A pilot study comparing two physiotherapy techniques in patietnts with cystic fibrosis

The active cycle of breathing technique: A systematic review and meta-analysis

“…Nine studies reported sputum wet weight during and up to 1 h post FET/ACBT. 3,6,7,31,33,34,36,38,40 Three studies reported 24 h post-treatment sputum wet weight 8,32,35 and one study reported four week accumulated sputum wet weight. 39 Available data and subsequent analyses Two studies provided sufficient data (SDs for intervention and comparator groups and for the mean difference between groups) to enable calculation of correlation coefficients between the intervention and comparator groups (Eaton et al 6 calculated correlation coefficient 0.80, Milne et al 35 0.90).…”

“…In studies where raw or grouped paired data were not available, paired analyses were approximated by assuming a level of correlation between the intervention and 42 ACBT NIV Savci et al 2000 43 ACBT Blomquist et al 1986 24 ACBT Carr et al 1995 25 ACBT pre/post Pryor et al 1990 26 ACBT pre/post Webber et al 1986 27 FET pre/post Murphy et al 1983 28 ACBT Equi-med Eaton et al 2007 6 ACBT Flutter Falk et al 1984 29 FET PEP Lannefors & Wollmer 1992 30 ACBT PEP Patterson et al 2005 38 ACBT Acapella Phillips et al 2004 7 ACBT Hayek Steen et al 1991 31 FET PEP Thompson et al 2002 39 ACBT Flutter van Hengstum et al 1988 32 ACBT Chatham et al 2004 33 ACBT Hofmeyr et al 1986 34 ACBT PEP Milne & Eales 2004 35 ACBT Flutter Steven et al 1992 36 ACBT sit & cough Patterson et al 2004 40 ACBT van Hengstum et al 1990 8 ACBT OHFO humid air, huff van Hengstum et al 1991 41 ACBT PEP cough Miller et al 1995 37 ACBT…”

“…45 In this review, a correlation of 0.85 was assumed which was the mean of the two available correlation coefficients. 6,35 Sensitivity analyses were performed to assess the impact of the assumed correlation on the meta-analysis by repeating the analysis assuming zero correlation. 21,22 As to be expected by assuming such a conservative correlation, there was a general widening of the confidence intervals.…”

“…21,22 As to be expected by assuming such a conservative correlation, there was a general widening of the confidence intervals. In studies where the intervention and comparator group standard deviations were unavailable, the assumed correlation was used to calculate the 6 36 ACBT þ PD, ACBT, Flutter 33% preferred ACBT þ PD, 22% ACBT, 44% flutter Falk et al 1984 29 14 FET, CPT, PEP þ PD, PEP (sitting) 79% preferred PEP (sitting) Patterson et al 2005 38 20 ACBT, Acapella A greater proportion of participants preferred acapella to ACBT but this was not significant (MD 0.4, 95%CI À0.04e0.71) Phillips et al 2004 7 10 ACBT, Hayek oscillator All participants reported that the ACBT was comfortable, 60% reported the Hayek oscillator was uncomfortable, and 80% reported that it was difficult to clear secretions with the Hayek oscillator compared to ACBT Steen et al 1991 31 28 FET, PEP þ PD, PEP (sitting), PEP þ FET 96% of participants chose PEP þ FET as their long term treatment program at the completion of the study Thompson et al 2002 39 17 ACBT, Flutter 65% preferred flutter versus ACBT for long term use Milne & Eales 2004 35 7 ACBT, Flutter 43% preferred ACBT, 29% flutter, 29% no preference Patterson et al 2004 40 20 ACBT, RIM 55% reported that ACBT was more effective, 20% RIM, 25% no preference. 50% preferred ACBT and 50% preferred RIM for home treatment Miller et al 1995 37 18 ACBT, AD 44% preferred ACBT, 50% AD, 6% no preference AD Autogenic drainage, CPT Conventional physiotherapy, PEP Positive expiratory pressure, PD Postural drainage, RIM Resisted inspiratory manoeuvres.…”

Paediatric hiv in south africa: an overview for physiotherapists

“…The role of the physiotherapist in the management of children with cystic fibrosis has been well researched and established (Milne et al, 2004). Although the clinical presentation of LIP may be similar to that of cystic fibrosis the differences in underlying pathophysiology do not necessarily mean that the results from the studies done on the role of physiotherapy in cystic fibrosis can automatically be extrapolated to this group of children.…”