Document Detail


Long-term comparative trial of two different physiotherapy techniques; postural drainage with percussion and autogenic drainage, in the treatment of cystic fibrosis.
MedLine Citation:
PMID:  20836133     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
METHODS: Thirty-six CF patients, aged 12-18 years, with Shwachman score 65-98, were enrolled in a 2-year cross-over trial. Patients were matched as pairs and members of each pair were randomly assigned to two groups. For the first study year, Group A performed PD while Group B performed AD. At the end of 1 year Groups A and B crossed over physiotherapy techniques. Clinical status and pulmonary function (FVC, FEV(1), FEF(25-75)) were measured at 3 monthly intervals. Only results from the first year of the study are reported, as 10 out of 17 patients who had completed performing AD for the first year refused to change back to PD for the second year.
RESULTS: During the first year of the study, both the AD and PD groups demonstrated improved pulmonary function with no significant difference between the two groups. Change in FVC and FEV(1) percent predicted for Groups A and B was 0.47 ± 1.65(se) versus 2.35 ± 1.51(se) and 2.09 ± 2.2(se) versus 0.92 ± 2.25(se). However, CF patients exhibited a marked preference for the AD technique. Results suggest that both AD and PD are effective methods of performing physiotherapy for CF patients and that the benefits of either technique are enhanced by measures which encourage adherence.
Authors:
Maggie McIlwaine; Lawrence T Wong; Mark Chilvers; George F Davidson
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  45     ISSN:  1099-0496     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-27     Completed Date:  2011-02-16     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1064-9     Citation Subset:  IM    
Affiliation:
Cystic Fibrosis Clinic, BC's Children's Hospital, Vancouver, BC, Canada. mmcilwaine@cw.bc.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Cross-Over Studies
Cystic Fibrosis / therapy*
Drainage, Postural / methods*
Female
Humans
Lung / physiopathology
Male
Patient Compliance
Patient Preference
Percussion
Respiratory Function Tests
Treatment Outcome

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


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