Airway clearance techniques for bronchiectasis

Abstract

Analysis 2.1. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 1 Change in HRQoL..... Analysis 2.2. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 2 Change in FEV1....... Analysis 2.3. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 3 Change in FVC........ Analysis 2.4. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 4 Change in TLC........ Analysis 2.5. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 5 Change in RV......... Analysis 2.6. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 6 Change in PaO2....... Analysis 2.7. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 7 Change in PaCO2..... Analysis 2.8. Comparison 2 Stable bronchiectasis: chest physiotherapy ACT vs no ACT (control), Outcome 8 Change in breathlessness, cough and sputum.

Physiotherapists’ use of airway clearance techniques during an acute exacerbation of bronchiectasis: a survey study

“…In the previous study [11] PEP was used routinely by 7% of participants and oscillating PEP by 12% of participants, in the current study 41% of participants were using PEP therapy routinely and 75% of participants were using an oscillating PEP device routinely. This difference may be due to an increase in availability of these devices, patient preference to complete ACTs independently, and an increase in evidence for the safety and efficacy of these devices in individuals with stable bronchiectasis [12,24]. Interestingly, oscillating PEP was perceived very effective or effective by 97% of participants in this study, however there is little evidence available for the use of oscillating PEP for individuals with an exacerbation of bronchiectasis.…”

Physiotherapists’ use of airway clearance techniques during an acute exacerbation of bronchiectasis: a survey study

“…In the previous study [11] PEP was used routinely by 7% of participants and oscillating PEP by 12% of participants, in the current study 41% of participants were using PEP therapy routinely and 75% of participants were using an oscillating PEP device routinely. This difference may be due to an increase in availability of these devices, patient preference to complete ACTs independently, and an increase in evidence for the safety and efficacy of these devices in individuals with stable bronchiectasis [12,24]. Interestingly, oscillating PEP was perceived very effective or effective by 97% of participants in this study, however there is little evidence available for the use of oscillating PEP for individuals with an exacerbation of bronchiectasis.…”

Personalising airway clearance in chronic suppurative lung diseases: a scoping review

“…The way in which a technique is employed can be varied: informed by physiological reasoning [ 60 ] ( figure 2 , D1>D2), enabled by physical or cognitive ability (C>D2) and guided by response [ 83 ] (E>C>D2). Unit repetition including number of breaths or forced expiratory techniques per cycle may be influenced by physical or psychosocial cues or response [ 19 ] (B/C>D2).…”

Radiological Phenotypes of Bronchiectasis Based on Airway Generation

“…In contrast, lesions in the PIA group are primarily confined to the proximal airways, which enable an efficient mucus clearance through the combined action of cilia and the cough reflex [27]. Mucus in the proximal airways can be effectively cleared through traditional methods including postural drainage, percussion therapy, and high-frequency chest wall oscillation [28]. These findings highlight the differences in mucus burden and therapeutic strategies between the two radiological phenotypes [29].…”

Physiotherapists’ use of airway clearance techniques during an acute exacerbation of bronchiectasis: a survey study

“…In the previous study [11] PEP was used routinely by 7% of participants and oscillating PEP by 12% of participants, in the current study 41% of participants were using PEP therapy routinely and 75% of participants were using an oscillating PEP device routinely. This difference may be due to an increase in availability of these devices, patient preference to complete ACTs independently, and an increase in evidence for the safety and efficacy of these devices in individuals with stable bronchiectasis [12,24]. Interestingly, oscillating PEP was perceived very effective or effective by 97% of participants in this study, however there is little evidence available for the use of oscillating PEP for individuals with an exacerbation of bronchiectasis.…”

Personalising airway clearance in chronic suppurative lung diseases: a scoping review

“…The way in which a technique is employed can be varied: informed by physiological reasoning [ 60 ] ( figure 2 , D1>D2), enabled by physical or cognitive ability (C>D2) and guided by response [ 83 ] (E>C>D2). Unit repetition including number of breaths or forced expiratory techniques per cycle may be influenced by physical or psychosocial cues or response [ 19 ] (B/C>D2).…”

Radiological Phenotypes of Bronchiectasis Based on Airway Generation

“…In contrast, lesions in the PIA group are primarily confined to the proximal airways, which enable an efficient mucus clearance through the combined action of cilia and the cough reflex [27]. Mucus in the proximal airways can be effectively cleared through traditional methods including postural drainage, percussion therapy, and high-frequency chest wall oscillation [28]. These findings highlight the differences in mucus burden and therapeutic strategies between the two radiological phenotypes [29].…”

Physiotherapists’ use of airway clearance techniques during an acute exacerbation of bronchiectasis: a survey study

“…In the previous study [11] PEP was used routinely by 7% of participants and oscillating PEP by 12% of participants, in the current study 41% of participants were using PEP therapy routinely and 75% of participants were using an oscillating PEP device routinely. This difference may be due to an increase in availability of these devices, patient preference to complete ACTs independently, and an increase in evidence for the safety and efficacy of these devices in individuals with stable bronchiectasis [12,24]. Interestingly, oscillating PEP was perceived very effective or effective by 97% of participants in this study, however there is little evidence available for the use of oscillating PEP for individuals with an exacerbation of bronchiectasis.…”

Personalising airway clearance in chronic suppurative lung diseases: a scoping review

“…The way in which a technique is employed can be varied: informed by physiological reasoning [ 60 ] ( figure 2 , D1>D2), enabled by physical or cognitive ability (C>D2) and guided by response [ 83 ] (E>C>D2). Unit repetition including number of breaths or forced expiratory techniques per cycle may be influenced by physical or psychosocial cues or response [ 19 ] (B/C>D2).…”

Radiological Phenotypes of Bronchiectasis Based on Airway Generation

“…In contrast, lesions in the PIA group are primarily confined to the proximal airways, which enable an efficient mucus clearance through the combined action of cilia and the cough reflex [27]. Mucus in the proximal airways can be effectively cleared through traditional methods including postural drainage, percussion therapy, and high-frequency chest wall oscillation [28]. These findings highlight the differences in mucus burden and therapeutic strategies between the two radiological phenotypes [29].…”