Effect of high-frequency chest wall oscillation versus chest physiotherapy on lung function after lung transplant

Effect of high-frequency chest wall oscillation versus chest physiotherapy on lung function after lung transplant

The aim of this study is to compare the effects of chest physiotherapy (CPT) and high-frequency chest wall oscillation (HFCWO) on lung function in lung transplant recipients. Chest physiotherapy and HFCWO are routinely used after lung transplant to attenuate dyspnea, increase expiratory flow, and im...

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Bibliographic Details
Published in:Applied nursing research Vol. 27; no. 1; pp. 59 - 66
Main Authors: Esguerra-Gonzales, Angeli, Ilagan-Honorio, Monina, Kehoe, Priscilla, Fraschilla, Stephanie, Lee, Ai Jin, Madsen, Ashley, Marcarian, Taline, Mayol-Ngo, Kristina, Miller, Pamela S., Onga, Jay, Rodman, Betty, Ross, David, Shameem, Zeba, Nandy, Karabi, Toyama, Joy, Sommer, Susan, Tamonang, Cheryl, Villamor, Filma, Weigt, S. Samuel, Gawlinski, Anna
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-02-2014
W.B. Saunders Company/JNL
Subjects:
Aged
Chest
Chest physiotherapy
Chest Wall Oscillation
Cross-Over Studies
Dyspnoea
Effects
Female
High frequency chest wall oscillation
Humans
Lung - physiopathology
Lung transplant
Lung Transplantation
Lungs
Male
Nursing
Physical therapy
Physical Therapy Modalities
Physiotherapy
Post-lung transplant
Pulmonary hygiene
Transplants
Transplants & implants
Walls
Pulmonary hygiene
Chest physiotherapy
Post-lung transplant
High frequency chest wall oscillation
Lung transplant
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Summary:The aim of this study is to compare the effects of chest physiotherapy (CPT) and high-frequency chest wall oscillation (HFCWO) on lung function in lung transplant recipients. Chest physiotherapy and HFCWO are routinely used after lung transplant to attenuate dyspnea, increase expiratory flow, and improve secretion clearance. In a two-group experimental, crossover design with repeated-measures, 45 lung transplant recipients (27 single, 18 bilateral; 64% male; mean age, 57years) were randomized to receive CPT at 10:00 AM and 2:00 PM followed by HFCWO at 6:00 PM and 10:00 PM (n=22) or vice versa (n=23) on postoperative day 3. Dyspnea (modified Borg score), Spo2/FiO2, and peak expiratory flow (PEF) were measured pre-treatment and post-treatment. Data were analyzed using chi-square tests, t tests, and linear mixed effects models. There was no statistically significant treatment effect for dyspnea or PEF in patients who received HFCWO versus CPT. However, there was a significant treatment effect on the Spo2/FiO2 ratio (p<0.0001). Preliminary results suggest that lung function (measured by Spo2/FiO2) improves with HFWCO after lung transplantation. Although dyspnea and PEF did not differ significantly between treatment types, HFCWO may be an effective, feasible alternative to CPT.
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ISSN:0897-1897
1532-8201
DOI:10.1016/j.apnr.2013.11.005