Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with cystic fibrosis

Osman, Leyla; Roughton, Michael; Hodson, Margaret E.; Pryor, Jennifer

doi:10.1136/thx.2008.111492

Cited by 75 publications

(78 citation statements)

References 22 publications

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“…As for spirometry, our findings are consistent with previous studies in which they noted improvement in spirometric values after airway clearance techniques 18,24,25 . Similarly to our study, Bellone et al 8 did not find significant differences in FEV 1 between Flutter ® and ELTGOL in patients with acute exacerbation of chronic bronchitis.…”

Section: Discussionsupporting

confidence: 83%

Efeitos da ELTGOL e do Flutter® nos volumes pulmonares dinâmicos e estáticos e na remoção de secreção de pacientes com bronquiectasia

Guimarães¹,

Moço²,

Menezes³

et al. 2012

Rev. bras. fisioter.

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Section: Discussionsupporting

confidence: 83%

Efeitos da ELTGOL e do Flutter® nos volumes pulmonares dinâmicos e estáticos e na remoção de secreção de pacientes com bronquiectasia

Guimarães¹,

Moço²,

Menezes³

et al. 2012

Rev. bras. fisioter.

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“…high-frequency chest wall oscillation, non-invasive ventilation) being reserved for sicker patients. However, recent trials comparing high-frequency chest wall oscillation with PEP have raised uncertainty regarding the effectiveness of high-frequency chest wall oscillation for airway clearance [13,32]. It will be interesting to repeat a similar analysis in several years' time to determine if the pattern of airway clearance techniques changes with emerging evidence.…”

Section: Baseline Characteristicsmentioning

confidence: 99%

Airway clearance techniques used by people with cystic fibrosis in the UK

et al. 2015

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Please cite this article as: Hoo ZH, Daniels T, Wildman MJ, Teare MD, Bradley JM, Airway clearance techniques used by people with cystic fibrosis in the UK, Physiotherapy (2015), http://dx.doi.org/10.1016/j.physio. 2015.01.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Setting and participants All people with CF in the UK aged ≥11 years (n=6372). ResultsOf the 6372 people on the UK CF registry in 2011, 89% used airway clearance techniques.The most commonly used primary techniques were forced expiratory techniques (28%) and oscillating positive expiratory pressure (PEP) (23%). Postural drainage and high-frequency chest wall oscillation were used by 4% and 1% of people with CF, respectively. The male:female ratio of individuals who used exercise as their primary airway clearance technique was 2:1, compared with 1:1 for other techniques. Individuals with more severe lung disease tended to use devices such as non-invasive ventilation or high-frequency chest wall oscillation.Conclusions Forced expiratory techniques and oscillating PEP are the most common airway clearance techniques used by people with CF in the UK, and postural drainage and high-frequency chest wall oscillation are the least common techniques. This is significant in terms of planning airway clearance technique trials, where postural drainage has been used traditionally as the comparator. The use of airway clearance techniques varies between countries, but the reasons for these differences are unknown.

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“…For example, in a qualitative study 16 of thoracic surgery patients, 84% of the patients had little or no discomfort with HFCWO, as compared with conventional CPT. Osman and colleagues 15 found no significant differences between HFCWO and the usual airway clearance method with respect to scores for comfort measured on a visual analog scale. 15 Conversely, Oermann et al 2 reported that the Flutter, a portable device that provides positive expiratory pressure, 22 was better tolerated and more comfortable than HFCWO and postural drainage, percussion, and vibration.…”

Section: Figurementioning

confidence: 99%

“…Osman and colleagues 15 found no significant differences between HFCWO and the usual airway clearance method with respect to scores for comfort measured on a visual analog scale. 15 Conversely, Oermann et al 2 reported that the Flutter, a portable device that provides positive expiratory pressure, 22 was better tolerated and more comfortable than HFCWO and postural drainage, percussion, and vibration. One possible explanation for our results may be that the vest is clothlike and covers the entire thorax and the upper part of the abdomen, whereas CPT involves striking over the chest wall with rubber percussors.…”

Section: Figurementioning

confidence: 99%

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CNE Article: Pain After Lung Transplant: High-Frequency Chest Wall Oscillation vs Chest Physiotherapy

Esguerra-Gonzalez

Ilagan-Honorio

Fraschilla

et al. 2013

American Journal of Critical Care

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Background Chest physiotherapy and high-frequency chest wall oscillation (HFCWO) are routinely used after lung transplant to facilitate removal of secretions. To date, no studies have been done to investigate which therapy is more comfortable and preferred by lung transplant recipients. Patients who have less pain may mobilize secretions, heal, and recover faster. Objectives To compare effects of HFCWO versus chest physiotherapy on pain and preference in lung transplant recipients. Methods In a 2-group experimental, repeated-measures design, 45 lung transplant recipients (27 single lung, 18 bilateral) were randomized to chest physiotherapy (10 AM, 2 PM) followed by HFCWO (6 PM, 10 PM; group 1, n = 22) or vice versa (group 2, n = 23) on postoperative day 3. A verbal numeric rating scale was used to measure pain before and after treatment. At the end of the treatment sequence, a 4-item patient survey was administered to assess treatment preference, pain, and effectiveness. Data were analyzed with χ 2 and t tests and repeatedmeasures analysis of variance. Results A significant interaction was found between mean difference in pain scores from before to after treatment and treatment method; pain scores decreased more when HFCWO was done at 10 AM and 6 PM (P = .04). Bilateral transplant recipients showed a significant preference for HFCWO over chest physiotherapy (11 [85%] C E N Notice to CNE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Identify the unique characteristics and challenges of pulmonary hygiene for lung transplant patients. 2. Describe the difference between chest physiotherapy and high-frequency chest wall oscillation. 3. Define the limitations of this study and need for future studies on this topic.

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Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with cystic fibrosis

Cited by 75 publications

References 22 publications

Efeitos da ELTGOL e do Flutter® nos volumes pulmonares dinâmicos e estáticos e na remoção de secreção de pacientes com bronquiectasia

Efeitos da ELTGOL e do Flutter® nos volumes pulmonares dinâmicos e estáticos e na remoção de secreção de pacientes com bronquiectasia

Airway clearance techniques used by people with cystic fibrosis in the UK

CNE Article: Pain After Lung Transplant: High-Frequency Chest Wall Oscillation vs Chest Physiotherapy

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