Effect Of Chest Physiotherapy Research Articles

Effect of Chest Physiotherapy on Quality of Life, Exercise Capacity and Pulmonary Function in Patients with Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis.

Idiopathic pulmonary fibrosis (IPF) is one of the most deleterious diseases of the pulmonary fibrosis spectrum. Its clinical presentation includes irreversible loss of lung function, and increasing cough, dyspnea and impaired quality of life. Chest physiotherapy can improve ventilation capacity, gas exchange, dyspnea, exercise capacity and quality of life. The aim of this study was to review the evidence about chest physiotherapy in IPF, specifically meta-analyzing quality of life, exercise capacity and pulmonary function. A wide search was conducted in PubMed, Embase, Cochrane and Web of Science for articles included until October 2023. PROSPERO Identifier: CRD42022333496. The Downs and Black scale and the Cochrane tool were employed to evaluate quality assessments and to assess the risk of bias. Data were pooled, and a meta-analysis was conducted. We selected 10 studies in which a chest physiotherapy program was performed with a total of 340 patients; of these, three articles were meta-analyzed. Significant effects in favor of chest physiotherapy were found for quality of life (MD = -8.60, 95% CI = -11.30, -5.90; p < 0.00001; I2 = 24%), exercise capacity (MD = 37.62, 95% CI = 15.10, 60.13; p = 0.001; I2 = 65%) and pulmonary function (MD = 7.86, 95% CI = 2.54, 13.17; p = 0.004; I2 = 80%). The systematic review showed significant results for the application of chest physiotherapy regarding pulmonary capacity, diffusion of gases and quality of life in IPF patients. The meta-analysis showed a significant improvement associated with applying chest physiotherapy in pulmonary function, exercise capacity and quality of life.

Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review.

Preterm birth carries a higher risk of respiratory problems. The objectives of the study are to summarize the evidence on the effect of chest physiotherapy in the treatment of respiratory difficulties in preterm infants, and to determine the most appropriate technique and whether they are safe. Searches were made in PubMed, WOS, Scopus, Cochrane Library, SciELO, LILACS, MEDLINE, ProQuest, PsycArticle and VHL until 30 April 2022. Eligibility criteria were study type, full text, language, and treatment type. No publication date restrictions were applied. The MINCIR Therapy and PEDro scales were used to measure the methodological quality, and the Cochrane risk of bias and Newcastle Ottawa quality assessment Scale to measure the risk of bias. We analysed 10 studies with 522 participants. The most common interventions were conventional chest physiotherapy and stimulation of the chest zone according to Vojta. Lung compression and increased expiratory flow were also used. Heterogeneities were observed regarding the duration of the interventions and the number of participants. The methodological quality of some articles was not adequate. All techniques were shown to be safe. Benefits were described after conventional chest physiotherapy, Vojta's reflex rolling, and lung compression interventions. Improvements after Vojta's reflex rolling are highlighted in the comparative studies.

Effect of Chest Physiotherapy on patient Hospitalized With Interstitial pulmonary fibrosis in intensive care unit

Effect of Chest Physiotherapy on patient Hospitalized With Interstitial pulmonary fibrosis in intensive care unit

Effects of chest physiotherapy on patient with Chronic Obstructive Pulmonary Disease (COPD)

Effects of chest physiotherapy on patient with Chronic Obstructive Pulmonary Disease (COPD)

Comparison of thoracic epidural and thoracic erector spinae plane block for pain relief of posterolateral rib fractures—a retrospective cohort study

BackgroundPain from rib fractures (posterior/lateral/anterior) is associated with significant pulmonary morbidity. Earlier epidural and paravertebral blocks were implemented in the algorithm for multimodal pain management of rib fracture pain. Administration of these blocks are fraught with challenges encountered in intensive care unit (ICU). The erector spinae plane block (ESPB) is a viable alternative in ICU set up.This retrospective study compared continuous thoracic ESPB and continuous thoracic epidural analgesia (TEA) [n=28 versus n=24] for polytrauma patients who sustained unilateral multiple rib fractures (MRFs), i.e., more than 3 admitted in ICU. Demography data were noted and compared. Outcome measures were block efficacy in terms of pain scores, opioid consumption (intravenous fentanyl), technical difficulties, and complications.ResultsAge, gender, and sides of ribs fractures were comparable in all groups. Pain scores and fentanyl consumption were significantly better in patients who received TEA.ConclusionsThough statistically significant analgesic efficacy was observed with continuous TEA for managing pain due to unilateral posterolateral MRFs, the small sample size was a major limitation. Further prospective comparative study including effects on incentive spirometry and effectiveness of chest physiotherapy is warranted. However, continuous ESPB is simple and safe to perform with few theoretical contraindications.

Chest physiotherapy for pneumonia in adults.

Chest physiotherapy for pneumonia in adults.

Effectiveness of Chest Physiotherapy in Cerebrovascular Accident Patients With Aspiration Pneumonia

Effectiveness of Chest Physiotherapy in Cerebrovascular Accident Patients With Aspiration Pneumonia

Effectiveness of chest physiotherapy using passive slow expiratory techniques in dogs with airway fluid accumulation: A randomized controlled trial.

BackgroundProlonged slow expiration (PSE) and assisted cough (AC) are airway clearance techniques feasible and well tolerated in dogs.ObjectivesTo evaluate the effectiveness of PSE and AC as chest physiotherapy (CP) techniques in dogs with airway fluid accumulation.AnimalsThirty‐one client‐owned dogs hospitalized in an intensive care unit from October 2014 to May 2018.MethodsProspective randomized controlled trial. Dogs presented with or developing acute dyspnea during hospitalization associated with airway fluid accumulation were assigned to CP group (medical treatment and CP, 15 dogs) or control group (medical treatment alone, 16 dogs). The arterial partial pressure of oxygen (PaO2) to fraction of inspired oxygen (FiO2) ratio (P/F ratio; PaO2/FiO2 × 100) was calculated daily for the 1st 48 hours of hospitalization and using the last arterial blood gas performed before discharge or death. The ratio of days of hospitalization with oxygen/total number of hospitalization days (ratio of oxygen‐free‐days [O2Free]) was calculated.ResultsDuring the 1st 48 hours, the P/F ratio increased significantly in the CP group compared to the control group (+ 35.1 mm Hg/day; 95% confidence interval [CI] = 0.4‐57.5; P = .03). The (median; 1st quartile to 3rd quartile) difference between the P/F ratio at discharge and inclusion was significantly higher in the CP group (178 mm Hg; 123‐241) than in the control group (54 mm Hg; −19 ‐ 109; P = .001). Mean O2Free increased by 46.4% in the CP group compared with control group (95% CI = 16‐59; P = .001). Mortality was 13% (2/15) in the CP group and 44% (7/16) in the control group (P = .07).Conclusions and Clinical ImportanceProlonged slow expiration and AC improved P/F ratio within 48 hours and decreased need for oxygenation in dyspneic dogs with acute airway fluid accumulation.

PENERAPAN TEKNIK FISIOTERAPI DADA TERHADAP KETIDAKEFEKTIFAN BERSIHAN JALAN NAFAS PADA ANAK DENGAN PENYAKIT SISTEM PERNAFASAN

Respiratory disease is a condition where there is a problem in respiratory system. Some of disease include in respiratory disease are pneumonia, asthma, and bronchitis. Child who experience respiratory tract disorders often occur an increase in the production of excessive phlegm in the lungs of phlegm which thicknes and accumulates so that it is difficult to remove, therefore to help speed healing assisted by chest physiotherapy. The aim is to know the effect of chest physiotherapy on ineffective of clearance airway on a child with respiratory disorders. This research use literature review as method to know the effect of chest physiotherapy. The result of research After performing chest physiotherapy, airway clearance of child effectively with the criteria for respiratory frequency within normal limits, being able to remove sputum, no additional breath sounds, and coughing decreased. Chest physiotherapy are significantly effective to overcome ineffective airway clearance.&#x0D;

Effectiveness of chest physiotherapy and pulmonary rehabilitation in patients with non-cystic fibrosis bronchiectasis: a narrative review.

Respiratory physiotherapy and rehabilitation are important therapeutic options in non-cystic fibrosis bronchiectasis (NCFB). The aims of this review of clinical trials were to evaluate the safety and the effects on physiologic and clinical outcomes of airway clearance techniques (ACTs) and rehabilitation in NCFB patients, in comparison to usual care. The search was performed on March 2018 by using PubMed and PeDro databases. 33 studies were selected. The use of ACTs for NCFB were effective in increasing sputum volume although no benefit in quality of life (QoL) or pulmonary exacerbations were observed. There were no differences in effectiveness between the several techniques used. Humidification and saline inhalation were able to aid airway clearance. Hypertonic solution (HS) was more effective than isotonic solutions (IS) in improving expectoration and sputum viscosity. Pulmonary rehabilitation (PR) was found to be associated with short term benefits in exercise capacity, dyspnea and fatigue. Exercise training seems to improve quality of life and lower exacerbation rate, but long-term data are not available. Further studies are necessary to identify the most feasible long-term outcomes such as QoL and exacerbation rate.

The Effects of Chest Physiotherapy on Applied to Patients Mechanicalventilated - In Patients with Acute Lung Injury

The Effects of Chest Physiotherapy on Applied to Patients Mechanicalventilated - In Patients with Acute Lung Injury

EPS3.09 The effect of chest physiotherapy with the Simeox airway clearance technology in the treatment of cystic fibrosis pulmonary exacerbation - open-label study

ePS3.09 The effect of chest physiotherapy with the Simeox airway clearance technology in the treatment of cystic fibrosis pulmonary exacerbation - open-label study

The effect of time-of-day and chest physiotherapy on multiple breath washout measures in children with clinically stable cystic fibrosis.

BackgroundIn this pilot study we investigated daytime variation of multiple breath nitrogen washout (N2MBW) measures in children with clinically stable cystic fibrosis. To our knowledge the effect of time-of-day on multiple breath washout measures in patients with cystic fibrosis has not previously been reported. Furthermore, we assessed the influence of chest physiotherapy on N2MBW measures.MethodsTen school children with cystic fibrosis performed N2MBW followed by spirometry and plethysmography in the morning and afternoon at three visits that were one month apart. Chest physiotherapy was performed immediately before the afternoon measurements at visit 2 and immediately before morning and afternoon measurements at visit 3. The influence of time-of-day and chest physiotherapy on the measures was evaluated using linear mixed models.ResultsThere were adequate quality data from 8 children with median age (range) 9.6 (6.0; 15.1) years. Baseline lung clearance index (LCI) (range) was 9.0 (7.1; 13.0) and baseline FEV1% predicted was 97.5 (78.5; 117.9). No N2MBW measures were significantly influenced by time-of-day or chest physiotherapy. LCI (95% confidence interval) decreased non-significantly 0.05 (-0.32; 0.22) during the day and increased non-significantly 0.08 (-0.26; 0.42) after chest physiotherapy. All spirometric measures were unaffected by time-of-day and chest physiotherapy. For plethysmographic measures FRCpleth decreased significantly (p<0.01) 110 mL during the day, whereas a borderline significant (p = 0.046) decrease in ΔFRCpleth-MBW during the day and a borderline significant (p = 0.03) increase in TLC after CPT were observed.ConclusionThis study demonstrated that the time-of-day as well as chest physiotherapy performed immediately prior to N2MBW had no consistent or significant influence on N2MBW measures. However, we emphasize that further studies of the effect of both daytime variation and the effect of chest physiotherapy on multiple breath washout measures are warranted.

Effects of chest physiotherapy by expiratory flow increase on secretion removal and lung mechanics in ventilated patients: a randomized crossover study

Effects of chest physiotherapy by expiratory flow increase on secretion removal and lung mechanics in ventilated patients: a randomized crossover study

Immediate Effect of Chest Physiotherapy in Neonates with Respiratory Problems

Immediate Effect of Chest Physiotherapy in Neonates with Respiratory Problems

What Does the Cochrane Collaboration Say about the Effectiveness of Chest Physiotherapy in Respiratory Conditions?

What Does the Cochrane Collaboration Say about the Effectiveness of Chest Physiotherapy in Respiratory Conditions?

Immediate effects of chest physiotherapy on hemodynamic, metabolic, and oxidative stress parameters in subjects with septic shock.

Septic shock presents as a continuum of infectious events, generating tissue hypoxia and hypovolemia, and increased oxidative stress. Chest physiotherapy helps reduce secretion, improving dynamic and static compliance, as well as improving secretion clearance and preventing pulmonary complications. The purpose of this study was to evaluate the immediate effect of chest physiotherapy on hemodynamic, metabolic, inflammatory, and oxidative stress parameters in subjects in septic shock. We conducted a quasi-experimental study in 30 subjects in septic shock, who underwent chest physiotherapy, without associated heart diseases and with vasopressors < 0.5 μg/kg/min. Venous and arterial blood gases, clinical and hemodynamic data, inflammatory data, lactate, and oxidative stress were evaluated before and 15 min after physiotherapy. Thirty subjects with a mean age of 61.8 ± 15.9 y and Sequential Organ Failure Assessment of 8 (range 6-10) were included. Chest physiotherapy caused a normalization of pH (P = .046) and P(aCO2) (P = .008); reduction of lactate (P = .001); and an increase in P(aO2) (P = .03), arterial oxygen saturation (P = .02), and P(aO2)/F(IO2) (P = .034), 15 min after it was applied. The results indicate that chest physiotherapy has immediate effects, improving oxygenation and reducing lactate and oxidative damage in subjects in septic shock. However, it does not cause alterations in the inflammatory and hemodynamic parameters.

WS3.6 The effect of inhaled dry powder mannitol (IDPM) on ventilation inhomogeneity (VI) in adults with cystic fibrosis

Objectives: Inhaled hypertonic saline (HS) improves lung function and decreases pulmonary exacerbations in older children with cystic fibrosis (CF). Early initiation of treatment may reduce lung function decline and improve outcome. The primary outcome was to determine if HS has a beneficial effect on lung function. Secondary outcome measures included respiratory symptoms, anthropometric measurements, new isolation of Pseudomonas aeruginosa, rate of exacerbations, adverse events and adherence. Methods: In this two-center, parallel-group, open label study, 27 patients with diagnosis of CF aged 3 to 6 years were randomly assigned to receive 7% hypertonic saline (active group) or 0.9% isotonic saline (control group), nebulized twice daily for 24 weeks. Salbutamol was given prior to each study drug dose. Results: Twenty-one patients completed the study. Lung function (reflected by FEV1, and impulse oscillometry parameters Rrs at 5 and 10 Hz) did not differ significantly between groups throughout the study. However, the absolute difference in FEV1 at the end of the study compared to baseline FEV1 was higher in the active group [2.4% (95%CI, −8.6 to 13.5) vs −9.25% (95%CI, −15.7 to −2.7)]. There was a subjective improvement in the effectiveness of chest physiotherapy from baseline in the active group (p = 0.05). There was no significant difference in other secondary end points. Treatment with HS was well tolerated. The adverse event profile was similar in each group. Adherence was at least 80%, with no difference between groups (p = 0.21). Conclusion: Treatment with HS results in a slight but not significant improvement in pulmonary function compared with isotonic saline. WS3.6 The effect of inhaled dry powder mannitol (IDPM) on ventilation inhomogeneity (VI) in adults with cystic fibrosis K. Poplawska1, C. Geissler-Tertilt2, O. Nitsche1, T. Theobald1. 1University Children’s Hospital Mainz, Pediatric Pneumology, Mainz, Germany; 2University Hospital Mainz, Mainz, Germany

WS14.2 Tolerability of inhaled dry powder Bronchitol (mannitol)

WS14.1 Day-time variability and short term effect of chest physiotherapy on multiple breath nitrogen washout in children with cystic fibrosis C. Voldby1, K. Green1, T. Kongstad1, L. Philipsen1, F.F. Buchvald1, M. Skov1, T. Pressler1, P. Gustafsson2, K.G. Nielsen1. 1Copenhagen University Hospital, Rigshospitalet, CF-Center Copenhagen, Pediatric Pulmonary Service, Copenhagen, Denmark; 2Central Hospital Skovde, Department of Pediatrics, Skovde, Sweden

WS14.1 Day-time variability and short term effect of chest physiotherapy on multiple breath nitrogen washout in children with cystic fibrosis

WS14.1 Day-time variability and short term effect of chest physiotherapy on multiple breath nitrogen washout in children with cystic fibrosis C. Voldby1, K. Green1, T. Kongstad1, L. Philipsen1, F.F. Buchvald1, M. Skov1, T. Pressler1, P. Gustafsson2, K.G. Nielsen1. 1Copenhagen University Hospital, Rigshospitalet, CF-Center Copenhagen, Pediatric Pulmonary Service, Copenhagen, Denmark; 2Central Hospital Skovde, Department of Pediatrics, Skovde, Sweden