CFDB - Cystic Fibrosis DataBase

primary studies published RCT

The value of the forced expiration technique with and without postural drainage in adults with cystic fibrosis.

Study design (if review, criteria of inclusion for studies)

RCT

Participants

20 patients with cystic fibrosis, aged 7 to 28 years.

Interventions

patients performed physiotherapy with VRP 1 and autogenic drainage (AD), respectively, in a randomized order one after another, each physiotherapy taking twenty minutes.

Outcome measures

The expectorated sputum was weighed by means of a precision balance.

Main results

Mean values during VRP 1 treatment were 5.0 g (range 0 to 12.0 g), during AD 4.8 g (range 0 to 11.7 g). There was no statistical difference (p < 0.05). The results were not influenced by the order of physiotherapy.

Authors' conclusions

VRP 1 physiotherapy is as effective as AD with respect to sputum elimination. In opposite to other methods not requiring a helping person it is simple to teach and to learn. It may be performed by young children (> or = 3 years) and adults, also in combination with inhalation. Thus, VRP 1 appears to be a real enrichment in physiotherapy.

Keywords: Adolescent; Adult; Airway clearance technique; Child; flutter; non pharmacological intervention - devices OR physiotherapy; oscillating devices; Chest physiotherapy; Autogenic drainage;