Active cycle of breathing technique for cystic fibrosis

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

doi:10.1002/14651858.cd007862.pub3

Cited by 31 publications

(23 citation statements)

References 52 publications

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“…8 The ACBT is effective for clearance of respiratory secretions 9 with results comparable to other widely used ACT. 10 The ACBT can be performed by all patients who can follow instructions and is useful in all stages of disease. Positive expiratory pressure (PEP) therapy is defined as breathing against a PEP of 10-20 cmH 2 O 11 using a mask or mouthpiece.…”

Section: Airway Clearance Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

et al. 2016

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Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non‐invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence‐based physiotherapy care to people with CF in Australia and New Zealand.

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Section: Airway Clearance Techniquesmentioning

confidence: 99%

“…19 In a long-term comparative study in adolescents with CF, AD was as effective as postural drainage, and participants showed strong preference for AD. 20 Several systematic reviews note that no single ACT is superior, 10,12,21 such that treatment choices should be individualized.…”

Section: Airway Clearance Techniquesmentioning

confidence: 99%

Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

et al. 2016

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“…These are based on sound physiological concepts and allow the CF Physiotherapist to individualize treatment programmes [28]. There is no standard airway clearance regimen or conclusive evidence to promote one technique over another [6,26,[29][30][31][32][33][34][35][36][37].…”

Section: Airway Clearance Therapymentioning

confidence: 99%

European Cystic Fibrosis Society Standards of Care: Framework for the Cystic Fibrosis Centre

Conway¹,

Balfour‐Lynn²,

Rijcke³

et al. 2014

Journal of Cystic Fibrosis

172

166

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A significant increase in life expectancy in successive birth cohorts of people with cystic fibrosis (CF) is a result of more effective treatment for the disease. It is also now widely recognized that outcomes for patients cared for in specialist CF Centres are better than for those who are not. Key to the effectiveness of the specialist CF Centre is the multidisciplinary team (MDT), which should include consultants, clinical nurse specialist, microbiologist, physiotherapist, dietitian, pharmacist, clinical psychologist, social worker, clinical geneticist and allied healthcare professionals, all of whom should be experienced in CF care. Members of the MDT are also expected to keep up to date with developments in CF through continued professional development, attendance at conferences, auditing and involvement in research. Specialists CF Centres should also network with other Centres both nationally and internationally, and feed Centre data to registries in order to further the understanding of the disease. This paper provides a framework for the specialist CF Centre, including the organisation of the Centre and the individual roles of MDT members, as well as highlighting the value of CF organisations and disease registries.

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“…51 This evaluation is performed systematically and rigorously, the results of which are based on the strength of the evidence found in the literature. Systematic ACT reviews are available and include reviews of specific techniques, such as active cycle of breathing, 52 positive expiratory pressure devices, 53 and oscillatory positive expiratory pressure devices, 54 as well as sequencing pharmacologic agents, 55,56 and comparing therapeutic modalities for specific diseases such as CF 57 or COPD. 58…”

Section: Systematic Reviewsmentioning

confidence: 99%

“…Evaluation of the need for ACT and use of a particular device or technique must include initial and ongoing assessment of the patient's lung function, muscle strength, and cognitive ability to perform the therapy. Figure 3 integrates expert opinion, 12,17 evidence from published systematic reviews, [52][53][54]57,58 and clinical practice guidelines 59,60 to construct an algorithm to guide the use of ACT. The establishment and evaluation of patient, process, and financial outcomes are crucial elements in protocol implementation.…”

Section: Putting Evidence Into Practicementioning

confidence: 99%

Airway Clearance Therapy: Finding the Evidence

Volsko

2013

Respir Care

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Disease processes can impair ciliary function, alter secretion production and mucus rheology, and interfere with the cough reflex. Airway clearance therapy has been a cornerstone of therapy aimed at minimizing the devastating effects of airway obstruction, infection, and inflammation due to mucus stasis on the conducting airways and lung parenchyma. Although challenges to performing clinical studies evaluating the effectiveness of airway clearance therapeutic modalities exist, resources are available in the literature. In addition to device evaluations and original clinical research, the expert opinion, systematic reviews, and evidence-based practice guidelines can be found. These tools can be used to develop protocols and pathways to guide our practice. Monitoring and reporting patient, process, and financial outcomes are essential steps germane to the implementation of evidence-based care.

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Active cycle of breathing technique for cystic fibrosis

Cited by 31 publications

References 52 publications

Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

European Cystic Fibrosis Society Standards of Care: Framework for the Cystic Fibrosis Centre

Airway Clearance Therapy: Finding the Evidence

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