Short-Term Effects of Elastic Chest Wall Restriction on Pulmonary Function in Children with Cystic Fibrosis

被引:6
|
作者
Roethlisberger, Katrin [1 ,2 ,3 ]
Nyilas, Sylvia [1 ]
Riedel, Thomas [1 ,4 ]
Wolfensberger, Jeremy [1 ]
Singer, Florian [1 ]
Latzin, Philipp [1 ]
机构
[1] Univ Bern, Univ Hosp Bern, Dept Paediat, Div Resp Med, CH-3010 Bern, Switzerland
[2] Univ Hosp Bern, Dept Physiotherapy, Bern, Switzerland
[3] Bern Univ Appl Sci, Hlth Div, Discipline Physiotherapy, Bern, Switzerland
[4] Cantonal Hosp Graubuenden, Dept Paediat, Chur, Switzerland
关键词
Cystic fibrosis; Physical therapy modalities; Physiotherapy; Pulmonary function test; LUNG CLEARANCE INDEX; VENTILATION INHOMOGENEITY; AUTOGENIC DRAINAGE; REFERENCE VALUES; BREATH WASHOUT; PHYSIOTHERAPY; STANDARDIZATION; SPIROMETRY; RANGE;
D O I
10.1159/000491094
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Elastic chest wall restriction introduced by Chevaillier is thought to reduce existing hyperinflation and improve mucus clearance from peripheral airways. In healthy adults, restriction decreases the functional residual capacity (FRC) and forced vital capacity (FVC), while ventilation inhomogeneity (lung clearance index [LCI]) increases. Pulmonary function response to restriction is unknown in individuals with cystic fibrosis (CF). Objectives: To examine short-term effects of elastic chest wall restriction on pulmonary function in children with CF. Methods: Pulmonary function was first assessed twice 15 min apart at baseline and then again following 15 min of elastic chest wall restriction in 20 school-aged children with CF (12.3 +/- 3.4 years). Primary outcomes were LCI from nitrogen multiple-breath washout, residual volume (RV), and FRC from plethysmography. Secondary outcomes9 were FVC and end-expiratory lung impedance (EELI) from electrical impedance tomography. Endpoints were test-retest reliability at baseline and lung function response to restriction, both on group and individual levels. Results: Test-retest reliability was excellent (intra-class correlation coefficients range 0.84-0.99). Following restriction, FRC significantly declined on average (95% CI) by -0.09 (-0.17 to -0.02) L. Similarly, FVC declined while LCI did not change. RV and EELI declined, but this did not reach statistical significance. On the individuals' level, heterogeneous changes in pulmonary function occurred following elastic chest wall restriction. Conclusions: These findings indicate that the application of elastic chest wall restriction is safe, induces the intended decline in resting lung volume but does not systematically alter ventilation inhomogeneity in children with CF. (C) 2018 S. Karger AG, Basel
引用
收藏
页码:535 / 542
页数:8
相关论文
共 50 条
  • [1] The Short Term Influence of Chest Physiotherapy on Lung Function Parameters in Children With Cystic Fibrosis and Primary Ciliary Dyskinesia
    Vandervoort, Bjarne
    De Beuckeleer, Django
    Huenaerts, Elke
    Schulte, Marianne
    Vermeulen, Francois
    Proesmans, Marijke
    Troosters, Thierry
    Vreys, Myriam
    Boon, Mieke
    FRONTIERS IN PEDIATRICS, 2022, 10
  • [2] Short-Term Effect of Physiotherapy on Variability of the Lung Clearance Index in Children With Cystic Fibrosis
    Fuchs, Susanne I.
    Toussaint, Sabine
    Edlhaimb, Barbara
    Ballmann, Manfred
    Gappa, Monika
    PEDIATRIC PULMONOLOGY, 2010, 45 (03) : 301 - 306
  • [3] Short term effects of chest physiotherapy in children with cystic fibrosis assessed by a new lung function test
    Abbas, Chiara
    Singer, Florian
    Casaulta, Carmen
    Latzin, Philipp
    EUROPEAN RESPIRATORY JOURNAL, 2012, 40
  • [4] Short-term effects of positive expiratory pressure mask on ventilation inhomogeneity in children with cystic fibrosis: A randomized, sham-controlled crossover study
    Gambazza, Simone
    Mariani, Alessandra
    Guarise, Riccardo
    Ferrari, Beatrice
    Carta, Federica
    Brivio, Anna
    Bizzarri, Sofia
    Castellani, Chiara
    Colombo, Carla
    Laquintana, Dario
    PEDIATRIC PULMONOLOGY, 2024, 59 (05) : 1354 - 1363
  • [5] Short-Term Effect of Autogenic Drainage on Ventilation Inhomogeneity in Adult Subjects With Stable Non-Cystic Fibrosis Bronchiectasis
    Poncin, William
    Reychler, Gregory
    Leeuwerck, Noemie
    Bauwens, Nathalie
    Aubriot, Anne-Sophie
    Nader, Candice
    Liistro, Giuseppe
    Gohy, Sophie
    RESPIRATORY CARE, 2017, 62 (05) : 524 - 531
  • [6] Effects of a Short-Term Rehabilitation Program on Airway Inflammation in Children With Cystic Fibrosis
    Moeller, Alexander
    Staempfli, Simon F.
    Rueckert, Beate
    Rechsteiner, Thomas
    Hamacher, Juerg
    Wildhaber, Johannes H.
    PEDIATRIC PULMONOLOGY, 2010, 45 (06) : 541 - 551
  • [7] Short-term effects of a novel bronchial drainage device: A pilot cohort study in subjects with cystic fibrosis
    Schmidt, Hanna
    Toth, Monika
    Kappler-Schorn, Christine
    Siebeneich, Ute
    Bode, Sebastian F. N.
    Fabricius, Dorit
    HEALTH SCIENCE REPORTS, 2022, 5 (05)
  • [8] Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with cystic fibrosis
    Osman, Leyla P.
    Roughton, Michael
    Hodson, Margaret E.
    Pryor, Jennifer A.
    THORAX, 2010, 65 (03) : 196 - 200
  • [9] Short-term effects of physiotherapy on ventilation inhomogeneity in cystic fibrosis patients with a wide range of lung disease severity
    Pfleger, A.
    Steinbacher, M.
    Schwantzer, G.
    Weinhandl, E.
    Wagner, M.
    Eber, E.
    JOURNAL OF CYSTIC FIBROSIS, 2015, 14 (05) : 627 - 631
  • [10] A short-term comparison of two methods of sputum expectoration in cystic fibrosis
    Chatham, K
    Ionescu, AA
    Nixon, LS
    Shale, DJ
    EUROPEAN RESPIRATORY JOURNAL, 2004, 23 (03) : 435 - 439