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Title: Airway-clearance techniques in children and adolescents with chronic suppurative lung disease and bronchiectasis
Austin Authors: Lee, Annemarie L;Button, Brenda M;Tannenbaum, Esta-Lee
Affiliation: Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
Physiotherapy, School of Allied Health, La Trobe University, Bundoora, VIC, Australia
Physiotherapy, Alfred Health, Melbourne, Victoria, Australia
Department of Medicine, Monash University, Melbourne, Victoria, Australia
Department of Physiotherapy, Royal Children’s Hospital, Parkville, Victoria, Australia
Issue Date: 24-Jan-2017 2017-01-24
Publication information: Frontiers in Pediatrics 2017; 5: 2
Abstract: Common symptoms of chronic suppurative lung disease or bronchiectasis in children and adolescents are chronic cough with sputum production, retention of excess secretions in dilated airways, and a history of recurrent infections. Clinical management includes the prescription of airway-clearance techniques (ACTs) to facilitate mucociliary clearance, optimize sputum expectoration, relieve symptoms, and improve well-being. A wide range of ACTs are available for selection, and these strategies may be applied in isolation or in combination. The choice of technique will depend in part on the age of the child, their clinical state, and factors which may influence treatment adherence. While the evidence base for ACTs in children and adolescent with these conditions is not robust, the current available evidence in addition to clinical expertise provides guidance for technique prescription and clinical effect. An overview of the most commonly applied ACTs, including their physiological rationale and discussion of factors influencing prescription in children and adolescents is outlined in this review.
DOI: 10.3389/fped.2017.00002
Journal: Frontiers in Pediatrics
PubMed URL: 28168184
PubMed URL:
Type: Journal Article
Subjects: Bronchiectasis
Airway-clearance techniques
Positive expiratory pressure
Mucus production
Breathing techniques
Appears in Collections:Journal articles

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