Effectiveness of chest physiotherapy and pulmonary rehabilitation in patients with non-cystic fibrosis bronchiectasis: A narrative review

Sara Annoni, Angela Bellofiore, Elena Repossini, Marta Lazzeri, Antonello Nicolini, Paolo Tarsia

Research output: Contribution to journalArticlepeer-review

Abstract

Respiratory physiotherapy and rehabilitation are important therapeutic options in non-cystic fibrosis bronchiectasis (NCFB). The aims of this review of clinical trials were to evaluate the safety and the effects on physiologic and clinical outcomes of airway clearance techniques (ACTs) and rehabilitation in NCFB patients, in comparison to usual care. The search was performed on March 2018 by using PubMed and PeDro databases. 33 studies were selected. The use of ACTs for NCFB were effective in increasing sputum volume although no benefit in quality of life (QoL) or pulmonary exacerbations were observed. There were no differences in effectiveness between the several techniques used. Humidification and saline inhalation were able to aid airway clearance. Hypertonic solution (HS) was more effective than isotonic solutions (IS) in improving expectoration and sputum viscosity. Pulmonary rehabilitation (PR) was found to be associated with short term benefits in exercise capacity, dyspnea and fatigue. Exercise training seems to improve quality of life and lower exacerbation rate, but long-term data are not available. Further studies are necessary to identify the most feasible long-term outcomes such as QoL and exacerbation rate.

Original languageEnglish
Pages (from-to)43-57
Number of pages15
JournalMonaldi Archives for Chest Disease
Volume90
Issue number1
DOIs
Publication statusPublished - Jan 21 2020

Keywords

  • Airway clearance
  • Bronchiectasis
  • Humidification
  • Pulmonary rehabilitation
  • Salin nhalation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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