Chest physical therapy in patients with acute exacerbation of chronic bronchitis: Effectiveness of three methods

Bellone, Andrea; Lascioli, Rosaria; Raschi, Stefania; Guzzi, Laura; Adone, R

doi:10.1016/s0003-9993(00)90034-0

Cited by 50 publications

(32 citation statements)

References 10 publications

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“…Seven of the studies had a cross-over design [17,18,19,20,21,22,23] and three studies compared separate groups [24,25,26]. In 4 studies, PEP was compared to a control group or placebo [20, 22, 25, 26], and in the remaining studies it was compared with other chest physiotherapy techniques.…”

Section: Resultsmentioning

confidence: 99%

“…In 4 studies, PEP was compared to a control group or placebo [20, 22, 25, 26], and in the remaining studies it was compared with other chest physiotherapy techniques. Treatment sessions varied in duration and evaluation period from one single 30-min treatment [17] to 15-min treatment 3 times a day for 6 months [25]. The articles were published from 1986 to 2007.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 8 corresponding authors that were contacted, 4 answered the forms provided with additional methodological data [17, 20, 23, 24, 26]. The result from the methodological internal validity assessment is given in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…The methodological quality score varied between 4 and 8 with a maximal score of 11. Based on the text in the articles, 2 reached the level of adequate (≥ 6) methodological quality [24, 27], but after the authors’ written replies, 3 more trials reached an adequate level of methodological quality [17, 19, 26]. …”

Section: Resultsmentioning

confidence: 99%

“…Four studies with a crossover design [17,18,19,20] were identified measuring single treatment or the direct effects of PEP (within 1 h after intervention). Numbers of patients included in the trials were 10–14.…”

Section: Resultsmentioning

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%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

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

Olsén

Westerdahl

2008

Respiration

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Airway clearance techniques for chronic obstructive pulmonary disease

Osadnik

McDonald

Jones³

et al. 2012

Cochrane Database of Systematic Reviews

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Pharmacotherapy Challenges of Fontan-Associated Plastic Bronchitis: A Rare Pediatric Disease

et al. 2013

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Pediatric pharmacotherapy is often challenging due to the paucity of available clinical data on the safety and efficacy of medications that are commonly used in children. This quandary is even more prevalent in children with rare diseases. Although extrapolations for dosing and administration are often made from available adult data with similar disease states, this translation becomes even more problematic in rare pediatric diseases. Understanding of disease pathophysiology is typically poor, and few, if any, effective therapies have been studied and identified. One condition that illustrates these issues is plastic bronchitis, a rare, most often pediatric disease that is characterized by the production of obstructive bronchial airway casts. This illness primarily occurs in children with congenital heart disease, often after palliative surgery. Plastic bronchitis is a highly clinically relevant and therapeutically challenging problem with a high mortality rate, and, to date, a generally accepted effective pharmacotherapy regimen has not been identified. Furthermore, the disease is ill defined, which makes timely identification and treatment of children with plastic bronchitis difficult. The pharmacotherapies currently used to manage this disease are largely anecdotal and vary between the use of macrolide antibiotics, mucolytics, bronchodilators, and inhaled fibrinolytics in a myriad of combinations. The purpose of this review is twofold: first, to highlight the dilemma of treating plastic bronchitis, and second, to bring attention to the continuing need for studies of drug therapies used in children so that safe and effective drug regimens can be established, particularly for rare diseases, which often have no treatment options.

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Chest physical therapy in patients with acute exacerbation of chronic bronchitis: Effectiveness of three methods

Cited by 50 publications

References 10 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

Airway clearance techniques for chronic obstructive pulmonary disease

Pharmacotherapy Challenges of Fontan-Associated Plastic Bronchitis: A Rare Pediatric Disease

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