Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Open Forum
    • 2023 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • The Journal

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Open Forum
    • 2023 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • The Journal
  • Twitter
  • Facebook
  • YouTube
  • LinkedIn
Research ArticleOriginal Contributions

A Comparison of the Therapeutic Effectiveness of and Preference for Postural Drainage and Percussion, Intrapulmonary Percussive Ventilation, and High-Frequency Chest Wall Compression in Hospitalized Cystic Fibrosis Patients

Sarah M Varekojis, F Herbert Douce, Robert L Flucke, David A Filbrun, Jill S Tice, Karen S McCoy and Robert G Castile
Respiratory Care January 2003, 48 (1) 24-28;
Sarah M Varekojis
Respiratory Therapy Division, The Ohio State University, Columbus, Ohio
MSc RRT
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
F Herbert Douce
Respiratory Therapy Division, The Ohio State University, Columbus, Ohio
MSc RRT-NP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert L Flucke
Section of Pulmonary Medicine, Children's Hospital, Columbus, Ohio
RRT
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David A Filbrun
Section of Pulmonary Medicine, Children's Hospital, Columbus, Ohio
RRT
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jill S Tice
Section of Pulmonary Medicine, Children's Hospital, Columbus, Ohio
MSc RN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Karen S McCoy
Section of Pulmonary Medicine, Children's Hospital, Columbus, Ohio
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert G Castile
Section of Pulmonary Medicine, Children's Hospital, Columbus, Ohio
MD MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • References
  • PDF
Loading

Abstract

INTRODUCTION: Cystic fibrosis (CF) patients have abnormally viscid bronchial secretions that cause airway obstruction, inflammation, and infection that leads to lung damage. To enhance airway clearance and reduce airway obstruction, daily bronchopulmonary hygiene therapy is considered essential.

OBJECTIVE: Compare the effectiveness of and patient preferences regarding 3 airway clearance methods: postural drainage and percussion (PD&P), intrapulmonary percussive ventilation (IPV), and high-frequency chest wall compression (HFCWC).

METHODS: The participants were hospitalized CF patients ≥ 12 years old. Effectiveness was evaluated by measuring the wet and dry weights of sputum obtained with each method. In random order, each patient received 2 consecutive days of each therapy, delivered 3 times daily for 30 minutes. Sputum was collected during and for 15 minutes after each treatment, weighed wet, then dried and weighed again. Participants rated their preferences using a Likert-type scale. Mean weights and preferences were compared using analysis of variance with repeated measures. Patient preferences were compared using Freidman's test.

RESULTS: Twenty-four patients were studied. The mean ± SD wet sputum weights were 5.53 ± 5.69 g with PD&P, 6.84 ± 5.41 g with IPV, and 4.77 ± 3.29 g with HFCWC. The mean wet sputum weights differed significantly (p = 0.035). Wet sputum weights from IPV were significantly greater than those from HFCWC (p < 0.05). The mean dry sputum weights were not significantly different. With regard to overall preference and to the subcomponents of preference, none of the 3 methods was preferred over the others.

CONCLUSIONS: HFCWC and IPV are at least as effective as vigorous, professionally administered PD&P for hospitalized CF patients, and the 3 modalities were equally acceptable to them. A hospitalized CF patient should try each therapy and choose his or her preferred modality.

  • airway clearance
  • bronchopulmonary hygiene
  • chest physiotherapy
  • cystic fibrosis
  • high-frequency chest wall compression
  • intrapulmonary percussive ventilation
  • postural drainage
  • percussion
  • sputum

Footnotes

  • Correspondence: Sarah M Varekojis MSc RRT, Respiratory Therapy Division, The Ohio State University, 431 Atwell Hall, 1583 Perry Street, Columbus OH 43210. E-mail: varekojis.16{at}osu.edu.
  • This work was presented in part at the 12th Annual North American Cystic Fibrosis Conference, Montréal, Québec, Canada, October 15–18, 1998, and at the Open Forum of the 46th International Respiratory Congress, October 7–10, 2000, in Cincinnati, Ohio.

  • Financial support was provided by Advanced Respiratory Corporation and Percussionaire Corporation.

  • Copyright © 2003 by Daedalus Enterprises Inc.
PreviousNext
Back to top

In this issue

Respiratory Care: 48 (1)
Respiratory Care
Vol. 48, Issue 1
1 Jan 2003
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author

 

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A Comparison of the Therapeutic Effectiveness of and Preference for Postural Drainage and Percussion, Intrapulmonary Percussive Ventilation, and High-Frequency Chest Wall Compression in Hospitalized Cystic Fibrosis Patients
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
A Comparison of the Therapeutic Effectiveness of and Preference for Postural Drainage and Percussion, Intrapulmonary Percussive Ventilation, and High-Frequency Chest Wall Compression in Hospitalized Cystic Fibrosis Patients
Sarah M Varekojis, F Herbert Douce, Robert L Flucke, David A Filbrun, Jill S Tice, Karen S McCoy, Robert G Castile
Respiratory Care Jan 2003, 48 (1) 24-28;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
A Comparison of the Therapeutic Effectiveness of and Preference for Postural Drainage and Percussion, Intrapulmonary Percussive Ventilation, and High-Frequency Chest Wall Compression in Hospitalized Cystic Fibrosis Patients
Sarah M Varekojis, F Herbert Douce, Robert L Flucke, David A Filbrun, Jill S Tice, Karen S McCoy, Robert G Castile
Respiratory Care Jan 2003, 48 (1) 24-28;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics
  • References
  • PDF

Related Articles

Cited By...

Keywords

  • airway clearance
  • bronchopulmonary hygiene
  • chest physiotherapy
  • cystic fibrosis
  • high-frequency chest wall compression
  • intrapulmonary percussive ventilation
  • postural drainage
  • percussion
  • Sputum

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About the Journal
  • Editorial Board

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire