The effectiveness of a bronchial drainage technique (ELTGOL) in COPD exacerbations

Kodric, Metka; Garuti, Giancarlo; Colomban, Mario; Russi, Barbara; Porta, Roberto; Lusuardi, Mirco; Confalonieri, Marco

doi:10.1111/j.1440-1843.2008.01466.x

Cited by 30 publications

(38 citation statements)

References 15 publications

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“…By contrast, all the studies on chest therapy showed significant results in dyspnea perception 22,32,38 when measured. Only the study by Kodric and colleagues 38 found that the ELTGOL technique, used twice a day, resulted in significant improvements in the frequency of future exacerbations; no other study found these differences at follow-up. The differences may be due to the compliance developed by subjects when they learned the technique at the hospital.…”

Section: Chest Physical Therapymentioning

confidence: 78%

“…Physiotherapy modalities explored in the trials included exercise sessions with aerobic or resistance exercise, 26,30,36 expiration with glottis open in lateral posture (ELTGOL), 38 PEP, 27 intrapulmonary percussive ventilation, 32 NMES, 33,34 manual chest therapy and active cycle of breathing techniques, 29,31,35 a controlled breathing program, 28 and either standard physical therapy 37 (not specified) or combined training, including breathing techniques and exercise. [23][24][25] Table 3 shows the full details on treatment and interventions for each study.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

“…The authors divided the different treatment modalities into several groups: seven studies included chest physical therapy, 22,27,29,31,32,35,38 one study used breathing techniques, 28 three studies included physical exercise, 26,30,36 two studies used electrostimulation, 33,34 three studies included a combination of treatment modalities, [23][24][25] and one study included standard physical therapy (not specified). 37 …”

Section: Treatment Modalitiesmentioning

confidence: 99%

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Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

Torres‐Sánchez

Cruz-Ramírez

Cabrera‐Martos

et al. 2017

Physiotherapy Canada

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Purpose: The objective of this study was to review clinical trials of the effectiveness of physiotherapy compared with standard care, focused mainly on the functional status of patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: Search strategies were developed for each of the databases (PubMed, Scopus, and Web of Science). The study eligibility criteria were as follows: (1) The objective was to assess the effect and efficacy of physiotherapy compared with standard care (which included only medical and pharmacological treatment); (2) adults subjects had AECOPD; (3) one of the outcome measures was functional status, defined as an individual's ability to perform the normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being; (4) it was a clinical trial; (5) it was written in English; (6) it was published between January 2009 and February 2016; and (7) the full-text article was available. Results: The review revealed that for patients hospitalized for AECOPD, exercise, neuromuscular electrical stimulation, breathing exercises, and chest therapy significantly improved their functional status compared with standard care. Conclusions: A variety of physiotherapy modalities have been shown to improve functional status compared with standard care among patients hospitalized for AECOPD; other outcome measures also showed improvements.Key Words: chronic obstructive pulmonary disease; hospitalization; cardiorespiratory physiotherapy; rehabilitation; systematic review. RÉ SUMÉObjectif : recenser les essais cliniques sur l'efficacité de la physiothé rapie par rapport aux soins conventionnels pour é valuer l'é tat fonctionnel des patients hospitalisé s pour exacerbations aiguë s de la maladie pulmonaire obstructive chronique (EAMPOC). Mé thodologie : des straté gies de recherche ont é té mises au point pour chaque banque de donné es (PubMed, Scopus et Web of Science). Critè res d'admissibilité des é tudes : (1) l'é tude vise à é valuer l'effet et l'efficacité de la physiothé rapie par rapport aux soins conventionnels (traitement mé dical et mé dicamenteux seulement); (2) les sujets adultes souffrent d'EAMPOC; (3) un des ré sultats mesuré s est l'é tat fonctionnel, dé fini comme la faculté d'une personne à accomplir les activité s quotidiennes né cessaires pour ré pondre à ses besoins fondamentaux, assumer ses rô les habituels et maintenir sa santé et son bien-ê tre; (4) il s'agit d'un essai clinique; (5) l'article est ré digé en anglais; (6) l'é tude a é té publié e entre janvier 2009 et fé vrier 2016; (7) le texte inté gral de l'article est disponible. Ré sultats : le recensement ré vè le que l'exercice, la stimulation é lectrique neuromusculaire, les exercices de respiration et la physiothé rapie respiratoire amé liorent de fac¸on significative l'é tat fonctionnel de patients hospitalisé s pour EAMPOC par rapport aux soins conventionnels. Conclusions : divers soins de physiothé rapie ont prouvé leur efficacité pour...

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Section: Chest Physical Therapymentioning

confidence: 78%

Section: Treatment Modalitiesmentioning

confidence: 99%

Section: Treatment Modalitiesmentioning

confidence: 99%

See 1 more Smart Citation

Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

Torres‐Sánchez

Cruz-Ramírez

Cabrera‐Martos

et al. 2017

Physiotherapy Canada

View full text Add to dashboard Cite

show abstract

“…7 However, studies analyzing ELTGOL have been performed only during exacerbations. 8,9 The purposes of this study were to evaluate the effects of ELTGOL on mucus clearance, especially in peripheral lung areas, in stable patients with chronic bronchitis, and to compare the efficacy of this technique in both lungs.…”

Section: Introductionmentioning

confidence: 99%

Effect of Slow Expiration With Glottis Opened in Lateral Posture (ELTGOL) on Mucus Clearance in Stable Patients With Chronic Bronchitis

et al. 2012

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BACKGROUND: Slow expiration with glottis opened in lateral posture (ELTGOL, l'expiration lente totale glotte ouverte en infralatéral) has been used in clinical practice to improve mucus clearance from peripheral airways. The purpose of this crossover study was to evaluate the effect of ELTGOL on mucus clearance of right and left lungs, especially of peripheral lung areas, in stable patients with chronic bronchitis. METHODS: Twelve 45-75-year-old patients with chronic bronchitis were studied (10 of whom had mild to moderate COPD according to the Global Initiative for Chronic Obstructive Lung Disease guidelines). Control and ELTGOL interventions were performed on a randomized allocation of subjects. Mucus clearance was measured through 6 posterior scintigraphy images taken with the patient in the right lateral decubitus position 20 (T1), 40 (T2), (T3), 80 (T4), and 120 (T5) min after baseline image (T0). In the control intervention only ventilatory scintigraphy measurements were performed. During ELTGOL the technique was performed after the baseline image (T0). RESULTS: Significant increases in mucus clearance from the peripheral area were found only in the right lung, and were observed at all times during ELTGOL (P < .05) except T1. Significant increases in mucus clearance were observed at all times studied in the total area of the right lung and in the left lung at T1 and T2. For the intermediate area and central areas, results were similar in both lungs. CONCLUSIONS: ELTGOL was efficient in increasing peripheral airway clearance in dependent lung of patients with chronic bronchitis, most of them with mild to moderate COPD.

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“…Among the potential benefits of this technique are the improvement of peripheral airway clearance 9 and dyspnea, and the reduction in disease exacerbations 10 . The ELTGOL consists of performing slow expirations with the glottis opened, from the functional residual capacity (FRC) to the residual volume (RV), with the individual in the lateral decubitus position with the affected lung in the dependent position 11 .…”

Section: Introductionmentioning

confidence: 99%

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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The effectiveness of a bronchial drainage technique (ELTGOL) in COPD exacerbations

Abstract: Chest physiotherapy using the ELTGOL technique has a limited role in patients with mild exacerbation of moderate to severe COPD with a tendency towards fewer exacerbations and hospitalizations.

Cited by 30 publications

References 15 publications

Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

Results of Physiotherapy Treatments in Exacerbations of Chronic Obstructive Pulmonary Disease: A Systematic Review

Effect of Slow Expiration With Glottis Opened in Lateral Posture (ELTGOL) on Mucus Clearance in Stable Patients With Chronic Bronchitis

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

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