toggle mobile menu Menu
toggle search menu

Site Navigation

Supplemental

Menu

Spinal Cord Injury: Abdominal Thrust Assist (Assisted Cough)

Spinal Cord Injury: Abdominal Thrust Assist (Assisted Cough)

Getting Started

A strong cough is important to help clear the lungs of mucus. If you have a weak cough or a lot of mucus, you may need an assisted cough.

In an abdominal thrust (or Heimlich-type) assist, another person pushes on your belly to help you cough. This is done while you are sitting up in a bed or chair. If you're in a wheelchair, be sure to set the brakes and use the seat belt. Wait 30 minutes after a meal before you do an assisted cough.

Use these steps to do an abdominal thrust assist.

Caregiver doing abdominal thrust assist to person sitting in chair, showing hands on belly above navel with fingers interlocked and pushing up and in.
  1. Your caregiver places the heel of one hand on your belly just above your navel. They place their other hand on top of the first hand and interlock their fingers, keeping their elbows straight.
  2. You take a deep breath and hold it until the caregiver tells you to cough.
  3. When you cough, the caregiver gives one quick, firm push up and in, under your rib cage. It may take practice to coordinate your cough with the motion.

Talk to your doctor before trying this. Some people shouldn't try an assisted cough. This may include those who:

  • Are in pain.
  • Have a chest or back injury, such as an unstable spinal injury or a broken rib.
  • Had recent surgery.
  • Have osteoporosis.
  • Are pregnant.

Credits

Current as of: August 6, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Healthwise is a URAC accredited health web site content provider. Privacy Policy. How this information was developed to help you make better health decisions.

© 1995- Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.