Active cycle of breathing technique for cystic fibrosis

Mckoy, Naomi A; Wilson, Lisa M; Saldanha, Ian J.; Odelola, Olaide A; Robinson, Karen A.

doi:10.1002/14651858.cd007862.pub4

Cited by 53 publications

(34 citation statements)

References 61 publications

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“…In two recent reviews where conventional physiotherapy [11] and the active cycle of breathing techniques (ACBT) [12] were compared with other airway clearance techniques, no significant differences were observed between the techniques in terms of pulmonary function measured with spirometry [11]. Nevertheless, when oscillating devices for airway clearance were used, significant results were observed in pulmonary function, the FEV 1 being the primary outcome measure more frequently reported [13].…”

Section: Forced Expiratory Volume In the First Secondmentioning

confidence: 99%

See 1 more Smart Citation

Outcome Measures for Respiratory Physiotherapy in Cystic Fibrosis — Challenges and Advances

Marques¹,

Cruz²,

Jácome³

et al. 2015

Cystic Fibrosis in the Light of New Research

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Respiratory physiotherapy is part of the routine management of patients with cystic fibrosis. It normally consists of airway clearance techniques and exercise training. The evidence of such interventions has been questioned. Nevertheless, the lack of evidence should not be interpreted as lack of benefit. Instead, attention to methodological issues, such as the selection of the outcome measures, is needed, as they may hamper the establishment of the effectiveness of respiratory physiotherapy techniques. Hence, this chapter presents and discusses the strengths and weaknesses of conventional and emerging outcome measures possibly to be used i in clinical practice before, during and after each session of respiratory physiotherapy to monitor its effectiveness ii before and after the respiratory physiotherapy treatment i.e., normally characterised by weeks of intervention and iii in applied research in respiratory physiotherapy used in the management for cystic fibrosis. " comprehensive overview of the available outcome measures is provided, with particular emphasis on their strengths and limitations that should be recognised when interpreting the results.

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Section: Forced Expiratory Volume In the First Secondmentioning

confidence: 99%

“…In two Cochrane reviews about respiratory physiotherapy techniques, insufficient evidence was found regarding peripheral oxygen saturation as an outcome measure [7,12]. Osman et al (2010) compared high-frequency chest wall oscillation with conventional airway clearance techniques in 29 patients with CF.…”

Section: Measures Of Oxygenationmentioning

confidence: 99%

Outcome Measures for Respiratory Physiotherapy in Cystic Fibrosis — Challenges and Advances

Marques¹,

Cruz²,

Jácome³

et al. 2015

Cystic Fibrosis in the Light of New Research

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show abstract

“…There was insufficient evidence to suggest that ACBT was superior to any other ACT. ACBT was found to be comparable to other therapies in terms of patient preference, lung function, sputum weight, oxygen saturation, and number of pulmonary exacerbations 11 . A short-term study comparing ACBT with high-frequency chest wall oscillation (HFCWO) therapy in 10 children with CF during an exacerbation found significant improvements in lung function from ACBT and no change after HFCWO.…”

Section: Active Cycle Of Breathing Techniquementioning

confidence: 84%

“…6 The best evidence from a plethora of early, underpowered, short-term studies, typically crossover design and 1 to 14 days in length, has been synthesized in five Cochrane reviews related to ACTs for CF, published between 2000 and 2011. [7][8][9][10][11] All conclude that there is currently insufficient evidence to suggest superiority of any one technique over another. The earliest of these reviews, recently updated, compared airway clearance to no treatment in people with CF.…”

mentioning

confidence: 99%

Airway Clearance Strategies in Cystic Fibrosis and Non-Cystic Fibrosis Bronchiectasis

Main

Grillo²,

Rand³

2015

Semin Respir Crit Care Med

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Many patients with cystic fibrosis (CF) and non-CF bronchiectasis present with common symptoms in clinical domains that appear to benefit from airway clearance strategies. These symptoms include chronic productive cough, retention of excessive, purulent mucus in dilated airways, impairment of normal mucociliary clearance (MCC), atelectasis, breathlessness, fatigue, respiratory inflammation, fever, infection, and airflow obstruction. Airway clearance strategies may involve singular and focused interventions for the purpose of removing secretions and improving lung recruitment and gas exchange in patients with atelectasis. Strategies may also involve indirect or adjunctive interventions that facilitate or enhance effective airway clearance at different ages or stages of the disease process, for example, inhalation therapy, exercise, oxygen therapy, or noninvasive ventilation. The aim is to optimize care by selecting any one or combination of these in responding intelligently and sensitively to individual and changing patient requirements during their lifetime. Currently, a solid evidence base does not exist for airway clearance strategies in CF and non-CF bronchiectasis, and much of airway clearance clinical practice remains in the domain of clinical expertise. The paucity of evidence is partly explained by the relatively immature research machinery in allied health care internationally but is also partly to do with inadequate or inappropriate research designs. This article aims to provide an overview of the nature of, and physiological basis for, the direct and indirect airway clearance strategies in CF and non-CF bronchiectasis with reference to the best available evidence.

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“…A Cochrane review by McKoy et al 19 compared FET (ACBT) vs CCPT þ FET for the outcome of exacerbations. One prospective study of 63 subjects over 3 years was included that suffered from unclear allocation concealment, and blinding was not possible.…”

Section: Summary and Interpretation Of The Evidence For Cf Bronchiectmentioning

confidence: 99%

Treating Cough Due to Non-CF and CF Bronchiectasis With Nonpharmacological Airway Clearance

Hill

Barker

Bolser

et al. 2018

Chest

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Active cycle of breathing technique for cystic fibrosis

Cited by 53 publications

References 61 publications

Outcome Measures for Respiratory Physiotherapy in Cystic Fibrosis — Challenges and Advances

Outcome Measures for Respiratory Physiotherapy in Cystic Fibrosis — Challenges and Advances

Airway Clearance Strategies in Cystic Fibrosis and Non-Cystic Fibrosis Bronchiectasis

Treating Cough Due to Non-CF and CF Bronchiectasis With Nonpharmacological Airway Clearance

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