Comparison between active cycles of breathing with postural drainage versus conventional chest physiotherapy in subjects with bronchiectasis

AbdelHalim, Hesham A.; AboElNaga, Heba H; Fathy, Karim Ahmed

doi:10.1016/j.ejcdt.2015.08.006

Cited by 16 publications

(28 citation statements)

References 15 publications

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“…137 Thirty patients with an exacerbation of bronchiectasis were randomly assigned to either ACBT or conventional respiratory physiotherapy (CCPT- diaphragmatic breathing in PD positions with manual techniques). All patients received 14 days of intravenous antibiotics and evaluations were completed at the beginning and end of the admission.…”

Section: Sectionmentioning

confidence: 99%

British Thoracic Society Guideline for bronchiectasis in adults

Hill

Sullivan

Chalmers

et al. 2018

Thorax

375

348

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Section: Sectionmentioning

confidence: 99%

British Thoracic Society Guideline for bronchiectasis in adults

Hill

Sullivan

Chalmers

et al. 2018

Thorax

375

348

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“…Sputum volume has been assessed in airway clearance studies using different methods including sputum wet weight [41][42][43][44], dry weight [42], the volume collected during and/or immediately following an intervention [35,[41][42][43][44][45][46] or the volume collected in a 24-h period post-intervention [35,41,43]. Studies of airway clearance in bronchiectasis report variations in results on sputum volume.…”

Section: Sputum Volumementioning

confidence: 99%

“…Studies of airway clearance in bronchiectasis report variations in results on sputum volume. Most studies document an increase in sputum volume with use of ACTs [35,43,45,46] but some report inconsistent findings between different studies depending on when sputum volume was measured [35,42,43], while other studies found no benefit on sputum volume with different ACT interventions [41,42,44]. These variations may be due to different study populations, variations in ACTs applied and the sputum measurement time-periods.…”

Section: Sputum Volumementioning

confidence: 99%

“…Using qualitative bacteriology, MUNOZ et al [35] reported Pseudomonas aeruginosa and Haemophilus influenzae to be the two most common pathogens but did not report differences in pathogen number after 12 months of ACT. In a 2-week study by ABDELHALIM [46], the authors reported they tested sputum culture and sensitivity; however, the results of these measures were not documented.…”

Section: Sputum Microbiologymentioning

confidence: 99%

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Measuring airway clearance outcomes in bronchiectasis: a review

et al. 2020

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While airway clearance techniques (ACTs) are recommended for individuals with bronchiectasis, many trials have demonstrated inconsistent benefits or failed to reach their primary outcome. This review determined the most common clinical and patient-reported outcome measures used to evaluate the efficacy of ACTs in bronchiectasis. A literature search of five databases using relevant keywords and filtering for studies published in English, up until the end of August 2019, was completed. Studies included randomised controlled trials, using crossover or any other trial design, and abstracts. Studies were included where the control was placebo, no intervention, standard care, usual care or an active comparator. Adults with bronchiectasis not related to cystic fibrosis were included. Extracted data comprised study authors, design, duration, intervention, outcome measures and results. The search identified 27 published studies and one abstract. The most common clinical outcome measures were sputum volume (n=23), lung function (n=17) and pulse oximetry (n=9). The most common patient-reported outcomes were health-related quality of life (measured with St George's Respiratory Questionnaire, n=4), cough-related quality of life (measured with Leicester Cough Questionnaire, n=4) and dyspnoea (measured with Borg/modified Borg scale, n=8). Sputum volume, lung function, dyspnoea and health- and cough-related quality of life appear to be the most common clinical and patient-reported measures of airway clearance treatment efficacy.

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“…The subject breathes out more forcefully by contracting the abdominal muscles while keeping the mouth and throat open. It should sound like a forced sigh as huffing (Figure 2) [6]. Return to breathing control till the patient is ready to begin another cycle.…”

Section: Methodsmentioning

confidence: 99%

The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study

Üzmezoğlu¹,

Altıay

Özdemır³

et al. 2018

Turk Thorac J

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OBJECTIVES:The objective of the study was to compare the efficacy of an oscillating positive expiratory device and the active cycle of breathing techniques (ACBT) in patients with bronchiectasis. MATERIALS AND METHODS:A home-based study that lasted for 4 weeks was designed to compare the oscillating physiotherapy device Flutter ® and the ACBT in 40 patients, who were randomly assigned into two groups containing 20 patients each. The effect of the two methods of physiotherapy on sputum production, pulmonary functions, and the quality of life was compared. RESULTS:The results of the present study indicate that both the methods were associated with a reduced number of patients complaining of cough and fatigue and increased sputum production (p=0.000, p=0.004, and p=0.002, respectively). In addition, statistically significant reductions were determined by the Medical Research Council and Borg Dyspnea scores (p=0.001 and 0.002, respectively). The Flutter® device caused a more significant effect on the perception of dyspnea. Overall, there was an improvement in the physical sub-scale of the Short Form (SF)-36 Quality of Life Questionnaire scores of 36 patients who completed the study (p=0.001). During the physiotherapy period, no changes in pulmonary functions were observed. Exacerbations were recorded in 3 patients in the ACBT group and in 1 patient in the Flutter® group. CONCLUSION:The Flutter® device and ACBT represent effective home-based physiotherapeutic methods. The Flutter® device appears to be more effective with regard to sputum production.

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Comparison between active cycles of breathing with postural drainage versus conventional chest physiotherapy in subjects with bronchiectasis

Cited by 16 publications

References 15 publications

British Thoracic Society Guideline for bronchiectasis in adults

British Thoracic Society Guideline for bronchiectasis in adults

Measuring airway clearance outcomes in bronchiectasis: a review

The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study

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