Nonpharmacologic airway clearance therapies: ACCP evidence-based clinical practice guidelines

Chest

Volumn 129, Issue 1 SUPPL., 2006, Pages 250S-259S

  McCool, F Dennis ^a   Rosen, Mark J ^b  

^a MEMORIAL HOSPITAL OF RHODE ISLAND   (United States)

^b NONE

Author keywords

Airway clearance; Chest physiotherapy; Cough; Exsufflation; Forced expiratory technique; Huffing; Insufflation; Mucociliary clearance; Oscillation; Percussion; Positive expiratory pressure; Protussive; Vibration

Indexed keywords

AEROSOL; AIRWAY; ATELECTASIS; CAREGIVER; COUGHING; CYSTIC FIBROSIS; EVIDENCE BASED MEDICINE; FORCED EXPIRATION; HUMAN; LUNG GAS EXCHANGE; LUNG INFECTION; LUNG MECHANICS; MUCOCILIARY CLEARANCE; PHYSIOTHERAPY; POSTURAL DRAINAGE; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; SPUTUM EXAMINATION; TREATMENT INDICATION; TREATMENT OUTCOME; VIBRATION; VISCOSITY;

EID: 33144467144     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.129.1_suppl.250S     Document Type: Article

References (69)

1. Konstan MW, Stern SR, Doershuk CF. Efficacy of the flutter device for airway mucus clearance in patients with cystic fibrosis. J Pediatr 1994; 124:689-693
2. Rossman CM, Waldes R, Sampson D, et al. Effect of chest physiotherapy on the removal of mucus in patients with cystic fibrosis. Am Rev Respir Dis 1982; 126:131-135
3. Varekojis SM, Douce FH, Flucke RL, et al. A comparison of the therapeutic effectiveness of and preference for postural drainage and percussion, intrapulmonary percussive ventilation, and high-frequency chest wall compression in hospitalized cystic fibrosis patients. Respir Care 2003; 48:24-28
4. Lorin MI, Denning CR. Evaluation of postural drainage by measurement of sputum volume and consistency. Am J Phys Med 1971; 50:215-219
5. Mortensen J, Falk M, Groth S, et al. The effects of postural drainage and positive expiratory pressure physiotherapy on tracheobronchial clearance in cystic fibrosis. Chest 1991; 100:1350-1357
6. Lannefors L, Wollmer P. Mucus clearance with three chest physiotherapy regimes in cystic fibrosis: a comparison between postural drainage, PEP and physical exercise. Eur Respir J 1992; 5:748-753
7. Sutton PP, Pavia D, Bateman JRM, et al. Chest physiotherapy: a review. Eur J Respir Dis 1982; 63:188-201
8. Maxwell M, Redmond A. Comparative trial of manual and mechanical percussion technique with gravity-assisted bronchial drainage in patients with cystic fibrosis. Arch Dis Child 1979; 54:M542-M544
9. Bauer ML, McDougal J, Schoumacher RA. Comparison of manual and mechanical chest percussion in hospitalized patients with cystic fibrosis. J Pediatr 1994; 124:250-254
10. Mazzocco MC, Owens GR, Kirilloff LH, et al. Chest percussion and postural drainage in patients with bronchiectasis. Chest 1985; 88:360-363
11. Gallon A. Evaluation of chest percussion in the treatment of patients with copious sputum production. Respir Med 1991; 85:45-51
12. Weller PH, Bush E, Preece MA, et al. Short-term effects of chest physiotherapy on pulmonary function in children with cystic fibrosis. Respiration 1980; 40:53-56
13. Bateman JRM, Newman SP, Daunt KM, et al. Regional lung clearance of excessive bronchial secretions during chest physiotherapy in patients with stable chronic airways obstruction. Lancet 1979; 10:294-297
14. Bateman JRM, Newman SP, Daunt KN, et al. Is cough as effective as chest physiotherapy in removal of excessive tracheobronchial secretions? Thorax 1981; 36:683-687
15. de Boeck C, Zinman R. Cough versus chest physiotherapy: a comparison of the acute effects on pulmonary function in patients with cystic fibrosis. Am Rev Respir Dis 1984; 129:182-184
16. Desmond KJ, Schwenk WF, Thomas E, et al. Immediate and long-term effects of chest physiotherapy in patients with cystic fibrosis. J Pediatr 1983; 103:538-542
17. Anthonisen P, Riis P, Sogaard-Andersen T. The value of lung physiotherapy in the treatment of acute exacerbations in chronic bronchitis. Acta Med Scand 1964; 175:715-719
18. Baldwin DR, Hill AL, Peckham DG, et al. Effect of addition of exercise to chest physiotherapy on sputum expectoration and lung function in adults with cystic fibrosis. Respir Med 1994; 88:49-53
19. Kirilloff LH, Owens GR, Rogers RM, et al. Does chest physical therapy work? Chest 1988; 103:436-444
20. Pavia D. The role of chest physiotherapy in mucus hypersecretion. Lung 1990; 168(suppl):614-621
21. Thomas J, Cook KJ, Brooks D. Chest physical therapy management of patients with cystic fibrosis. Am J Respir Crit Care Med 1995; 151:846-850
22. Pfleger A, Theissl B, Oberwaldner B, et al. Self-administered chest physiotherapy in cystic fibrosis: a comparative study of high-pressure PEP and autogenic drainage. Lung 1992; 170:323-330
23. Falk M, Kelstrup M, Andersen JB, et al. Improving the ketchup bottle method with positive expiratory pressure PEP, in cystic fibrosis. Eur J Respir Dis 1984; 65:423-432
24. van Der Schans CP, Piers DA, Postma DS. Effect of manual percussion on tracheobronchial clearance in patients with chronic airflow obstruction and excessive tracheobronchial secretion. Thorax 1986; 41:448-452
25. Braggion C, Cappelletti LM, Cornacchia M, et al. Short-term effects of three chest physiotherapy regimens in patients hospitalized for pulmonary exacerbations of cystic fibrosis: a cross-over randomized study. Pediatr Pulmonol 1995; 19:16-22
26. van Der Schans CP, van der Mark TW, de Vries G, et al. Effect of positive expiratory pressure breathing in patients with cystic fibrosis. Thorax 1991; 46:252-256
27. Irwin RS, Boulet LP, Cloutier MM, et al. Managing cough as a defense mechanism and as a symptom: a consensus panel report of the American College of Chest Physicians. Chest 1998; 114(suppl):133S-181S
28. Braun SR, Giovannoni R, O'Connor M. Improving the cough in patients with spinal cord injury. Am J Phys Med 1982; 63:1-10
29. Bach JR, Smith WH, Michaels J, et al. Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilator-assisted individuals. Arch Phys Med Rehabil 1993; 74:170-177
30. McCrory DC, Samsa GP, Hamilton BB, et al. Treatment of pulmonary disease following cervical spinal cord injury: evidence report/technology assessment number 27. Washington, DC: Agency for Healthcare Research and Quality, 2001; Publication No. 01-E014
31. Sivasothy P, Brown L, Smith IE, et al. Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and patients with respiratory muscle weakness. Thorax 2001; 56:438-444
32. Thompson BJ. The physiotherapist's role in rehabilitation of the asthmatic. N Z J Physiother 1973; 4:11-16
33. Sutton PP, Parker RA, Webber BA, et al. Assessment of the forced expiration technique, postural drainage and directed coughing in chest physiotherapy. Eur J Respir Dis 1983; 64:62-68
34. Christensen EF, Nedergaard T, Dahl R. Long-term treatment of chronic bronchitis with positive expiratory pressure mask and chest physiotherapy. Chest 1990; 97:645-650
35. Langlands J. The dynamics of cough in health and in chronic bronchitis. Thorax 1967; 22:88-96
36. Pryor JA, Webber BA, Hodson ME, et al. Evaluation of the forced expiration technique as an adjunct to postural drainage in treatment of cystic fibrosis. BMJ 1979; 2:417-418
37. Oldenburg FA, Dolovich MB, Montgomery JM, et al. Effects of postural drainage, exercise and cough on mucus clearance in chronic bronchitis. Am Rev Respir Dis 1979; 120:739-745
38. Hasani A, Pavia D, Agnew JE, et al. Regional lung clearance during cough and forced expiration technique (FET): effects of flow and viscoelasticity. Thorax 1994; 49:557-561
39. Van Hengstrum M, Festen J, Beurskens C, et al. The effect of positive expiratory pressure versus forced expiration technique on tracheobronchial clearance in chronic bronchitis. Scand J Gastroenterol 1988; 23:114-118
40. van Winden CM, Visser A, Hop W, et al. Effects of flutter and PEP mask physiotherapy on symptoms and lung function in children with cystic fibrosis. Eur Respir J 1998; 12:143-147
41. Miller S, Hall DO, Clayton CB, et al. Chest physiotherapy in cystic fibrosis: a comparative study of autogenic drainage and the active cycle of breathing techniques with postural drainage. Thorax 1995; 50:165-169
42. Leith DE, Bradley ME. Ventilatory muscle strength and endurance training. J Appl Physiol 1976; 41:508-516
43. Tzelepis GE, Vega DL, Cohen ME, et al. Pressure-flow specificity of inspiratory muscle training. J Appl Physiol 1994; 77:795-801
44. DePalo VA, Parker AL, Al-Bilbeisi F, et al. Respiratory muscle strength training with non-respiratory maneuvers. J Appl Physiol 2004; 96:731-734
45. McCool FD. Inspiratory muscle weakness and fatigue. RT J Respir Care Pract 1992; 5:32-41
46. Estenne M, Knoop C, Vanvaerenbergh J, et al. The effect of pectoralis muscle training in tetraplegic subjects. Am Rev Respir Dis 1989; 139:1218-1222
47. Groth S, Stafanger G, Dirksen H, et al. Positive expiratory pressure (PEP-Mask) physiotherapy improves ventilation and reduces volume of trapped gas in cystic fibrosis. Bull Eur Physiopathol Respir 1985; 21:339-343
48. Oberwaldner B, Evans JC, Zach MS. Forced expirations against a variable resistance: a new chest physiotherapy method in cystic fibrosis. Pediatr Pulmonol 1986; 2:358-367
49. Tyrrell JC, Hiller EJ, Martin J. Face mask physiotherapy in cystic fibrosis. Arch Dis Child 1986; 61:598-600
50. Hofmeyr JL, Webber BA, Hodson ME. Evaluation of positive expiratory pressure as an adjunct to chest physiotherapy in the treatment of cystic fibrosis. Thorax 1986; 41:951-954
51. Van Asperen PP, Jackson L, Hennessy P, et al. Comparison of a positive expiratory pressure (PEP) mask with postural drainage in patients with cystic fibrosis. Aust Paediatr J 1987; 23:283-284
52. Tonnesen P, Stovring S. Positive expiratory pressure (PEP) as lung physiotherapy in cystic fibrosis: a pilot study. Eur J Respir Dis 1984; 65:419-422
53. Christensen HR, Simonsen K, Lange P, et al. PEEP-masks in patients with severe obstructive pulmonary disease: a negative report. Eur Respir J 1990; 3:267-272
54. Elkins MR, Jones A, van der Schans C. Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis. Cochrane Database of Syst Rev (database online). Issue 2, 2004
55. App EM, Kieselmann R, Reinhardt D, et al. Sputum rheology changes in cystic fibrosis lung disease following two different types of physiotherapy: flutter vs autogenic drainage. Chest 1998; 114:171-177
56. Ambrosino N, Callegari G, Galloni C, et al. Clinical evaluation of osculating positive expiratory pressure for enhancing expectoration in diseases other than cystic fibrosis. Monaldi Arch Chest Dis 1995; 50:269-275
57. Thompson CS, Harrison S, Ashley J, et al. Randomised crossover study of the flutter device and the active cycle of breathing technique in non-cystic fibrosis bronchiectasis. Thorax 2002; 57:446-448
58. Natale JE, Pfeifle J, Homnick DN. Comparison of intrapulmonary percussive ventilation and chest physiotherapy: a pilot study in patients with cystic fibrosis. Chest 1994; 105:1789-1793
59. Homnick DN, White F, de Castro C. Comparison of effects of an intrapulmonary percussive ventilator to standard aerosol and chest physiotherapy in treatment of cystic fibrosis. Pediatr Pulmonol 1995; 20:50-55
60. Arens R, Gozal D, Omlin KJ, et al. Comparison of high frequency chest compression and conventional chest physiotherapy in hospitalized patients with cystic fibrosis. Am J Respir Crit Care Med 1994; 150:1154-1157
61. Hansen LG, Warwick WJ. High-frequency chest compression system to aid in clearance of mucus from the lung. Biomed Instrum Technol 1990; 24:289-294
62. Kluft J, Beker L, Castagnino M, et al. A comparison of bronchial drainage treatments in cystic fibrosis. Pediatr Pulmonol 1996; 22:271-274
63. Phillips GE, Pike SE, Jaffe A, et al. Comparison of active cycle of breathing and high-frequency oscillation jacket in children with cystic fibrosis. Pediatr Pulmonol 2004; 37:71-75
64. Scherer TA, Barandun J, Martinez E, et al. Effect of high-frequency oral airway and chest wall oscillation and conventional chest physical therapy on expectoration in patients with stable cystic fibrosis. Chest 1998; 113:1019-1027
65. Tzeng AC, Bach JR, Prevention of pulmonary morbidity for patients with neuromuscular disease. Chest 2000; 118:1390-1396
66. Miske LJ, Hickey EM, Kolb SM, et al. Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough. Chest 2004; 125:1406-1412
67. Jaeger RJ, Turba RM, Yarkony GM, et al. Cough in spinal cord injured patients: comparison of three methods to produce cough. Arch Phys Med Rehabil 1993; 74:1358-1361
68. Linder SH. Functional electrical stimulation to enhance cough in quadriplegia. Chest 1993; 103(suppl):166-169
69. DiMarco AF, Romaniuk JR, Supinski GS. Electrical activation of the expiratory muscles to restore cough, Am J Respir Crit Care Med 1995; 151:1466-1471