Rib raising would normalize autonomic activity and improve the mechanical function of the thoracic spine and rib cage. Effects include improvement of bronchiolar function, vascular balance, and helping to decrease tissue edema and mucus thickness. This would create a favorable physiologic environment to help the patient recover from the pneumonia.

Rib raising seeks to augment the anatomic and physiologic benefits of inspiration to a burdened thorax. Recall that the thorax expands on inspiration, decreasing intrathoracic pressure and augmenting venous return and lymphatic flow. Rib raising expands the thoracic cavity and treats restrictions to inhalation, enabling greater thoracic excursion and a more effective thoracic pump.

Bronchoconstriction decreased clearance of tissue congestion, and increased atelectasis are all incorrect. These would all worsen the physiologic state as it relates to pneumonia and would not be expected to occur as a result of properly performed rib raising.

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Review Rib Raising Technique