Airway clearance therapy

Vest therapy designed to make airway clearance easier to manage at home.

High Frequency Chest Wall Oscillation (HFCWO) therapy helps loosen and mobilize mucus for patients with cystic fibrosis, COPD, bronchiectasis, neuromuscular disorders, and other respiratory conditions.

HFCWO therapy Gentle, rapid chest-wall oscillation to support secretion clearance.
In-home fitting Professional fitting, equipment setup, and patient education.
Ongoing support Clinical guidance, maintenance, monitoring, and follow-up care.
Patient receiving vest therapy for airway clearance
Gentle oscillation. Structured support. VeroHealth combines equipment fitting, training, respiratory guidance, and ongoing support around the therapy plan.
Airway Clearance HFCWO therapy helps mobilize thick respiratory secretions.
Personalized Fitting Vest sizing and setup matched to the individual patient.
Clinical Guidance Respiratory support for settings, technique, and therapy questions.
Ongoing Support Education, maintenance, monitoring, and follow-up assistance.
Understanding HFCWO

Vest therapy uses rapid pressure changes to help loosen and move mucus.

High Frequency Chest Wall Oscillation (HFCWO), commonly known as vest therapy, is an advanced airway clearance technique that uses gentle, rapid vibrations to help loosen and mobilize mucus from the lungs. This therapy is particularly beneficial for patients with conditions that cause thick, sticky secretions that are difficult to clear naturally.

The therapy involves wearing an inflatable vest connected to an air pulse generator that creates rapid pressure changes around the chest wall. These oscillations create airflow within the lungs that helps dislodge mucus, making it easier to cough up and clear from the airways. VeroHealth provides comprehensive vest therapy services including equipment fitting, training, and ongoing support to ensure optimal treatment outcomes.

Vest therapy equipment
Wearable airway-clearance support An inflatable vest and air-pulse generator work together to create chest-wall oscillations during treatment.

Cystic Fibrosis

Manages thick, sticky secretions typical of CF using vest therapy.

Bronchiectasis

Clears infected mucus from damaged airways and helps reduce reinfection risk.

COPD with Chronic Bronchitis

Clears mucus build-up in chronic bronchitis, easing airway flow.

Neuromuscular Disorders

Supports airway clearance when muscle weakness reduces cough strength.

The therapy sequence

How vest therapy works

HFCWO treatment moves through a simple four-stage process, from applying the vest to mobilizing secretions toward larger airways.

Step 01

Vest Application

The patient wears an inflatable vest that fits snugly around the chest and connects to an air pulse generator via flexible tubing.

Step 02

Oscillation Generation

The generator creates rapid air pulses that inflate and deflate the vest at frequencies between 5–25 Hz, creating gentle chest wall oscillations.

Step 03

Airflow Creation

The oscillations create small, rapid changes in airflow within the lungs, generating forces that help dislodge mucus from airway walls.

Step 04

Mucus Mobilization

Loosened secretions move toward larger airways where they can be more easily coughed up and expelled from the lungs.

Equipment designed around therapy

Advanced vest therapy systems

VeroHealth provides vest therapy systems with features designed for comfort, effectiveness, portability, and ease of use.

Adjustable Frequency & Pressure

Customizable oscillation frequency (5–25 Hz) and pressure settings to optimize therapy for individual patient needs and comfort levels.

Programmable Timers

Built-in timers with customizable treatment durations and automatic pause intervals for coughing and expectoration.

Multiple Vest Sizes

Comprehensive range of vest sizes from pediatric to adult extra-large, ensuring proper fit and optimal therapy effectiveness.

Quiet Operation

Advanced noise reduction technology allows for comfortable therapy sessions without disrupting daily activities or sleep.

Portable Design

Compact, lightweight systems that can be easily transported for therapy sessions at home, work, or while traveling.

Usage Tracking

Built-in compliance monitoring and usage tracking to help patients and healthcare providers monitor therapy adherence.

Structured therapy guidance

Treatment protocols & guidelines

Therapy duration, frequency, settings, and supervision can vary by patient and prescribed treatment plan.

Protocol 01

Standard Treatment Session

  • Duration: 15–30 minutes per session
  • Frequency: 1–4 times daily as prescribed
  • Oscillation Rate: 12–15 Hz
  • Pressure: Adjusted for comfort

Most patients begin with standard settings and adjust based on comfort and effectiveness under clinical guidance.

Protocol 02

Pediatric Considerations

  • Age Range: Typically 2+ years
  • Session Length: 10–20 minutes
  • Frequency: 8–12 Hz
  • Supervision: Adult required

Pediatric protocols are adjusted for smaller patients with special attention to comfort and safety.

Protocol 03

Advanced Protocols

  • Variable Frequency: Alternating modes
  • Combination Therapy: Nebulizer compatible
  • Positioning: Various lung positions
  • Breathing Techniques: Coordinated steps

Advanced protocols are recommended for patients with complex conditions or specific goals.

Beyond the equipment

Comprehensive patient support around vest therapy.

VeroHealth combines equipment fitting with education, respiratory guidance, maintenance, and ongoing therapy support.

Professional in-home fitting and setup
Clinical assessment and therapy monitoring
Patient and caregiver education

In-Home Setup & Fitting

Professional vest fitting and equipment setup in your home with comprehensive training on proper use and maintenance procedures.

Clinical Assessment

Regular assessment by certified respiratory therapists to optimize therapy settings and ensure maximum effectiveness.

24/7 Clinical Support

Round-the-clock access to respiratory therapists for questions, troubleshooting, and clinical guidance related to your vest therapy.

Equipment Maintenance

Regular maintenance services and replacement of worn components to ensure your vest system continues to operate effectively.

Patient & Family Education

Comprehensive education for patients and caregivers on therapy techniques, equipment care, and strategies to maximize treatment benefits.

Therapy Monitoring

Regular monitoring of therapy compliance and effectiveness with adjustments made in coordination with your healthcare team.

From evaluation to ongoing care

Getting started with vest therapy

The process begins with medical evaluation and prescription, then moves through authorization, fitting, education, and long-term support.

01

Medical Evaluation

Your physician will evaluate your respiratory condition and determine if vest therapy is appropriate based on your diagnosis and secretion clearance needs.

02

Prescription & Authorization

Your doctor will provide a prescription for vest therapy, and our team will work with your insurance to obtain necessary authorizations.

03

Vest Fitting

A certified respiratory therapist will visit your home to properly fit your vest and ensure optimal comfort and therapy effectiveness.

04

Training & Education

Comprehensive training on equipment operation, treatment protocols, maintenance, and troubleshooting for you and your caregivers.

05

Ongoing Support

Continuous support including regular follow-ups, therapy optimization, equipment maintenance, and 24/7 clinical assistance.

Vest therapy questions

Frequently asked questions

Review common questions about treatment frequency, pediatric use, daily activities, therapy effectiveness, insurance, and maintenance.

Need additional help? Contact VeroHealth for therapy and equipment support.

The frequency depends on your condition and physician's prescription. Most patients use vest therapy 1–4 times daily, with each session lasting 15–30 minutes. Your healthcare team will determine the optimal schedule for your needs.

Yes, vest therapy is safe and effective for children typically 2 years and older. Pediatric protocols are specially designed with appropriate settings and supervision requirements for younger patients.

Yes, many patients read, watch TV, or do other quiet activities during vest therapy sessions. The portable design allows for flexibility in where and when you receive treatment.

Effectiveness is typically measured by increased mucus clearance, improved breathing, fewer respiratory infections, and better overall lung function. Your healthcare team will monitor your progress regularly.

Most insurance plans, including Medicare and Medicaid, cover medically necessary vest therapy for approved conditions. Our team will verify your coverage and handle all authorization requirements.

Regular cleaning of the vest and tubing is required, along with periodic replacement of filters and other components. We provide detailed maintenance instructions and replacement parts as needed.
Vest therapy support

Ready to learn more about vest therapy?

Our respiratory specialists are here to answer questions and help you understand the next step for prescribed HFCWO therapy.