PMID: 3319913Jan 1, 1987Paper

Chest physiotherapy--the mechanical approach to antiinfective therapy in cystic fibrosis

Infection
M S Zach, B Oberwaldner

Abstract

Chest physiotherapy is a treatment program that attempts to compensate for impaired mucociliary clearance. By removing mucopurulent secretions, it reduces airway obstruction and its consequences, such as atelectasis and hyperinflation; furthermore, physiotherapy can decrease the rate of proteolytic tissue damage by removing infected secretions. Conventional physiotherapy (clapping, vibration and compression, together with postural drainage and assisted coughing) is the most efficient physiotherapy for sick infants and young children. Later, mechanical chest percussion can reduce the patient's dependency on others. The forced expiration technique is another method of self-treatment, employing expiratory techniques to blow secretions out of the bronchi. Autogenic drainage, a special breathing technique, aims at avoiding airway compression by reducing positive expiratory transthoracic pressure. PEP-mask-physiotherapy achieves the same goal by expiring against an external airflow obstruction. Last but not least, physical exercise can clear the lungs of some CF patients and thus offers an attractive adjunct to physiotherapy.

References

Apr 1, 1985·The American Review of Respiratory Disease·M S ZachG Polgar
Oct 1, 1983·The Journal of Pediatrics·K J DesmondA L Coates
Aug 1, 1982·Archives of Disease in Childhood·M ZachF Häusler
Oct 1, 1964·The Journal of Pediatrics·L W MATTHEWSS SPECTOR

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Citations

Jan 1, 1990·Pediatric Pulmonology·M S Zach
Jul 18, 1996·The New England Journal of Medicine·B W Ramsey
Oct 22, 2013·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·Susana AznarAlejandro Lucia
Jul 30, 2014·Future Medicinal Chemistry·Deborah A O'Neil, Douglas Fraser-Pitt
Sep 6, 2011·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·Shruti M ParanjapePeter J Mogayzel
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Judith L HoughPaul G Woodgate
Jun 18, 2015·The Cochrane Database of Systematic Reviews·Maggie McIlwaineKerry Dwan
Nov 28, 2019·The Cochrane Database of Systematic Reviews·Maggie McIlwaineSarah J Nevitt
Nov 23, 2015·The Cochrane Database of Systematic Reviews·Annemarie L LeeAnne E Holland
Sep 15, 2018·Experimental and Therapeutic Medicine·Yingmeng NiGuochao Shi

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