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Heart Lung. 2000 Mar-Apr;29(2):125-35.

Bronchopulmonary hygiene physical therapy in bronchiectasis and chronic obstructive pulmonary disease: a systematic review.

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  • 1Department of Respiratory Care, University of Texas at San Antonio, Texas, USA.

Abstract

OBJECTIVES:

This study had two objectives: (1) to examine the effects of bronchopulmonary hygiene physical therapy on patients with chronic obstructive pulmonary disease and bronchiectasis; (2) to determine any differences between manual and mechanical techniques for bronchopulmonary hygiene physical therapy.

DESIGN:

The study design was a systematic review of the literature that used an exhaustive search for trials and review methods prescribed by the Cochrane Collaboration.

INCLUSION CRITERIA:

Randomized controlled trials examined patient groups, interventions, and dependent variables.

PATIENTS:

Patients included those with chronic obstructive pulmonary diseases (emphysema or chronic bronchitis) or bronchiectasis.

INTERVENTIONS:

Any of the following interventions or combinations thereof were included: manual interventions, such as postural drainage, chest percussion, vibration, chest shaking, directed coughing, or forced exhalation technique.

CONTROLS:

Controls of the study were as follows: no intervention; placebo; coughing; and mechanical interventions, such as mechanical vibration.

RESULTS:

The search identified 99 potential trials; inclusion or exclusion analysis left 7, which examined a total of 126 patients. Mean score on trial quality was 1.4 (5 = greatest). Three separate trials (N = 51) found statistically significant effects for bronchopulmonary hygiene physical therapy on sputum production and radioaerosol clearance. No trials (N = 126) found statistically significant effects on pulmonary function variables or differences between manual and mechanical techniques.

CONCLUSIONS:

Considering the small sizes, low quality, and mixed results from the trials, the research on bronchopulmonary hygiene physical therapy is inconclusive. There is a need for adequately sized, high-quality, randomized controlled trials with uniform patient populations to examine the effects of bronchopulmonary hygiene physical therapy.

PMID:
10739489
[PubMed - indexed for MEDLINE]
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