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Titolo:
Comparison of high-frequency chest wall oscillation and oscillating positive expiratory pressure in the home management of cystic fibrosis: A pilot study
Autore:
Oermann, CM; Sockrider, MM; Giles, D; Sontag, MK; Accurso, FJ; Castile, RG;
Indirizzi:
Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA Ohio State Univ Columbus OH USA 43210 Dept Pediat, Columbus, OH 43210 USA Childrens Hosp, Mike McMorris Cyst Fibrosis Res & Treatment Ctr, Denver, CO 80218 USA Childrens Hosp Denver CO USA 80218 & Treatment Ctr, Denver, CO 80218 USA Univ Colorado, Dept Pediat, Denver, CO 80202 USA Univ Colorado Denver CO USA 80202 rado, Dept Pediat, Denver, CO 80202 USA Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 , Dept Pediat, Houston, TX 77030 USA
Titolo Testata:
PEDIATRIC PULMONOLOGY
fascicolo: 5, volume: 32, anno: 2001,
pagine: 372 - 377
SICI:
8755-6863(200111)32:5<372:COHCWO>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
FLUTTER DEVICE; HOSPITALIZED-PATIENTS; PHYSICAL THERAPY; PHYSIOTHERAPY; COMPRESSION; ADULTS;
Keywords:
chest physiotherapy; compliance; cystic fibrosis; high-frequency chest wall oscillation; oscillating positive expiratory pressure; patient satisfaction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Oermann, CM TCH Feigin Ctr, Suite 410,6621 Fannin,MC 3-2571, Houston, TX 77030 USA TCH Feigin Ctr Suite 410,6621 Fannin,MC 3-2571 Houston TX USA 77030
Citazione:
C.M. Oermann et al., "Comparison of high-frequency chest wall oscillation and oscillating positive expiratory pressure in the home management of cystic fibrosis: A pilot study", PEDIAT PULM, 32(5), 2001, pp. 372-377

Abstract

Enhanced airway clearance is thought to result in better-maintained pulmonary function in cystic fibrosis (CF). Postural drainage, percussion, and vibration (PDPV) have been the primary airway clearance technique (ACT) employed in CF for over 40 years. Two new airway clearance modalities are high-frequency chest wall oscillation (HFCWO) and oscillating positive expiratorypressure (OPEP). This pilot study was undertaken to evaluate the efficacy of these techniques during home use, assess patient satisfaction with them as compared to PDPV, and assess the feasibility of performing a definitive comparative trial. The prospective, randomized, multicenter crossover trialwas conducted at three urban academic CF Care Centers. Twenty-nine CF patients, 9-39 years of age, participated. Subjects performed 4 weeks each of HFCWO and OPEP following 2-week lead-in/washout periods. Spirometry, lung volumes, National Institutes of Health and Petty Scores, and a satisfaction survey were performed at baseline and after each treatment period. An ACT preference survey was completed at the conclusion of the study. Twenty-four subjects completed both therapies. There were no statisticallysignificant differences between therapies for spirometry, lung volumes, orclinical scores. No significant safety issues arose during the study period. Compliance between therapies was similar. Significant differences among therapies existed in patient satisfaction. Given a choice of therapy, 50% of subjects chose HFCWO, 37% OPEP, and 13% PDPV. This study suggests that HFCWO and OPEP are safe and as effective as patients' routine therapies when used for airway clearance in a home setting. Patient satisfaction and preference differ among ACTs and should be considered when prescribing home therapy. A definitive, multi-center, comparative study evaluating long-term efficacy of these techniques is feasible. (C) 2001Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 19:06:41