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Brian, You can use a combination of Positive Expiratory Pressure treatment, postural drainage, autogenic drainage, Forced Expiration Technique, active cycle of breathing, manual chest percussion, vibrations and shakings. If you want references look on Pubmed. I warn you though that chest/lungphysio regarding to the mobilisation of secretions is on very shaky grounds: you will find just as many references that say it helps as you find references claiming chestphysio isn't beneficial. In the latest Cochrane review (Jones, Rowe, 2000) effects of bronchopulmonary hygiene physical therapy are being assessed in people with COPD and bronchiectases. Reviewers' conclusions: not enough evidence... Still, in the control-group PEP and mechanical vibration are being used. IN THE CONTROL GROUP??? Duh.. Isaac Neumann Senior PT Granheim Lungesenter Norway -----Opprinnelig melding----- Fra: Brian Collins [mailto:[log in to unmask]] Sendt: 28. november 2000 20:09 Til: [log in to unmask] Emne: Bronchiectasis I have a student who is looking into treatment of bronchiectasis. Has anyone any recent references as to treatment Brian