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Friday, 01. July 2016

Cochrane review confirms: PEP physiotherapy can help to reduce pulmonary flare ups in cystic fibrosis

Scientists from the Cochrane Collaboration concluded that positive expiratory pressure (PEP PEP
PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
) are more effective than other airway clearance techniques in reducing pulmonary exacerbations in patients with cystic fibrosis cystic fibrosis
Genetic disorder that affects most critically the lungs, leading to thick, viscous secretions.
(CF).

 

Chest physiotherapy is frequently used in patients with cystic fibrosis cystic fibrosis
Genetic disorder that affects most critically the lungs, leading to thick, viscous secretions.
to improve ease of breathing by assisting in airway clearance. There are different techniques that can be taken. Given the widespead use of PEP PEP
PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
devices, this review determines the evidence of their effect.
Results:

  • PEP PEP
    PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
    devices decrease pulmonary exacerbations over the period of one year
  • Similar FEV1 FEV1
    Forced expiratory volume in 1 second. FEV1 is by far the most frequently used index for assessing airway obstruction, bronchoconstriction or bronchodilatation.
    values compared to other methods of airway clearance
  • Patients preferred PEP PEP
    PEP: Positive expiratory pressure. By breathing out with a moderate force through a resistance, a positive pressure is generated in the airways, helping to keep them open. This positive pressure allows airflow to get beneath the areas of mucus obstruction and move the mucus toward the larger airways, where it can be coughed out.
    device

The researchers concluded that the patient’s preference for the used method is probably the most important factor because it directly affects the physiotherapeutic outcome.
The PARI PEP system combined with a PARI nebulizer offers a convenient and simple tool to make the most of this described effect


Source: McIlwaine M, Button B, Dwan K. Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis cystic fibrosis
Genetic disorder that affects most critically the lungs, leading to thick, viscous secretions.
. Status Date New Search Stud Content Updat Conclus Chang Publ In. 2015;(6).