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dc.contributor.authorLee, Annemarie Len
dc.contributor.authorWilliamson, Hannah Cen
dc.contributor.authorLorensini, Sarahen
dc.contributor.authorSpencer, Lissa Men
dc.identifier.citationChronic Respiratory Disease 2014; 12(1): 36-46en
dc.description.abstractAirway clearance techniques (ACTs) are recommended for patients with stable non-cystic fibrosis (non-CF) bronchiectasis, but the efficacy of oscillating positive expiratory pressure (PEP) therapy compared to other techniques has not been reviewed. A systematic review of studies was conducted in stable patients comparing the effect of oscillating PEP therapy to other ACTs or a control condition. Data were extracted related to sputum expectoration, lung function, gas exchange, quality of life (QOL), symptoms, and exacerbation rate. Seven studies were included with a total of 146 patients, with a mean (SD) PEDro score of 7(1). Oscillating PEP therapy enhanced sputum expectoration compared to no treatment, but has equivalent benefits as the active cycle of breathing technique with gravity-assisted drainage (mean difference [95% CI] -2.8 g [-8.8 to 3.2 g]). Oscillating PEP has a similar effect as other ACTs on dynamic lung volumes, gas exchange and breathlessness. Use of oscillating PEP improved disease-specific QOL (p < 0.001) and cough-related QOL (p < 0.002) compared to no treatment but did not reduce exacerbation rate. In conclusion, in stable non-CF bronchiectasis, oscillating PEP therapy is associated with improvement in sputum expectoration and QOL compared to no treatment. Compared to other ACTs, the effect upon sputum expectoration, lung function, gas exchange, and symptoms are equivalent.en
dc.subject.otherOscillating positive expiratory pressure therapyen
dc.subject.otherairway clearance therapyen
dc.subject.othernon-cystic fibrosis bronchiectasisen
dc.subject.othersystematic reviewen
dc.titleThe effects of oscillating positive expiratory pressure therapy in adults with stable non-cystic fibrosis bronchiectasis: A systematic review.en
dc.typeJournal Articleen
dc.identifier.journaltitleChronic respiratory diseaseen
dc.identifier.affiliationPhysiotherapy, Adelaide Community Healthcare Alliance Health, Ashford, Australiaen
dc.identifier.affiliationPhysiotherapy, Royal Prince Alfred Hospital, Camperdown, NSW, Australia Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, NSW, Australiaen
dc.identifier.affiliationPhysiotherapy, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationPhysiotherapy, Alfred Health, Melbourne, Australia Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
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