A variety of methods are used to help remove secretions from the lungs, some physical (for example chest physiotherapy) and some chemical (for example medications and inhalation therapies). Removal of airway secretions is therefore an integral part of the management of CF. Continuous production of thick secretions leads to airway obstruction and mucus plugging ( Zach 1990). Persistent infection and inflammation within the lungs are the major contributory factors to severe airway damage and loss of respiratory function over the years ( Cantin 1995 Konstan 1997). We can not recommend any single treatment over another at this time.Ĭystic fibrosis (CF) is a common inherited life‐limiting disorder. We did not find evidence that conventional chest physiotherapy techniques were any better than other treatments for lung function. The review was limited by the lack of well‐designed long‐term trials. In ten studies participants preferred techniques they administered on themselves. Longer‐term studies showed smaller improvements or decline.
Studies of acute infections showed improved lung function irrespective of type of treatment. These studies did not show any difference between chest physiotherapy and other therapies in terms of lung function.
We included fifteen studies in the review. We looked for studies lasting over one week. We aimed to compare the effects of different methods on lung function and patient preference. It is important to clear this mucus using drugs and various chest physiotherapy techniques. This leads to recurrent infection and tissue damage. A comparison of usual chest physiotherapy to other methods of airway clearance in people with cystic fibrosisĮxcess mucus is produced in the lungs of people with cystic fibrosis.
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