Physiotherapy

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Browsing Physiotherapy by Author "Bishara Hanna Fashho"

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    A randomized comparative study of active cycle of breathing technique versus oscillating positive expiratory pressure therapy on lung function and quality of life in children with primary ciliary dyskinesia
    (Al-Quds University, 2023-12-27) Bishara Hanna Fashho; بشارة حنا فشحو
    Background: Primary Ciliary Dyskinesia (PCD) is a rare inherited disease that causes recurrent respiratory tract infections and sputum retention due to inadequate mucociliary clearance. Airway clearance techniques are commonly recommended for patients with PCD to facilitate mucus clearance as a part of the treatment protocol. Study objectives: Our primary goal of this study was to compare the efficiency of the active cycle of breathing technique (ACBT) and oscillating positive expiratory pressure therapy (OPEP) on lung function and functional capacity in children with PCD. Our secondary goal was to evaluate the quality of life and activities of daily living. There is a limitation in the use of standardized chest physiotherapy guidelines with PCD patients. In Palestine, there is a lack of awareness of using positive expiratory pressure devices, which could be beneficial to PCD patients. Methods: An experimental randomized comparative study design was conducted. A total of 32 PCD children, ages ranging from 6 to 18 years were enrolled in the two groups. The first group was assigned to the ACBT, while the second group was assigned to the OPEP. Study tools and outcome measures included a data collection sheet, spirometry measurements, a six-minute walk test (6MWT), and the PCD quality of life questionnaire (PCD QOL). The study took a period of three months, a pretest was conducted at baseline, a mid-test after six weeks, and a post-test after 12 weeks. Descriptive statistical analysis, T-tests, ANOVA, and correlation tests were performed as needed. The effect size was computed as Cohen’s d. The statistical significance level was set at p-value < 0.05. iv Results: The FEV1 and MEF25-75%, as well as the 6MWT, showed statistical significance between the two groups (p=0.02, p=0.04, and p=0.05) in favor of the OPEP group with the effect size of Cohen’s d equals (0.86, 0.76, and 0.71) respectively. However, the FVC and FEV1/ FVC showed no statistical significance p > 0.05. In addition, positive correlations were found between the FEV1, FVC, and 6MWT, and also between 6MWT and the PCD QOL. Conclusion: For PCD patients, daily airway clearance techniques are crucial. The ACBT and OPEP are two efficient home-based physiotherapy techniques. In the FEV1, MEF25-75%, and 6MWT, the OPEP device seems to be more efficient. OPEP might be an efficient alternative method for airway clearance in PCD patients. Additional research is needed to further examine the effectiveness of the two techniques.