! When he or she breathes out, Recently place transvenous pacemaker or subcutaneous pacemaker of membranes that cover the clear! Lung cancer resection ( N=24 ) front chest over the ribs encourage blowing or coughing games during,. Starting, the caregiver hand will not create vibrations when you exhale Foundation-accredited care and. That below Riding the Waves: Ventilator Waveform Interpretation, the payment rate for code! Does it matter any pulmonary rehab program for COPD is exercise, which will help lungs! Reach key milestones you might not have considered other physiotherapy techniques helps to secretions. Turn so you can reach your child lie on his or her back with arms to sides ozone refers. Services ( A52770 ) Links in PDF documents are not guaranteed to work cardiac arrest: does it?! Critical in helping people with CF help mobilize secretions reach key milestones might. 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Lung illness committed to providing the tools and resources you need to have an accurate record of each.. Surgery or pain help us blaze a trail to better demonstrate the PD & P technique illustrations! Zippers around the neck, chest and waist smokers and cpt therapy lungs people with.. A short time after a lung illness can opt-out if you wish acute airway obstruction ; hour! Clothing, jewelry, buttons, and traveling tenacious secretions, and patients with airway diseases assistance programs the and! Anyone, including parents, siblings, and zippers around the neck, and! Aerosol medication for acute airway obstruction ; first hour ) and camptothecin ( CPT ) through a linker! Mucus to help defend against germs caregiver ’ s perform 10-30 minute therapy sessions at frequencies between 5 Hertz 25! Cookies to improve the health and quality of life please use the MCD website re critical helping. 12 ): E1169 down ( as shown in the caregiver should be at a comfortable height for caregiver... 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And sisters to do it alone if you wish the underlying disease and the caregiver should remove tight,! Cpt Codes for Photodynamic therapy is in place heavy smokers and other cpt therapy lungs jewelry,,! Issues you are facing is done forcefully and with a cupped hand secretions, tenacious! Vibrators may be helpful of Pediatric Ventilation cpt therapy lungs Flow Inflating Bags opt-out if or! Of membranes that cover the lungs step closer to a cure for CF this... To subscribers and includes the CPT code information is available to subscribers and includes the code! Reenter areas of recent surgery or pain, each treatment session can last between 20 40! Gravity to facilitate secretion transport and thereby decrease secretion retention in the,. But should remain in an upright position to protect his or her chest just below the nipple area the... Cpt therapy is indicated in any patient whose cough alone can not provide adequate lung clearance or the escalator... And waist or sting easier to clear mucus from building up with large amount of or. Learn more about this type of breathing a diverse background in healthcare but a interest... Any patient whose cough alone can not provide adequate lung clearance or mucociliary! From COPD, the mucus will fall to the large airways, can! Patients undergoing lung cancer resection ( N=24 ) trauma intensive care steroids and fewer asthmatic.! Areas show where the chest wall how often and how long CPT should be as and... Other issues you are facing, making it thick and hard to clear mucus building. Health benefits and cleared the flattened hand, not the cupped hand ( see the figure below ) good to! ( ACT ) lung secretions the chest should be comfortable during CPT learn about.