Chest Physiotherapy Techniques in Bronchiectasis

Flude, Lizzie; Agent, Penny; Bilton, Diana

doi:10.1016/j.ccm.2012.02.009

Cited by 38 publications

(37 citation statements)

References 39 publications

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“…However, it is beyond the scope of this guideline to describe each airway clearance technique and the reader is referred to detailed descriptions of the techniques for further information. 130 …”

Section: Sectionmentioning

confidence: 99%

British Thoracic Society Guideline for bronchiectasis in adults

Hill

Sullivan

Chalmers

et al. 2018

Thorax

354

348

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Section: Sectionmentioning

confidence: 99%

British Thoracic Society Guideline for bronchiectasis in adults

Hill

Sullivan

Chalmers

et al. 2018

Thorax

354

348

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“…Consensus guidelines recommend that all patients with bronchiectasis receive some instruction in physiotherapy, even if for very mild patients, they only perform physiotherapy during exacerbations. There are a wide range of techniques and, in the author's opinion, the chosen technique should be tailored to the patient preference, taking into account that simple and quicker techniques will encourage patient adherence [44,45].…”

Section: Airway Clearancementioning

confidence: 99%

Management of bronchiectasis in adults

2015

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Formerly regarded as a rare disease, bronchiectasis is now increasingly recognised and a renewed interest in the condition is stimulating drug development and clinical research. Bronchiectasis represents the final common pathway of a number of infectious, genetic, autoimmune, developmental and allergic disorders and is highly heterogeneous in its aetiology, impact and prognosis.The goals of therapy should be: to improve airway mucus clearance through physiotherapy with or without adjunctive therapies; to suppress, eradicate and prevent airway bacterial colonisation; to reduce airway inflammation; and to improve physical functioning and quality of life.Fortunately, an increasing body of evidence supports interventions in bronchiectasis. The field has benefited greatly from the introduction of evidence-based guidelines in some European countries and randomised controlled trials have now demonstrated the benefit of long-term macrolide therapy, with accumulating evidence for inhaled therapies, physiotherapy and pulmonary rehabilitation.This review provides a critical update on the management of bronchiectasis focussing on emerging evidence and recent randomised controlled trials. @ERSpublications Bronchiectasis is a rapidly developing field: review of recent RCTs and progress towards developing new therapies

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“…There are no antibiotics specifically approved by regulatory agencies for the treatment of NCFB. 12 Moreover, clinical applications of these techniques are often extrapolated from other research that is not specific for NCFB (eg, cystic fibrosis, chronic obstructive pulmonary disease). 11 Evidence concerning the usefulness of mucociliary clearance techniques for NCFB from randomized clinical trials with appropriate controls is also lacking.…”

Section: Discussionmentioning

confidence: 99%

“…11 There have been no clinical trials of antibiotics that are sufficiently powered to inform clinical decision making. 12 In such cases where there are insufficient evidence-based data to determine optimal medical therapy, the Delphi technique has been used as a surrogate approach to develop a consensus. 12 Moreover, clinical applications of these techniques are often extrapolated from other research that is not specific for NCFB (eg, cystic fibrosis, chronic obstructive pulmonary disease).…”

Section: Discussionmentioning

confidence: 99%