Yıl: 2018 Cilt: 19 Sayı: 3 Sayfa Aralığı: 103 - 109 Metin Dili: İngilizce DOI: 10.5152/TurkThoracJ.2018.17050 İndeks Tarihi: 27-09-2019

The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study

Öz:
OBJECTIVES: The objective of the study was to compare the efficacy of an oscillating positive expiratory device and the active cycle ofbreathing techniques (ACBT) in patients with bronchiectasis.MATERIALS AND METHODS: A home-based study that lasted for 4 weeks was designed to compare the oscillating physiotherapy deviceFlutter® and the ACBT in 40 patients, who were randomly assigned into two groups containing 20 patients each. The effect of the twomethods of physiotherapy on sputum production, pulmonary functions, and the quality of life was compared.RESULTS: The results of the present study indicate that both the methods were associated with a reduced number of patients complainingof cough and fatigue and increased sputum production (p=0.000, p=0.004, and p=0.002, respectively). In addition, statisticallysignificant reductions were determined by the Medical Research Council and Borg Dyspnea scores (p=0.001 and 0.002, respectively).The Flutter® device caused a more significant effect on the perception of dyspnea. Overall, there was an improvement in the physicalsub-scale of the Short Form (SF)-36 Quality of Life Questionnaire scores of 36 patients who completed the study (p=0.001). During thephysiotherapy period, no changes in pulmonary functions were observed. Exacerbations were recorded in 3 patients in the ACBT groupand in 1 patient in the Flutter® group.CONCLUSION: The Flutter® device and ACBT represent effective home-based physiotherapeutic methods. The Flutter® device appearsto be more effective with regard to sputum production.
Anahtar Kelime:

Konular: Biyoteknoloji ve Uygulamalı Mikrobiyoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Tsang KW, Bilton D. Clinical challenges in managing bronchiectasis. Respirology 2009;14:637-50. [CrossRef]
  • 2. Savcı S, İnce D. The efficacy of different chest physiotherapy applications in patients with stable bronchiectasis. Respiratory Diseases (Stabil bronsektazili hastalarda farklı göğüs fizyoterapisi uygulamalarının etkinliği. Solunum Hastalıkları) 2001;12:118-22.
  • 3. Thompson CS, Harrison S, Ashley J, et al. Randomised crossover study of the Flutter® device and the active cycle of breathing technique in noncystic fibrosis bronchiectasis. Thorax 2002;57:446-8. [CrossRef]
  • 4. App E, Kieselmann R, Reinhardt D, et al. Sputum Rheology Changes in Cystic Fibrosis Lung Disease Following Two Different Types of Physiotherapy: Flutter® vs Autogenic Drainage. Chest 1998;114:171-7. [CrossRef]
  • 5. Mcllwaine PM, Wong LT, Peacock D, et al. Long-term comparative trial of positive expiratory pressure versus oscillating positive expiratory pressure (flutter) physiotherapy in the treatment of cystic fibrosis. J Pediatr 2001;138:845-50. [CrossRef]
  • 6. AbdelHalim HA, AboElNaga HH, Fathy KA. Comparison between active cycles of breathing with postural drainage versus conventional chest physiotherapy in subjects with bronchiectasis, Egyptian J Chest Dis Tuberc 2016;65:157-65. [CrossRef]
  • 7. Pryor JA, Webber BA, Hodson ME, et al. Evaluation of the forced expiration technique as an adjunct to postural drainage in treatment of cystic fibrosis, Br Med J 1979;2:417-8. [CrossRef]
  • 8. AbdelHalim HA. Physiotherapy for Respiratory and Cardiac Problems. Pryor JA, Prasad SA, editors. Edinburgh, 1998.
  • 9. Bipin P, Mohamed CK, Renuka DM, et al. Efficacy of active cycle of breathing technique and postural drainage in patients with bronchiectasis-A comparative study, IJMHS 2012;2:129-32.
  • 10. Ware JE Jr, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Med Care 1992;30:473-83. [CrossRef]
  • 11. Koçyiğit H, Aydemir Ö, Fişek G, et al. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36) (Form-36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği). Drug and Treatmant Journal 1999;12:102-6.
  • 12. Lee A, Button BM, Denehy L. Current Australian and New Zealand physiotherapy practice in the management of patients with bronchiectasis and chronic obstructive pulmonary disease. J Physiother 2008;36:46-58.
  • 13. Pryor JA. Physiotherapy for airway clearance in adults. Eur Respir J 1999;14:1418-24. [CrossRef]
  • 14. Eaton T, Young P, Zeng I, et al. A randomized evaluation of the acute efficacy, acceptability and tolerability of Flutter and active cycle of breathing with and without postural drainage in non-cystic fibrosis bronchiectasis. Chron Respir Dis 2007;4:23-30. [CrossRef]
  • 15. Lee AL, Burge AT, Holland AE. Positive expiratory pressure therapy versus other airway clearance techniques for bronchiectasis. Cochrane Database Syst Rev 2017;9:CD011699. [CrossRef]
  • 16. Patterson JE, Bradley JM, Hewitt O, et al. Airway Clearance in Bronchiectasis: A Randomized Crossover Trial of Active Cycle of Breathing Techniques versus Acapella. Respiration 2005;72:239-42. [CrossRef]
  • 17. Konstan MW, Stern RC, Doershuk CF. Efficacy of the Flutter device for airway mucus clearance in patients with cystic fibrosis. J Pediatr 1994;124:689-93. [CrossRef]
  • 18. O’Donnell DE. Breathlessness in patients with chronic airflow limitation. Mechanisms and management. Chest 1994;106:904- 12. [CrossRef]
  • 19. Karapolat H, Gürgün A, Eyigör S, et al. The Effect of Short-Term Pulmonary Rehabilitation on Pulmonary Function Tests, Blood Gases, Functional Capacity, Dyspnea, Quality of Life and Psychological Symptoms in Chronic Pulmonary Diseases: A Retrospective Study (Kronik Pulmoner Hastalıklarda Kısa Dönem Pulmoner Rehabilitasyonun Pulmoner Fonksiyon Testleri, Kan Gazı, Fonksiyonel Kapasite, Dispne, Yasam Kalitesi ve Psikolojik Semptomlar Üzerine Etkisi: Retrospektif Çalışma) Turk J Phys Med Rehab 2010;56:6-10.
  • 20. Koulouris NG, Retsou S, Kosmas E, et al. Tidal expiratory flow limitation, dyspnoea and exercise capacity in patients with bilateral bronchiectasis. Eur Respir J 2003;21:743-8. [CrossRef]
  • 21. Murray MP, Pentland JL, Hill AT. A randomised crossover trial of chest physiotherapy in non-cystic fibrosis bronchiectasis. Eur Respir J 2009;34:1086-92. [CrossRef]
  • 22. Lee AL, Cecins N, Hill CJ, et al. The effects of pulmonary rehabilitation in patients with non-cystic fibrosis bronchiectasis: protocol for a randomised controlled trial. BMC Pulm Med 2010;10:5. [CrossRef]
APA Akgündüz B, ALTIAY G, ÖZDEMİR L, tuna h, Süt N (2018). The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. , 103 - 109. 10.5152/TurkThoracJ.2018.17050
Chicago Akgündüz Bilge,ALTIAY Gündeniz,ÖZDEMİR Levent,tuna hakan,Süt Necdet The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. (2018): 103 - 109. 10.5152/TurkThoracJ.2018.17050
MLA Akgündüz Bilge,ALTIAY Gündeniz,ÖZDEMİR Levent,tuna hakan,Süt Necdet The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. , 2018, ss.103 - 109. 10.5152/TurkThoracJ.2018.17050
AMA Akgündüz B,ALTIAY G,ÖZDEMİR L,tuna h,Süt N The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. . 2018; 103 - 109. 10.5152/TurkThoracJ.2018.17050
Vancouver Akgündüz B,ALTIAY G,ÖZDEMİR L,tuna h,Süt N The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. . 2018; 103 - 109. 10.5152/TurkThoracJ.2018.17050
IEEE Akgündüz B,ALTIAY G,ÖZDEMİR L,tuna h,Süt N "The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study." , ss.103 - 109, 2018. 10.5152/TurkThoracJ.2018.17050
ISNAD Akgündüz, Bilge vd. "The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study". (2018), 103-109. https://doi.org/10.5152/TurkThoracJ.2018.17050
APA Akgündüz B, ALTIAY G, ÖZDEMİR L, tuna h, Süt N (2018). The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. Turkish Thoracic Journal, 19(3), 103 - 109. 10.5152/TurkThoracJ.2018.17050
Chicago Akgündüz Bilge,ALTIAY Gündeniz,ÖZDEMİR Levent,tuna hakan,Süt Necdet The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. Turkish Thoracic Journal 19, no.3 (2018): 103 - 109. 10.5152/TurkThoracJ.2018.17050
MLA Akgündüz Bilge,ALTIAY Gündeniz,ÖZDEMİR Levent,tuna hakan,Süt Necdet The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. Turkish Thoracic Journal, vol.19, no.3, 2018, ss.103 - 109. 10.5152/TurkThoracJ.2018.17050
AMA Akgündüz B,ALTIAY G,ÖZDEMİR L,tuna h,Süt N The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. Turkish Thoracic Journal. 2018; 19(3): 103 - 109. 10.5152/TurkThoracJ.2018.17050
Vancouver Akgündüz B,ALTIAY G,ÖZDEMİR L,tuna h,Süt N The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study. Turkish Thoracic Journal. 2018; 19(3): 103 - 109. 10.5152/TurkThoracJ.2018.17050
IEEE Akgündüz B,ALTIAY G,ÖZDEMİR L,tuna h,Süt N "The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study." Turkish Thoracic Journal, 19, ss.103 - 109, 2018. 10.5152/TurkThoracJ.2018.17050
ISNAD Akgündüz, Bilge vd. "The Efficacy of Flutter® and Active Cycle of Breathing Techniques in Patients with Bronchiectasis: A Prospective, Randomized, Comparative Study". Turkish Thoracic Journal 19/3 (2018), 103-109. https://doi.org/10.5152/TurkThoracJ.2018.17050