The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

High-frequency oscillations of the chest wall

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Institution
Escola Superior de Saúde Atlântica (EIA, SA)
Institution Typology
University
Country
Portugal
Description
Mechanical percussion devices and high-frequency external chest compression devices provide external chest wall compressions through the use of a device such as a vest (e.g. ThAIRapy™ Vest, The Vest™, Hayek Oscillator, InCourage system, SmartVest). The generator produces an alternating flow of air into and out of the vest that rapidly compresses and releases the chest wall within a range of selectable frequencies and pressures. These devices or techniques can be applied by the patient.
Disease
Cystic Fibrosis
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Not available

Innovation
It has been reported that oscillatory compression transmitted to the chest wall dilutes viscous mucus, mobilizes secretions and propels mucus into the main airways.

Evaluation System
A study with eight participants compared autogenous drainage with high-frequency oscillations of the chest wall performed over four consecutive days, alternating two treatment techniques.

Assessment
Participants rated the perceived effectiveness of their usual airway clearance techniques significantly higher than that of high-frequency chest wall oscillations.
References
Main, E., & Rand, S. (2023). Conventional chest physiotherapy compared to other airway clearance techniques for cystic fibrosis. Cochrane Database of Systematic Reviews, (5). www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002011.pub3/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002011.pub3/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002011.pub3/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002011.pub3/full


Burnham, P., Stanford, G., & Stewart, R. (2021). Autogenic drainage for airway clearance in cystic fibrosis. Cochrane Database of Systematic Reviews, (12). www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full" target="_blank">www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009595.pub3/pdf/full



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Carla Raposo, ULSSM - Portugal (PT)
Estudo bastante pertimente na área da fibrose quistica, com benefício em ser implementado numa população estatisticamente significativa e ser recomendada como boa prática em pessoas com fibrose quística. Com melhorias nos instrumentos de medição usados para descrever os respectivos ganhos em saúde.

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