Mechanical behaviors of flutter VRP1, shaker, and acapella devices

Respiratory Care

Volumn 58, Issue 2, 2013, Pages 298-304

  Santos, Alexandre Pereira dos ^a,b   Guimarães, Rogério Contato ^c   Carvalho, Eliane Maria de ^d   Gastaldi, Ada Clarice ^e  

^a Campos dos Goytacazes   (Brazil)

^b Institutos Superiores de Ensino do Censa   (Brazil)

^c RHC Reference Metals Company Inc   (Brazil)

^d FEDERAL UNIVERSITY OF UBERLÂNDIA   (Brazil)

^e UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Acapella; Flutter VRP1; High frequency oscillation; Mucociliary transport; PEP; Positive expiratory pressure; Shaker

Indexed keywords

AMPLITUDE MODULATION; ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; FLOW RATE; FUNCTIONAL ASSESSMENT; HIGH FREQUENCY OSCILLATION; LUNG CLEARANCE; LUNG FUNCTION TEST; MECHANICAL VENTILATOR; MEDICAL DEVICE; OARS MULTIDIMENSIONAL FUNCTIONAL ASSESSMENT QUESTIONNAIRE; POSITIVE END EXPIRATORY PRESSURE; PRESSURE MEASUREMENT; RESPIRATORY AIRFLOW;

HIGH-FREQUENCY VENTILATION; HUMANS; MECHANICAL PHENOMENA; MUCUS; POSITIVE-PRESSURE RESPIRATION; PRESSURE;

EID: 84873660621     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.01685     Document Type: Article

References (27)

1. Macchione M, Guimarães ET, Saldiva PHN, Lorenzi-Filho G. Methods for studying respiratory mucus and mucus clearance. Braz J Med Biol Res 1995;28(11-12):1347-1355.
2. Hess DR. Airway clearance: physiology, pharmacology, techniques, and practice. Respir Care 2007;52(10):1392-1396.
3. Voynow JA, Rubin BK. Mucins, mucus, and sputum. Chest 2009; 135(2):505-512.
4. Van der Schans CP. Airway clearance: assessment of techniques. Paediatr Respir Rev 2002;3(2):110-114.
5. Hess DR. Secretion clearance techniques: absence of proof or proof of absence? Respir Care 2002;47(7):757-758.
6. McCool FD, Rosen MJ. Nonpharmacologic airway clearance therapies: ACCP evidence-based clinical practice guidelines. Chest 2006; 129(1 Suppl):250S-259S.
7. Farbotko K, Wilson C, Watter P, MacDonald J. Change in physiotherapy management of children with cystic fibrosis in a large urban hospital. Physiother Theory Pract 2005;21(1):13-21.
8. Chatburn RL. High-frequency assisted airway clearance. Respir Care 2007;52(9):1224-1235; discussion 1235-1237.
9. Morrison L, Agnew J. Oscillating devices for airway clearance in people with cystic fibrosis. Cochrane Database Syst Rev 2009;(1): CD006842.
10. Lindemann H. [The value of physical therapy with VRP 1-Desitin ("Flutter").] Pneumologie 1992;46(12):626-630. Article in German.
11. Lépore Neto FP, dE Lima LC, Gastaldi AC. Dynamic behavior of a respiratory physiotherapy device. Revista Ciência de Engenharia 2000;9(1):62-67. Article in Portuguese.
12. Volsko TA, DiFiore J, Chatburn RL. Performance comparison of two oscillating positive expiratory pressure devices: Acapella versus Flutter. Respir Care 2003;48(2):124-130.
13. Brooks D, Newbold E, Kozar LF, Rivera M. The flutter device and expiratory pressures. J Cardiopulm Rehabil 2002;22(1):53-57.
14. de Lima LC, Duarte JB, Lépore Neto FP, Abe PT, Gastaldi AC. Mechanical evaluation of a respiratory device. Med Eng Phys 2005; 27(2):181-187.
15. Alves LA, Pitta F, Brunetto AF. Performance analysis of the flutter VRP1 under different flows and angles. Respir Care 2008;53(3):316-323.
16. Alves Silva CE, Santos JG, Jansen JM, de Melo PL. Laboratory evaluation of the Acapella device: pressure characteristics under different conditions, and a software tool to optimize its practical use. Respir Care 2009;54(11):1480-1487.
17. Alves CE, Nunes LQ, Melo PL. Mechanical analysis of an oscillatory positive expiratory pressure device used in respiratory rehabilitation. Conf Proc IEEE Eng Med Biol Soc 2010;(2010): 2477-2480.
18. King M, Phillips DM, Gross D, Vartian V, Chang HK, Zidulka A. Enhanced tracheal mucus clearance with high frequency chest wall compression. Am Rev Respir Dis 1983;128(3):511-515.
19. King M, Phillips DM, Zidulka A, Chang HK. Tracheal mucus clearance in high-frequency oscillation. II: Chest wall versus mouth oscillation. Am Rev Respir Dis 1984;130(5):703-706
20. Dasgupta B, Tomkiewicz RP, Boyd WA, Brown NE, King M. Effects of combined treatment with rhDNase and airflow oscillations on spinnability of cystic fibrosis sputum in vitro. Pediatr Pulmonol 1995;20(2):78-82.
21. Dasgupta B, Brown NE, King M. Effects of sputum oscillations and rhDNase in vitro: a combined approach to treat cystic fibrosis lung disease. Pediatr Pulmonol 1998;26(4):250-255.
22. Dasgupta B, Tomkiewicz RP, Boyd WA, Brown NE, King M. Sputum rheology changes in cystic fibrosis lung disease following two different types of physiotherapy: flutter vs autogenic drainage. Chest 1998;114(1):171-177.
23. App M, Kieselmann R, Reinhardt D, Lindemann H, Dasgupta B, King M, Brand P. Sputum rheology changes in cystic fibrosis lung disease following two different types of physiotherapy: flutter vs autogenic drainage. Chest 1998;114(1):171-177.
24. Fink JB, Mahlmeiter MJ. High-frequency oscillation of the airway and chest wall. Respir Care 2002;47(7):797-807.
25. Patterson JE, Bradley JM, Hewitt O, Elborn JS. Airway clearance in bronchiectasis: a randomized crossover trial of active cycle of breathing techniques versus Acapella. Respiration 2005;72(3):239-242.
26. McCarren B, Alison JA. Physiological effects of vibration in subjects with cystic fibrosis. Eur Respir J 2006;27(6):1204-1209.
27. Scherer TA, Barandun J, Martinez E, Wanner A, Rubin EM. 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(4):1019-1027.