CFDB - Cystic Fibrosis DataBase

primary studies published, non RCT

Positive expiratory pressure therapy better maintains pulmonary function than postural drainage and percussion in patients with cystic fibrosis.

Participants

40 patients with cystic fibrosis aged 6-17 years. All were judged to be competent and compliant in performing PD&P at home. The investigators withdrew four children (two from each group) from the study because of poor compliance with the prescribed therapy.

Interventions

(PEP) therapy and conventional postural drainage and percussion (PD&P)

Outcome measures

The primary outcome of change in FEV 1 expressed as percentage predicted for age, sex and height. Other outcomes were change in FVC, FEF 25-75, number of hospitalisations, Shwachman and Huang scores, Brasfield scores of chest radiographs, and patients' own impressions of therapy. Pulmonary function, clinical assessments and chest radiographs were assessed by blind observers.

Keywords: Airway clearance technique; Drainage; non pharmacological intervention - devices OR physiotherapy; Percussion; Postural Drainage; Positive-Pressure Respiration- PEP- pep mask; Chest physiotherapy;