Introduction: Controlling and preventing symptoms of exacerbations, shortness of breath, cough and mucus in the lungs are important goals of Chronic Obstructive Pulmonary Disease (COPD) treatment. Oscillating Positive Expiratory Pressure (OPEP) devices have been shown to improve clinical results. The conservation of energy and oxygen, as well as, the prevention of lung infections and reducing rehospitalisation may be facilitated by clearing the lungs. There are several airway clearance devices, that can be used to help clear excessive sputum. Aim: To identify the effect of aerobika device versus acapella device on rehospitalisation and lung functions in COPD patients. Materials and Methods: This systematic review was conducted in the Department of Physiotherapy at Acharya Vinoba Bhave Rural Hospital, Sawangi, Wardha, Maharashtra, India. The duration of the study was three months, from march 2022 to june 2022. Five databases (PubMed, scopus, web of science, google scholar) were searched from 2012 to 2022. Inclusion criteria consisted of studies on the effect of aerobika device and acapella device on rehospitalisation and lung functions only in COPD patients. Data extraction included baseline features, treatment intervention, training frequency, supervision level, breathlessness, acute exacerbation, and outcomes. High quality experimental trials and comparative studies were chosen for the study. Results: A total of 20 articles were extracted; five were utilised for the purpose of writing the review, emphasising the effect of aerobika device versus acapella device on rehospitalisation and lung functions in COPD patients. Studies had showed inconsistent results on the effect of aerobika device versus acapella device on rehospitalisation and lung functions in COPD patients. Conclusion: Rehospitalisation, readmission and length of the stay can be reduced by using both, aerobika and acapella devices. Both devices are effective in improving lung function in COPD patients.

Down syndrome (DS) is characterized by the presence of all or a portion of the third chromosome 21. In this population, congenital heart disease (CHD) is the primary cause of death and morbidity in the first two years of life. Atrioventricular septal defect (AVSD) is the most common CHD seen in DS patients, followed by an atrial septal defect (ASD), ventricular septal defect (VSD), and tetralogy of Fallot (TOF). There is a high possibility of serious cardiac abnormalities in DS patients thus; there must be a protocol in place for early screening, prompt diagnosis and early operative measures. Due to advancements in technique and postoperative care over the last few years, the prognosis following surgical repair has substantially improved. Most of the post-operative strategies for patients with CHD can be applied to patients with DS. Physiotherapists play an important role in managing patients after the surgical repair of cardiac abnormalities. They also help in facilitating physical activity in children with DS. Our case report aims to provide the post-operative physiotherapy protocol for a child with DS operated for the closure of ASD and VSD along with the ligation of Patent Ductus Arteriosus (PDA). The main aim of post-operative cardiac and respiratory physiotherapy management was to clear lung secretions, promote healthy healing of the incision, maintain patency of lungs, reduce work of breathing and improve chest mobility while addressing delayed developmental milestones. The case report illustrates the importance of inpatient post-operative physiotherapy management which will lead to a gain in the existing knowledge while dealing with such patients.

When the embryologic pulmonary venous system fails to connect with the left atrium, partial anomalous pulmonary venous connection (PAPVC), a rare congenital disorder, develops. Some pulmonary veins, but not all of them, empty in the right atrium. Atrial septal defects (ASDs), the second most prevalent congenital heart defect, are estimated to impact 2.6 out of every 1,000 live babies globally. The most frequent congenital heart defect is a ventricular septal defect (VSD), which usually coexists with other congenital abnormalities and can develop spontaneously or with mutations in the TBX5 and GATA4 genes. Following paediatric heart surgery, pain can worsen if it is not treated correctly due to patient manipulation, coughing, etc. Increased discomfort may be related to hypoxia, shallow breathing and hemodynamic responses (rapid rises in blood pressure and heart rate) (low SpO2). We describe a 2-year-old female patient who underwent PAPVC surgery, ventricular and atrial septal defect closure. This case report seeks to give readers a better understanding of cardio pulmonary rehabilitation for paediatric patients who have undergone ASD, VSD or PAPVC surgery.According to the WHO manifesto for children, every child is entitled to proper and uninterrupted physiological and intellectual development.Avoiding negative effects and reducing or eliminating disease-related disabilities, deformities and handicaps are the fundamental objectives of rehabilitation strategies. This case serves as an example of the importance and value of rapid physical rehabilitation following surgery. The patient's multidisciplinary rehabilitation plan will increase our understanding of the benefits of physical therapy for these patients.

Introduction: Chronic Obstructive Lung Disease (COPD) is an incurable, gradually worsening respiratory condition characterised by airflow limitation and blockage that cannot be completely reversed. Productive cough caused due to mucus hypersecretion is a common symptom of COPD. Clearing the lungs may aid in the conservation of energy and oxygen, as well as the prevention of lung infections. Therefore, Oscillating Positive Expiratory Pressure (OPEP) devices are designed to aid in sputum clearing in COPD patients. They are available in a variety of sizes and shapes and clear the airway with air pressure, oscillation, or high-frequency sound waves. Need of the Study: Chronic Obstructive Pulmonary Disease (COPD) makes it challenging for air to flow freely into and out of the lungs. Shortness of breath, cough, and mucus in the lungs are all possible symptoms. Clearing the lungs may aid in the conservation of energy and oxygen, as well as the prevention of lung infections. To help clear away excess sputum, numerous airway clearance devices can be used. They are available in a variety of sizes and shapes and clear the airway with air pressure, oscillation, or high-frequency sound waves. Aim: To compare the effect of Aerobika vs. Acaplla device on sputum volume and lung function in COPD patients. Materials and Methods: A comparative study will be performed in respiratory medicine OPD of Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha. Ethical approval was received from the Ethical Review Committee of Datta Meghe Institute of Medical Sciences, Deemed to be University. In this study 30 patients diagnosed with COPD will be categorised into two groups one group will receive aerobika device with conventional physiotherapy and another group will receive acapella device with conventional physiotherapy twice a day. Treatment will be given five days for one week. The assessment will be done on day one of the treatment and at the end of treatment which is first week. Sputum volume and lung function will be assessed by sputum collector and Pulmonary Function Test (PFT), respectively. The statistical analysis will be done using chisquare test. The parameters will be compared between both the groups for sputum volume and lung function over a period of one week. Data will be analysed in a statistical software SPSS 27.0.V.

Background: Bronchiectasis is marked by persistent respiratory infections, a productive cough, shortness of breath, and a decreased ability to exercise. In Pierre robin Mandibular distraction is a current effective therapeutic approach for elongating the jaw and resolving obstruction of the respiratory system. The goal of the treatment is to relieve the dyspnoea and increase the chest expansion. Treatment options may involve modified postural drainage positioning, breathing exercises, acapella device, aerobic exercises, and mandibular distraction with physiotherapeutic management. Case presentation: A 15 years old girl visited the hospital with complaints of dyspnoea (MMRC grade IV), productive cough, weight loss for one month, and a history of pulmonary arterial hypertension 2 years back. Investigations: investigations include HRCT scan of the thorax which revealed patchy areas of centrilobular consolidation and 2D echo shows severe pulmonary arterial hypertension. Treatment: Physiotherapy management included patient education, breathing exercises, airway clearance techniques, acapella device, positioning and mandibular distraction. Outcome measures have shown improvement in aerobic capacity and performance of activities of daily living.