Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis

The Cochrane Database of Systematic Reviews
Mark R ElkinsC van der Schans

Abstract

Chest physiotherapy is widely prescribed to assist the clearance of airway secretions in people with cystic fibrosis (CF). Positive expiratory pressure (PEP) devices provide constant back pressure to the airways during expiration. This may improve clearance by building up gas behind mucus via collateral ventilation. Given the widespread use of PEP devices, there is a need to determine the evidence for their effect. To determine the effectiveness and acceptability of PEP devices compared to other forms of physiotherapy as a means of improving mucus clearance and other outcomes in people with CF. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register comprising of references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings. The electronic database CINAHL was also searched from 1982 to 2001. Most recent search of the Group's register: February 2006. Randomised controlled studies in which PEP was compared with any other form of physiotherapy in people with CF. Two authors independently applied the inclusion and exclusion criteria to publications and assessed the quality of the included studies. Forty studies we...Continue Reading

Associated Clinical Trials

Apr 29, 2014·Esther Marco Navarro

Citations

Aug 10, 2007·Thorax·Scott C Bell, Philip J Robinson
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Oct 20, 2014·The Cochrane Database of Systematic Reviews·Naomi R WinfieldGemma L Quin
Apr 8, 2017·The Cochrane Database of Systematic Reviews·Cathy PayneSuzanne Martin
Feb 2, 2017·The Cochrane Database of Systematic Reviews·Mark Elkins, Ruth Dentice
Jun 18, 2015·The Cochrane Database of Systematic Reviews·Maggie McIlwaineKerry Dwan
Dec 22, 2015·The Cochrane Database of Systematic Reviews·Louise Warnock, Alison Gates
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Feb 29, 2020·The Cochrane Database of Systematic Reviews·Mark Elkins, Ruth Dentice
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Feb 27, 2021·Frontiers in Medicine·Stefano BelliBruno Balbi
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Feb 5, 2008·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·R SartoriA Ventura

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