Impact of Active Cycle of Breathing Technique on Functional Capacity in Patient With Bronchiectasis

Abstract

Back ground and Purpose: Bronchiectasis is associated with impairment of the mucociliary escalator and retention of secretions within the bronchial tree, making airway clearance a primary concern in the management of bronchiectasis. Patients and methodology: Objective: The objective of this study was to determine the effect of active cycle of breathing as an airway clearance technique on functional capacity in adults with productive bronchiectasis by using six minute walk test and dyspnea index. Design: The study was cohort design carried out on 45 patients (mean age 54. 93± 3.82 years) of both genders with stable productive bronchiectasis receiving multiple sessions (3 times/week for two months) of active cycle of breathing. Measurements: Pre and post treatment measures were recorded for functional capacity in form of six minute walk test and dyspnea index. Results: All 45 patients were stable during the study period. The functional capacity and level of dyspnea were significantly improved post treatment sessions with mean difference 48.06 for six minute walk test and 29.2 for dyspnea index. Conclusion: The active cycle of breathing technique is an effective method for airway clearance and improving functional capacity in patients with bronchiectasis.

Comparison of ELTGOL Therapy versus ACBT on Breathlessness, cough and sputum production; Exercise capacity and quality of life in middle aged bronchiectasis patients

“…However, the magnitude of change noted as d= 0.205 which implied that there is a small clinical change observed in the treatment group. A similar study was conducted by Elsayed et al [59] on 45 bronchiectasis patients to evaluate the effect of ACBT on functional capacity using the 6MWT. In this study ACBT was administered 3 times a week for 2 months and it concluded that this technique shows significant and remarkable improvement in the functional capacity in bronchiectasis patients.…”

Effect of Active Cycle Breathing Technique on Airway Clearance among Patients Underwent Cardiac Surgery

“…Additionally, Elsayed. et al (2015) (24) and Taha et.al, (2021) (13) clarified that chest physiotherapy improved oxygen saturation and promoted normal results of arterial blood gases . In relation to spirometric values, the findings of the present study showed that there were significant statistical differences regarding FVC, FEV1, and FEV1/FVC among control and study groups on the 3 rd day post ACBT.…”

“…(25) This result was in the same direction as Zisi et al, (2022) (27) who concluded that ACBT is a method that has been found to be effective in increasing sputum removal from the airway. Additionally ,Elsayed et al, (2015) (24) mentioned that the application of ACBT helps to clean the airways from the excessive secretion. Moreover, Zhong et al, (2021) (28) who demonstrated that ACBT is an effective approach for significantly increased sputum wet weight in study group.…”

Effect of active cycle of breathing technique on respiratory parameters and pain regarding abdominal trauma

“…Wahyudi al., (2021) [34] comes in line in study of Active Cycle of Breathing to Respiratory Rate in Patients with Lung Tuberculosis, cleared that the mean respiration rate scores before ACBT was more than that after intervention. Elsayed et al, (2015) [11] mentioned that The Active Cycle of Breathing Technique (ACBT) can clean the airways so that respiratory rate is reduced and the breathing pattern improves. Breathing Control which can prevent bronchospasm and oxygen desaturation, Thoracic Expansion Exercise can help loosen and clear sputum and improve collateral ventilation, and the last exercise, the Forced Expiratory Technique, can remove sputum by pressing the thorax and airway.…”