Chest physical therapy is important too in helping a person to get rid of secretions. The basis for bronchiectasis treatment is chest physical therapy to assist in coughing up secretions, and antibiotics to prevent infection.
Since the smooth muscles that surround the bronchial tubes are damaged, mechanical ways to clear secretions are used to increase air flow and decrease the risk of infection. Chest physical therapy uses percussion or clapping on the back to help loosen secretions and then changing positions of the body to allow gravity to help those secretions to be coughed up. Chest clapping may be done by a physical therapist, but family members can be taught to do this routinely at home. Mechanical devices such as chest clappers or vests also may be considered.
Sacks et al. (2005) reported the case of a 72-year-old man, described as professionally successful, intelligent, and cultivated, with polymyalgia rheumatica, who after being treated with prednisone developed a psychosis and dementia , which several behavioral neurology and neuropsychiatry consultants initially diagnosed as early dementia or Alzheimer's disease .  Large dosage variations in the patient's medication (including a self-increased dosage from 10 mg/day to as much as 100 mg/day for at least 3 months) produced extreme behavioral changes, from missed appointments to physical altercations, and eventually admission to a psychiatric ward and later to a locked Alzheimer facility. During this time, neuropsychological testing showed a decline in the patient's previously superior IQ as well as deficits in memory, language, fluency, and visuospatial function, which given the patient's age was considered to be compatible with early dementia. When the steroid treatment ended after a year, the patent's confusion and disorganized appearance stopped immediately. Within several weeks, testing showed strong improvement in almost all cognitive functions. His doctors were surprised at the improvement, since the results were inconsistent with a diagnosis of dementia or Alzheimer's. Testing after 14 months showed a large jump in Full Scale IQ from 87 to 124, but mild dysfunction in executive function, memory, attentional control, and verbal/nonverbal memory remained. 
Steroid inhalers suppress the innate immune response The body's first line of defense against intracellular and other pathogens. According to the Marshall Pathogenesis the innate immune system becomes disabled as patients develop chronic disease. , reduce immunopathology A temporary increase in disease symptoms experienced by Marshall Protocol patients that results from the release of cytokines and endotoxins as disease-causing bacteria are killed. , and delay progress for Marshall Protocol A curative medical treatment for chronic inflammatory disease. Based on the Marshall Pathogenesis. (MP) patients. For patients with obstructive lung diseases such asthma , chronic obstructive pulmonary disease, and sarcoidosis , a bronchiodilator inhaler is superior choice.