Abstract
Introduction: Primary Ciliary Dyskinesia(PCD) is associated with chronic respiratory tract infections. Conventional chest physiotheraphy(CCPT) and vibratory positive expiratory pressure therapy system(Acapella®) are commonly used treatment options for chest physiotherapy. Our aim was to compare the efficacy and safety of CCPT and Acapella by studying the change in pulmonary function regarding the physiotheraphy methods.
Material and Method: Fourteen PCD patients were included to the study. Patients were divided into two groups. First group used Acapella for the first three months while second group used CCPT. At the end of the 3 months;study groups switched their physiotherapy methods after a wash-out period for 2 weeks. Respiratory functions were evaluated with LCI and spirometry at the beginning of the study, at the third month, at the end of washout period and at the end of the study. Patients were asked for the preferred method regarding airway clearance.
Results: The results of spirometry and LCI of two groups were similar. There was no statistically significant increase in parameters other than PEF in LCI and spirometry results. At the end of the study, patients reported that all of them preferred Acapella.
Conclusion: Patient's respiratory function tests improved with 6-month chest physiotherapy. There was no statistically significant increase in LCI and spirometry results due to small number of patients. Pulmonary rehabilitation in PCD is important to maintain lung functions. Patients preference should be considered in order to increase compliance in chronic patient follow-up.
Footnotes
Cite this article as: European Respiratory Journal 2018 52: Suppl. 62, PA4672.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2018