The benefits of mechanical insufflator‐exsufflator compared to autogenic drainage in adults with cystic fibrosis

Helper, Nir; Kodesh, Einat; Sokol, G. V.; Hakimi, R.; Vilozni, Daphna; Efrati, Ori

doi:10.1002/ppul.25020

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…A group from the National Center for CF in Israel used sputum volume as a measure of the short‐term effectiveness of mechanical insufflator‐exsufflator (MI‐E) versus autogenic drainage (AD) as respiratory therapy in adults with CF 91 . Although commonly used in neuromuscular disease, MI‐E is not well studied in CF.…”

Section: Introductionmentioning

confidence: 99%

Cystic fibrosis year in review 2020: Section 2 pulmonary disease, infections, and inflammation

Antos

Savant

2021

Pediatric Pulmonology

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The outlook for those with cystic fibrosis (CF) has never been brighter with ever increasing life expectancy and the approval of the highly effective CFTR modulators, such as elexacaftor/tezacaftor/ivacaftor. With that being said, the progressive pulmonary decline and importance of lung health, infection, and inflammation in CF remains. This review is the second part in a three‐part CF Year in Review 2020. Part one focused on the literature related to CFTR modulators while part three will feature the multisystem effects related to CF. This review focuses on articles from Pediatric Pulmonology, including articles from other journals that are of particular interest to clinicians. Herein, we highlight studies published during 2020 related to CF pulmonary disease, infection, treatment, and diagnostics.

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Section: Introductionmentioning

confidence: 99%

Cystic fibrosis year in review 2020: Section 2 pulmonary disease, infections, and inflammation

Antos

Savant

2021

Pediatric Pulmonology

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Airway clearance techniques compared to no airway clearance techniques for cystic fibrosis

Warnock

Gates

2023

Cochrane Database of Systematic Reviews

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Autogenic drainage for airway clearance in cystic fibrosis

Burnham

Stanford

Stewart

2021

Cochrane Database of Systematic Reviews

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BackgroundAutogenic drainage is an airway clearance technique that was developed by Jean Chevaillier in 1967. The technique is characterised by breathing control using expiratory airflow to mobilise secretions from smaller to larger airways. Secretions are cleared independently by adjusting the depth and speed of respiration in a sequence of controlled breathing techniques during exhalation. The technique requires training, concentration and effort from the individual. It is important to systematically review the evidence demonstrating that autogenic drainage is an effective intervention for people with cystic fibrosis. ObjectivesTo compare the clinical effectiveness of autogenic drainage in people with cystic fibrosis with other physiotherapy airway clearance techniques. Search methodsWe searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and handsearching of journals and conference abstract books. We also searched the reference lists of relevant articles and reviews, as well as two trials registers (31 August 2017).Dtae of most recent search of the Cochrane Cystic Fibrosis Trials Register: 25 September 2017. Selection criteriaWe identified randomised and quasi-randomised controlled studies comparing autogenic drainage to another airway clearance technique or no therapy in people with cystic fibrosis for at least two treatment sessions. Data collection and analysisData extraction and assessments of risk of bias were independently performed by two authors. The authors assessed the quality of the evidence using the GRADE system. The authors contacted two investigators for further information pertinent to their published studies.

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The benefits of mechanical insufflator‐exsufflator compared to autogenic drainage in adults with cystic fibrosis

Cited by 5 publications

References 25 publications

Cystic fibrosis year in review 2020: Section 2 pulmonary disease, infections, and inflammation

Cystic fibrosis year in review 2020: Section 2 pulmonary disease, infections, and inflammation

Airway clearance techniques compared to no airway clearance techniques for cystic fibrosis

Autogenic drainage for airway clearance in cystic fibrosis

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