Aerobika as an Evidence Based Physiotherapy Procedure for COPD and the Proposition of a Smart OPEP Device

Abstract

The effectiveness of conventional physiotherapy interventions (CPT) in alleviating Chronic Obstructive Pulmonary Disease (COPD) symptoms has been proved, thus it helps reducing the long-term damage of the lung tissue, improving lung function and enhancing Health-Related Quality of Life (HRQoL). The efficacy of the Oscillatory Positive Expiratory Pressure (OPEP) devices including Aerobika have been proven experimentally. Such mechanical devices are proposed to be an alternative to CPT. Utilization of such devices could be a potential component of a treatment strategy to improve COPD symptom control and reduce risk of re-exacerbations and reduce the economic burden of treating COPD patients. The aim of this study is to review the Evidence Based Practice (EBP) of OPEPs generally and for Aerobika specifically, and to present a modified smart model of the Aerobika device, thus enhancing its functionality. Randomized control trials, systematic reviews and other literature articles have been examined for EBP of the CPT and OPEP devices, where the effectiveness of OPEP including the Aerobika in treating COPD is reviewed and presented in this paper. Literature suggest that a modified smart Aerobika is a promising device that can enhance its effectiveness and functionality. The proposed modified Aerobika has been established by adding a piezoresistive pressure sensor to provide pressure readings that allow for automatic selection of suitable resistance level. Thus far, an ultra-nano servo motor was used in the modified device to adjust the oscillating range. Utilization of OPEP and Aerobika by physiotherapy practitioners help enhancing Physiotherapy outcomes, thus, developing smart forms of such devices gives enhanced functionality, and should be included in the treatment strategies for COPD.