Document Detail

Airway clearance in bronchiectasis: a randomized crossover trial of active cycle of breathing techniques (incorporating postural drainage and vibration) versus test of incremental respiratory endurance.
MedLine Citation:
PMID:  16281653     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The purpose of this study was to compare the efficacy of the test of incremental respiratory endurance (TIRE) with active cycle of breathing techniques (ACBT) [incorporating postural drainage (PD) and vibration] as methods of airway clearance in adults with bronchiectasis. DESIGN: A randomized crossover study in which a single session of ACBT (incorporating PD and vibration) was compared to a single session of TIRE was carried out in 20 patients (14 female) with stable, productive bronchiectasis. MEASUREMENTS: Weight of sputum (treatment plus 30 min) was the primary outcome measure recorded. Pre- and post-treatment measures of lung function and SpO2 were also recorded. RESULTS: All 20 patients were stable during the study period. Sputum weight expectorated during and 30 min post-ACBT (incorporating PD and vibration) treatment was significantly greater than the sputum weight expectorated during and 30 min post-TIRE treatment [mean difference 2.44 g (95% CI 0.43-4.45)]. CONCLUSION: ACBT (incorporating PD and vibration) is a more effective method of airway clearance in bronchiectasis than TIRE during single treatment sessions.
J E Patterson; J M Bradley; J S Elborn
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Chronic respiratory disease     Volume:  1     ISSN:  1479-9723     ISO Abbreviation:  Chron Respir Dis     Publication Date:  2004  
Date Detail:
Created Date:  2005-11-11     Completed Date:  2005-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101197408     Medline TA:  Chron Respir Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  127-30     Citation Subset:  IM    
School of Rehabilitation Sciences, University of Ulster at Jordanstown, Northern Ireland BT37 0QB, UK.
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MeSH Terms
Bronchiectasis / metabolism,  therapy*
Chest Wall Oscillation / methods*
Cross-Over Studies
Drainage, Postural / methods*
Middle Aged
Sputum / secretion
Treatment Outcome
Comment In:
Chron Respir Dis. 2004;1(3):123-4   [PMID:  16281651 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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