Introduction:
Cystic Fibrosis (CF) is a genetic disorder which causes mucus in the body to be very sticky, which can lead to chest infections and lung damage and can affect the way food is used by the body. In 1964 the average life expectancy of a baby born with CF was only 5 years, whereas today it is 31 years. The dramatic increase in life expectancy in a relatively short period of time has led to a shortage of specialist facilities for adults and teenagers.
BACKGROUND--
Autogenic drainage has been suggested as an alternative method of chest physiotherapy in patients with cystic fibrosis. In this study autogenic drainage was compared with the active cycle of breathing techniques (ACBT) together with postural drainage.
METHODS--
Eighteen patients with cystic fibrosis took part in a randomised two- day crossover trial. There were two sessions of one method of physiotherapy on each day, either autogenic drainage or ACBT. The study days were one week apart. On each day the patients were monitored for six hours. Mucus movement was quantified by a radioaerosol technique. Airway clearance was studied qualitatively using xenon-133 scintigraphic studies at the start and end of each day. Expectorated sputum was collected during and for one hour after each session of physiotherapy. Pulmonary functions tests were performed before and after each session. Oxygen saturation (SaO2) and heart rate were measured before, during, and after each session.
RESULTS--
Autogenic drainage cleared mucus from the lungs faster than ACBT over the whole day. Both methods improved ventilation, as assessed by the xenon-133 ventilation studies. No overall differences were found in the pulmonary function test results, but more patients had an improved forced expiratory flow from 25% to 75% with autogenic drainage, while more showed an improved forced vital capacity with ACBT. No differences were found in sputum weight and heart rate, nor in mean SaO2 over the series, but four patients desaturated during ACBT.
CONCLUSIONS--
Autogenic drainage was found to be as good as ACBT at clearing mucus in patients with cystic fibrosis and is therefore an effective method of home physiotherapy. Patients with cystic fibrosis should be assessed as to which method suits them best.
Infants and toddlers suffering from Cystic Fibrosis have a difficult time loosening and coughing up the mucus that accumulates in their lungs and airways.
Here's a quick tip on how to use Postural Drainage to help your child loosen and expel the mucus to improve their breathing:
Position your child on his/her side on a pillow.
Tilt your child's head downward, with his/her bottom above the level of his/her head.
Gently tap your child's side, just under the armpit, and back.
Reverse sides and repeat until your child is able to expel some mucus and breathe easier.
zSB(3,3)
Another techniques>>
-Intrapulmonary Percussive Ventilation (IPV)
IPVis an airway clearance technique that uses compressed gas to deliver a series of pressurized gas mini-bursts to the respiratory tract usually by a mouthpiece. The IPV device is a pressurized aerosol machine that delivers aerosolized medications through a mouthpiece under pressure and with oscillations that vibrate the chest and loosen airway secretions.
Cystic Fibrosis (CF) is a genetic disorder which causes mucus in the body to be very sticky, which can lead to chest infections and lung damage and can affect the way food is used by the body. In 1964 the average life expectancy of a baby born with CF was only 5 years, whereas today it is 31 years. The dramatic increase in life expectancy in a relatively short period of time has led to a shortage of specialist facilities for adults and teenagers.
What is the Autogenic Drainage & Active cycle for breathing technique ?
-Autogenic Drainage
Autogenic drainage uses the patient's own airflow to release and move secretions, through controlled, graduated inspiratory and expiratory maneuvers. This airway clearance technique does not require any assistive devices; however, it is sometimes difficult to learn how to do correctly.
-Active Cycle of Breathing (ACB) Technique
-Active Cycle of Breathing (ACB) Technique
ACB is an airway clearance technique that combines the forced expiratory technique (which uses "huffing" from various lung volumes to assist in removal of secretions) and thoracic expansion exercises. ACB requires training with a respiratory therapist to learn how to do correctly.
A comparative study of autogenic drainage and the active cycle of breathing techniques with postural drainage
BACKGROUND--
Autogenic drainage has been suggested as an alternative method of chest physiotherapy in patients with cystic fibrosis. In this study autogenic drainage was compared with the active cycle of breathing techniques (ACBT) together with postural drainage.
METHODS--
Eighteen patients with cystic fibrosis took part in a randomised two- day crossover trial. There were two sessions of one method of physiotherapy on each day, either autogenic drainage or ACBT. The study days were one week apart. On each day the patients were monitored for six hours. Mucus movement was quantified by a radioaerosol technique. Airway clearance was studied qualitatively using xenon-133 scintigraphic studies at the start and end of each day. Expectorated sputum was collected during and for one hour after each session of physiotherapy. Pulmonary functions tests were performed before and after each session. Oxygen saturation (SaO2) and heart rate were measured before, during, and after each session.
RESULTS--
Autogenic drainage cleared mucus from the lungs faster than ACBT over the whole day. Both methods improved ventilation, as assessed by the xenon-133 ventilation studies. No overall differences were found in the pulmonary function test results, but more patients had an improved forced expiratory flow from 25% to 75% with autogenic drainage, while more showed an improved forced vital capacity with ACBT. No differences were found in sputum weight and heart rate, nor in mean SaO2 over the series, but four patients desaturated during ACBT.
CONCLUSIONS--
Autogenic drainage was found to be as good as ACBT at clearing mucus in patients with cystic fibrosis and is therefore an effective method of home physiotherapy. Patients with cystic fibrosis should be assessed as to which method suits them best.
Infants and toddlers suffering from Cystic Fibrosis have a difficult time loosening and coughing up the mucus that accumulates in their lungs and airways.
Here's a quick tip on how to use Postural Drainage to help your child loosen and expel the mucus to improve their breathing:
Position your child on his/her side on a pillow.
Tilt your child's head downward, with his/her bottom above the level of his/her head.
Gently tap your child's side, just under the armpit, and back.
Reverse sides and repeat until your child is able to expel some mucus and breathe easier.
zSB(3,3)
Another techniques>>
-Intrapulmonary Percussive Ventilation (IPV)
IPVis an airway clearance technique that uses compressed gas to deliver a series of pressurized gas mini-bursts to the respiratory tract usually by a mouthpiece. The IPV device is a pressurized aerosol machine that delivers aerosolized medications through a mouthpiece under pressure and with oscillations that vibrate the chest and loosen airway secretions.
No comments:
Post a Comment