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Effects of chest wall compression on expiratory flow rates in patients with chronic obstructive pulmonary disease
Manual chest wall compression (CWC) during expiration is a technique for removing airway secretions in patients with respiratory disorders. However, there have been no reports about the physiological effects of CWC in patients with chronic obstructive pulmonary disease (COPD). To compare the effects...
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| Published in: | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Brazil)), 2016-04, Vol.20 (2), p.158-165 |
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| container_title | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) |
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| creator | Nozoe, Masafumi Mase, Kyoshi Ogino, Tomoyuki Murakami, Shigefumi Takashima, Sachie Domen, Kazuhisa |
| description | Manual chest wall compression (CWC) during expiration is a technique for removing airway secretions in patients with respiratory disorders. However, there have been no reports about the physiological effects of CWC in patients with chronic obstructive pulmonary disease (COPD).
To compare the effects of CWC on expiratory flow rates in patients with COPD and asymptomatic controls.
Fourteen subjects were recruited from among patients with COPD who were receiving pulmonary rehabilitation at the University Hospital (COPD group). Fourteen age-matched healthy subjects were also consecutively recruited from the local community (Healthy control group). Airflow and lung volume changes were measured continuously with the subjects lying in supine position during 1 minute of quiet breathing (QB) and during 1 minute of CWC by a physical therapist.
During CWC, both the COPD group and the healthy control group showed significantly higher peak expiratory flow rates (PEFRs) than during QB (mean difference for COPD group 0.14 L/sec, 95% confidence interval (CI) 0.04 to 0.24, p |
| doi_str_mv | 10.1590/bjpt-rbf.2014.0145 |
| format | article |
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To compare the effects of CWC on expiratory flow rates in patients with COPD and asymptomatic controls.
Fourteen subjects were recruited from among patients with COPD who were receiving pulmonary rehabilitation at the University Hospital (COPD group). Fourteen age-matched healthy subjects were also consecutively recruited from the local community (Healthy control group). Airflow and lung volume changes were measured continuously with the subjects lying in supine position during 1 minute of quiet breathing (QB) and during 1 minute of CWC by a physical therapist.
During CWC, both the COPD group and the healthy control group showed significantly higher peak expiratory flow rates (PEFRs) than during QB (mean difference for COPD group 0.14 L/sec, 95% confidence interval (CI) 0.04 to 0.24, p<0.01, mean difference for healthy control group 0.39 L/sec, 95% CI 0.25 to 0.57, p<0.01). In the between-group comparisons, PEFR was significantly higher in the healthy control group than in the COPD group (-0.25 L/sec, 95% CI -0.43 to -0.07, p<0.01). However, the expiratory flow rates at the lung volume at the PEFR during QB and at 50% and 25% of tidal volume during QB increased in the healthy control group (mean difference for healthy control group 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.27 L/sec, 95% CI 0.13 to 0.41, p<0.01, respectively) but not in the COPD group (0.05 L/sec, 95% CI -0.01 to 0.12: -0.01 L/sec, 95% CI -0.11 to 0.08: 0.02 L/sec, 95% CI -0.05 to 0.90) with the application of CWC.
The effects of chest wall compression on expiratory flow rates was different between COPD patients and asymptomatic controls.]]></description><identifier>ISSN: 1809-9246</identifier><identifier>ISSN: 1413-3555</identifier><identifier>EISSN: 1809-9246</identifier><identifier>DOI: 10.1590/bjpt-rbf.2014.0145</identifier><identifier>PMID: 26982453</identifier><language>eng</language><publisher>Brazil: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia</publisher><subject>Humans ; Lung - physiopathology ; Original ; ORTHOPEDICS ; Peak Expiratory Flow Rate - physiology ; Pressure ; Pulmonary Disease, Chronic Obstructive - physiopathology ; REHABILITATION ; Thoracic Wall - physiopathology</subject><ispartof>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), 2016-04, Vol.20 (2), p.158-165</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-418d4389db71bae3ffc19be3552968ff94cfc81e0d76623d00635e7d11c12caa3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900038/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900038/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,24150,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26982453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nozoe, Masafumi</creatorcontrib><creatorcontrib>Mase, Kyoshi</creatorcontrib><creatorcontrib>Ogino, Tomoyuki</creatorcontrib><creatorcontrib>Murakami, Shigefumi</creatorcontrib><creatorcontrib>Takashima, Sachie</creatorcontrib><creatorcontrib>Domen, Kazuhisa</creatorcontrib><title>Effects of chest wall compression on expiratory flow rates in patients with chronic obstructive pulmonary disease</title><title>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</title><addtitle>Braz J Phys Ther</addtitle><description><![CDATA[Manual chest wall compression (CWC) during expiration is a technique for removing airway secretions in patients with respiratory disorders. However, there have been no reports about the physiological effects of CWC in patients with chronic obstructive pulmonary disease (COPD).
To compare the effects of CWC on expiratory flow rates in patients with COPD and asymptomatic controls.
Fourteen subjects were recruited from among patients with COPD who were receiving pulmonary rehabilitation at the University Hospital (COPD group). Fourteen age-matched healthy subjects were also consecutively recruited from the local community (Healthy control group). Airflow and lung volume changes were measured continuously with the subjects lying in supine position during 1 minute of quiet breathing (QB) and during 1 minute of CWC by a physical therapist.
During CWC, both the COPD group and the healthy control group showed significantly higher peak expiratory flow rates (PEFRs) than during QB (mean difference for COPD group 0.14 L/sec, 95% confidence interval (CI) 0.04 to 0.24, p<0.01, mean difference for healthy control group 0.39 L/sec, 95% CI 0.25 to 0.57, p<0.01). In the between-group comparisons, PEFR was significantly higher in the healthy control group than in the COPD group (-0.25 L/sec, 95% CI -0.43 to -0.07, p<0.01). However, the expiratory flow rates at the lung volume at the PEFR during QB and at 50% and 25% of tidal volume during QB increased in the healthy control group (mean difference for healthy control group 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.27 L/sec, 95% CI 0.13 to 0.41, p<0.01, respectively) but not in the COPD group (0.05 L/sec, 95% CI -0.01 to 0.12: -0.01 L/sec, 95% CI -0.11 to 0.08: 0.02 L/sec, 95% CI -0.05 to 0.90) with the application of CWC.
The effects of chest wall compression on expiratory flow rates was different between COPD patients and asymptomatic controls.]]></description><subject>Humans</subject><subject>Lung - physiopathology</subject><subject>Original</subject><subject>ORTHOPEDICS</subject><subject>Peak Expiratory Flow Rate - physiology</subject><subject>Pressure</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>REHABILITATION</subject><subject>Thoracic Wall - physiopathology</subject><issn>1809-9246</issn><issn>1413-3555</issn><issn>1809-9246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqNUkuL1TAYLaI4D_0DLiRLN73m3WQjyDA6woALdR3S9Is3l7bpJOlc_fem3HEYd0JCPsg553udpnlD8I4Ijd_3h6W0qfc7ignf1SueNedEYd1qyuXzJ_FZc5HzAWOhCMUvmzMqtaJcsPPm7tp7cCWj6JHbQy7oaMcRuTgtCXIOcUb1wK8lJFti-o38GI-oxpBRmNFiS4C50o-h7KtAinNwKPa5pNWVcA9oWccpzrYyh5DBZnjVvPB2zPD64b1sfny6_n51095-_fzl6uNt63jHS8uJGjhTeug70ltg3juie2BCUC2V95o77xQBPHRSUjZgLJmAbiDEEeqsZZfN7qSbXYAxmkNc01wTmm-EE2aqkKhzkxhjijERqhI-nAjL2k8wuNpXsqNZUphq-SbaYP79mcPe_Iz3husqwjaBdw8CKd6tdZZmCtnBONoZ4ppNXYeSiv4XtNNCSSI4q1B6groUc07gHysi2Gw-MJsPTPWB2XxgNh9U0tunvTxS_i6e_QEtQ7F4</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Nozoe, Masafumi</creator><creator>Mase, Kyoshi</creator><creator>Ogino, Tomoyuki</creator><creator>Murakami, Shigefumi</creator><creator>Takashima, Sachie</creator><creator>Domen, Kazuhisa</creator><general>Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TS</scope><scope>5PM</scope><scope>GPN</scope></search><sort><creationdate>20160401</creationdate><title>Effects of chest wall compression on expiratory flow rates in patients with chronic obstructive pulmonary disease</title><author>Nozoe, Masafumi ; Mase, Kyoshi ; Ogino, Tomoyuki ; Murakami, Shigefumi ; Takashima, Sachie ; Domen, Kazuhisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-418d4389db71bae3ffc19be3552968ff94cfc81e0d76623d00635e7d11c12caa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Humans</topic><topic>Lung - physiopathology</topic><topic>Original</topic><topic>ORTHOPEDICS</topic><topic>Peak Expiratory Flow Rate - physiology</topic><topic>Pressure</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>REHABILITATION</topic><topic>Thoracic Wall - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nozoe, Masafumi</creatorcontrib><creatorcontrib>Mase, Kyoshi</creatorcontrib><creatorcontrib>Ogino, Tomoyuki</creatorcontrib><creatorcontrib>Murakami, Shigefumi</creatorcontrib><creatorcontrib>Takashima, Sachie</creatorcontrib><creatorcontrib>Domen, Kazuhisa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><jtitle>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nozoe, Masafumi</au><au>Mase, Kyoshi</au><au>Ogino, Tomoyuki</au><au>Murakami, Shigefumi</au><au>Takashima, Sachie</au><au>Domen, Kazuhisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of chest wall compression on expiratory flow rates in patients with chronic obstructive pulmonary disease</atitle><jtitle>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</jtitle><addtitle>Braz J Phys Ther</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>20</volume><issue>2</issue><spage>158</spage><epage>165</epage><pages>158-165</pages><issn>1809-9246</issn><issn>1413-3555</issn><eissn>1809-9246</eissn><abstract><![CDATA[Manual chest wall compression (CWC) during expiration is a technique for removing airway secretions in patients with respiratory disorders. However, there have been no reports about the physiological effects of CWC in patients with chronic obstructive pulmonary disease (COPD).
To compare the effects of CWC on expiratory flow rates in patients with COPD and asymptomatic controls.
Fourteen subjects were recruited from among patients with COPD who were receiving pulmonary rehabilitation at the University Hospital (COPD group). Fourteen age-matched healthy subjects were also consecutively recruited from the local community (Healthy control group). Airflow and lung volume changes were measured continuously with the subjects lying in supine position during 1 minute of quiet breathing (QB) and during 1 minute of CWC by a physical therapist.
During CWC, both the COPD group and the healthy control group showed significantly higher peak expiratory flow rates (PEFRs) than during QB (mean difference for COPD group 0.14 L/sec, 95% confidence interval (CI) 0.04 to 0.24, p<0.01, mean difference for healthy control group 0.39 L/sec, 95% CI 0.25 to 0.57, p<0.01). In the between-group comparisons, PEFR was significantly higher in the healthy control group than in the COPD group (-0.25 L/sec, 95% CI -0.43 to -0.07, p<0.01). However, the expiratory flow rates at the lung volume at the PEFR during QB and at 50% and 25% of tidal volume during QB increased in the healthy control group (mean difference for healthy control group 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.27 L/sec, 95% CI 0.13 to 0.41, p<0.01, respectively) but not in the COPD group (0.05 L/sec, 95% CI -0.01 to 0.12: -0.01 L/sec, 95% CI -0.11 to 0.08: 0.02 L/sec, 95% CI -0.05 to 0.90) with the application of CWC.
The effects of chest wall compression on expiratory flow rates was different between COPD patients and asymptomatic controls.]]></abstract><cop>Brazil</cop><pub>Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia</pub><pmid>26982453</pmid><doi>10.1590/bjpt-rbf.2014.0145</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), 2016-04, Vol.20 (2), p.158-165 |
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| language | eng |
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| source | PubMed (Medline); SciELO Brazil; IngentaConnect Journals |
| subjects | Humans Lung - physiopathology Original ORTHOPEDICS Peak Expiratory Flow Rate - physiology Pressure Pulmonary Disease, Chronic Obstructive - physiopathology REHABILITATION Thoracic Wall - physiopathology |
| title | Effects of chest wall compression on expiratory flow rates in patients with chronic obstructive pulmonary disease |
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