Technical Aspects of Devices and Equipment for Positive Expiratory Pressure With and Without Oscillation

References

1. 1.↵
   1. Falk P,
   2. Eriksen AM,
   3. Kølliker K,
   4. Andersen JB

   . Relieving dyspnea with an inexpensive and simple method in patients with severe chronic airflow limitation. Eur J Respir Dis 1985;66(3):181–186.

   OpenUrlPubMed
2. 2.↵
   1. Lumb AB,
   2. Nunn JF,
   3. Pearl RG

   1. Lumb AB

   . Compensation for increased resistance to breathing, in Lumb AB, Nunn JF, Pearl RG, editors. Nunn's Applied Respiratory Physiology, 5th edition. Edinburgh: Elsevier Butterworth-Heinemann; 2000:73–74.
3. 3.↵
   1. Fagevik Olsén M,
   2. Lannefors L,
   3. Westerdahl E

   . Positive expiratory pressure – common clinical applications and physiological effects. Respir Med 2015;109(3):297–307.

   OpenUrlPubMed
4. 4.↵
   1. Fagevik Olsén M,
   2. Westerdahl E

   . Positive expiratory pressure in patients with chronic obstructive pulmonary disease – a systematic review. Respiration 2009;77(1):110–118.

   OpenUrlCrossRefPubMed
5. 5.
   1. McIlwaine M,
   2. Button B,
   3. Nevitt SJ

   . Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis. Cochrane Database Syst Rev 2015(6):CD003147 No.
6. 6.↵
   1. Orman J,
   2. Westerdahl E

   . Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic review. Acta Anaesthesiol Scand 2010;54(3):261–267.

   OpenUrlCrossRefPubMedWeb of Science
7. 7.↵
   1. Alves LA,
   2. Pitta F,
   3. Brunetto AF

   . Performance analysis of the Flutter VRP1 under different flows and angles. Respir Care 2008;53(3):316–323.

   OpenUrlAbstract/FREE Full Text
8. 8.↵
   1. Alves Silva CE,
   2. Santos JG,
   3. Jansen JM,
   4. de Melo PL

   . Laboratory evaluation of the Acapella device: pressure characteristics under different conditions, and a software tool to optimize its practical use. Respir Care 2009;54(11):1480–1487.

   OpenUrlAbstract/FREE Full Text
9. 9.↵
   1. Boden IJ,
   2. Reeve J

   . Phase 1 evaluation of tubing PEP as an improvised positive expiratory pressure device: pressures generated through oxygen tubing across a range of flow rates and lengths. Pulmonol Respir Res 2017;5(1):1–6.

   OpenUrl
10. 10.↵
    1. Brooks D,
    2. Newbold E,
    3. Kozar LF,
    4. Rivera M

    . The flutter device and expiratory pressures. J Cardiopulm Rehabil 2002;22(1):53–57.

    OpenUrlPubMed
11. 11.↵
    1. Christensen EF,
    2. Jensen RH,
    3. Schønemann NK,
    4. Petersen KD

    . Flow dependent properties of positive expiratory pressure devices. Monaldi Arch Chest Dis 1995;50(2):150–153.

    OpenUrlPubMed
12. 12.↵
    1. Clase Larsson S,
    2. Fagevik Olsén M

    . An evaluation of positive expiratory pressure using mask and mouthpiece. Adv Physiother 2006;8(3):116–121.

    OpenUrl
13. 13.↵
    1. Dagan Y,
    2. Wiser I,
    3. Weissman O,
    4. Farber N,
    5. Hundeshagen G,
    6. Winkler E,
    7. et al

    . An improvised “blow glove” device produces similar PEP values to a commercial PEP device: an experimental study. Physiother Can 2014;66(3):308–312.

    OpenUrl
14. 14.↵
    1. de Lima LC,
    2. Duarte JBF,
    3. Lepore Neto FP,
    4. Abe PT,
    5. Gastaldi AC

    . Mechanical evaluation of respiratory device. Med Eng Phys 2005;27(2):181–187.

    OpenUrlPubMed
15. 15.↵
    1. dos Santos AP,
    2. Guimarães RC,
    3. de Carvalho EM,
    4. Gastaldi AC

    . Mechanical behaviors of Flutter VRP1, Shaker, and Acapella devices. Respir Care 2013;58(2):298–304.

    OpenUrlAbstract/FREE Full Text
16. 16.↵
    1. Fagevik Olsén M,
    2. Carlsson M,
    3. Olsén E,
    4. Westerdahl E

    . Evaluation of pressure generated by resistors from different positive expiratory pressure devices. Respir Care 2015;60(10):1418–1423.

    OpenUrlAbstract/FREE Full Text
17. 17.↵
    1. Franks LJ,
    2. Walsh JR,
    3. Hall K,
    4. Jacuinde G,
    5. Yerkovich S,
    6. Morris NR

    . Comparing the performance characteristics of different positive expiratory pressure devices. Respir Care 2019;64(4):434–444.

    OpenUrlAbstract/FREE Full Text
18. 18.↵
    1. Matsuo PY,
    2. Yanagisawa PY,
    3. Cahalin PL

    . Brief research report: the feasibility of expiratory resistive loading using the threshold inspiratory muscle training device. Cardiopulm Phys Ther 2014;25(3):92–95.

    OpenUrl
19. 19.↵
    1. Mestriner RG,
    2. Fernandes RO,
    3. Steffen LC,
    4. Donadio MVF

    . Optimum design parameters for a therapist-constructed positive-expiratory-pressure therapy bottle device. Respir Care 2009;54(4):504–508.

    OpenUrlAbstract/FREE Full Text
20. 20.↵
    1. Mueller G,
    2. Bersch-Porada I,
    3. Koch-Borner S,
    4. Raab AM,
    5. Jonker M,
    6. Baumberger M,
    7. Michel F

    . Laboratory evaluation of four different devices for secretion mobilization: acapella choice, green and blue versus water bottle. Respir Care 2014;59(5):673–677.

    OpenUrlAbstract/FREE Full Text
21. 21.↵
    1. Phimphasak C,
    2. Ubolsakka-Jones C,
    3. Jones DA

    . Design and function of a new conical positive expiratory pressure device to be used during exercise. Respir Care 2018;63(8):966–980.

    OpenUrlAbstract/FREE Full Text
22. 22.↵
    1. Pursley D

    . Analysis of three oscillating positive expiratory pressure devices during simulated breathing. Respir Ther 2017;12(1):52–56.

    OpenUrl
23. 23.↵
    1. Santos MD,
    2. Milross MA,
    3. Eisenhuth JP,
    4. Alison JA

    . Pressures and oscillation frequencies generated by bubble-positive expiratory pressure devices. Respir Care 2017;62(4):444–450.

    OpenUrlAbstract/FREE Full Text
24. 24.↵
    1. Santos MD,
    2. Milross MA,
    3. Eisenhuth JP,
    4. Alison JA

    . Tubing internal diameter affects the pressures and oscillation frequencies generated by the therapist-made bubble-positive expiratory pressure device. Physiother Theory Pract 2020;36(2):333–339.

    OpenUrl
25. 25.↵
    1. Sehlin M,
    2. Ohberg F,
    3. Johansson G,
    4. Winsö O

    . Physiological responses to positive expiratory pressure breathing: a comparison of the PEP bottle and the PEP mask. Respir Care 2007;52(8):1000–1005.

    OpenUrlAbstract/FREE Full Text
26. 26.↵
    1. Van Fleet H,
    2. Dunn DK,
    3. McNinch NL,
    4. Volsko TA

    . Evaluation of functional characteristics of 4 oscillatory positive pressure devices in a simulated cystic fibrosis model. Respir Care 2017;62(4):451–458.

    OpenUrlAbstract/FREE Full Text
27. 27.↵
    1. Volsko TA,
    2. DiFiore J,
    3. Chatburn RL

    . Performance comparison of two oscillating positive expiratory pressure devices: Acapella versus Flutter. Respir Care 2003;48(2):124–130.

    OpenUrlAbstract/FREE Full Text