Chest Physiotherapy

Herala, Merja; Gíslason, Þórarinn

doi:10.1378/chest.93.4.800

Cited by 13 publications

(4 citation statements)

References 9 publications

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“…Adverse effects were reported in 3 studies [12, 25, 26]. In the long-term study by Christensen et al [25], 2 of the 47 patients complained about the usage of the mask even if they completed the study.…”

Section: Resultsmentioning

confidence: 99%

“…In the long-term study by Christensen et al [26], a few patients complained about dizziness caused by hyperventilation, but the complaints ceased after repeated instructions. In the short-term study by Herala and Gislason [12], it was reported that none of the patients complained about the treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Adverse effects were only reported in 3 studies [12, 25, 26]. Resistive breathing training can be controversial in patients who are more severely affected.…”

Section: Discussionmentioning

confidence: 99%

“…This may be one of the explanations why the pursed-lip breathing technique is spontaneously used by many patients. Hypercapnia during an exacerbation may also be decreased when FRC decreases and tidal volume increases [12]. In patients with increased amounts of secretion, PEP is believed to enhance expectoration, probably due to the changed lung volumes and flow, but also during oscillating PEP to modify the viscoelastic properties of the bronchial mucus [13].…”

Section: Introductionmentioning

confidence: 99%

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Positive Expiratory Pressure in Patients with Chronic Obstructive Pulmonary Disease – A Systematic Review

Olsén

Westerdahl

2008

Respiration

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Background: Breathing exercises against a resistance during expiration are often used as treatment for patients with chronic obstructive pulmonary disease (COPD). Controversy still exists regarding the clinical application and efficacy. Objectives: The aim of this systematic review was to determine the effects of chest physiotherapy techniques with positive expiratory pressure (PEP) for the prevention and treatment of pulmonary impairment in adults with COPD. Methods: The review was conducted on randomised, controlled clinical trials in which breathing exercises with positive expiratory pressure were compared with other chest physical therapy techniques or with no treatment, in adult patients with COPD. A computer-assisted literature search of available databases from 1970 to January 2008 was performed. Two reviewers extracted data independently and assessed the trials systematically with an instrument for measuring methodological quality. Results: In total, 11 trials met the inclusion criteria, of which 5 reached an adequate level of internal validity. Several kinds of PEP techniques with a diversity of intensities and durations of treatment have been evaluated with different outcome measures and follow-up periods. Benefits of PEP were found in isolated outcome measures in separate studies with a follow-up period <1 month. Concerning long-term effects, the results are contradictory. Conclusion: Prior to widespread prescription of long-term PEP treatment, more research is required to establish the benefit of the technique in patients with COPD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Adverse effects were only reported in 3 studies [12, 25, 26]. Resistive breathing training can be controversial in patients who are more severely affected.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Positive Expiratory Pressure in Patients with Chronic Obstructive Pulmonary Disease – A Systematic Review

Olsén

Westerdahl

2008

Respiration

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Repeated blood gas monitoring in healthy children and adolescents by the transcutaneous route

Lagerkvist

Sten

Redfors

et al. 2003

Pediatric Pulmonology

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The aim of the study was to establish transcutaneous oxygen tension (tcPO(2)), carbon dioxide tension (tcPCO(2)), and oxygen saturation (tcSO(2)) values and to investigate the intra- and interindividual variation in these values in healthy children and adolescents. Forty-one healthy children/adolescents (21 girls; mean age, 12.1 years; SD, 3.5; range, 5.0-19.0 years) participated. Continuous recordings of tcPO(2), tcPCO(2), tcSO(2), and heart rate (HR) were made for 30 min on two occasions, with a mean interval of 10.3 days, with the child/adolescent in a sitting position. The respiratory rate (RR) was counted manually during the last 5 min of each recording. The mean values of tcPO(2), tcPCO(2), tcSO(2), HR, and RR during the last 5 min of the recordings were reported. At the first recording, the mean value for tcPO(2) was 10.8 kPa (SD 1.0), for tcPCO(2) 5.1 kPa (0.4), for tcSO(2) 97.4% (1.1), for HR 82.2 min(-1) (9.9), and for RR 19.0 min(-1) (2.8). The coefficient of variation for tcPO(2) was 9.3%, for tcPCO(2) 7.8%, for tcSO(2) 1.1%, for HR 12.0%, and for RR 14.7%. The mean intraindividual variation in tcPO(2) was 0.3 kPa (SD 1.0), tcPCO(2) 0.0 kPa (0.5), tcSO(2) 0.1% (1.3), HR 0.1 min(-1) (7.7), and RR 0.5 min(-1) (2.7). No significant differences were observed in tcPO(2), tcPCO(2), tcSO(2), HR, or RR between the two recordings. In conclusion, the reproducibility of tcPO(2), tcPCO(2), and tcSO(2) monitoring during 30 min in healthy children and adolescents was good. This indicates that transcutaneous blood gas monitoring may be used to document significant changes in blood gas tensions and oxygen saturation over time.

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Effekte der Rehabilitation

Petri¹,

Petro²

2000

Pneumologische Prävention Und Rehabilitation

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Chest Physiotherapy

Cited by 13 publications

References 9 publications

Positive Expiratory Pressure in Patients with Chronic Obstructive Pulmonary Disease – A Systematic Review

Positive Expiratory Pressure in Patients with Chronic Obstructive Pulmonary Disease – A Systematic Review

Repeated blood gas monitoring in healthy children and adolescents by the transcutaneous route

Effekte der Rehabilitation

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