Chest physiotherapy in infants with cystic fibrosis: To tip or not? A five-year study
There is controversy about the need for postural drainage physiotherapy in asymptomatic infants with cystic fibrosis (CF). We aimed to compare the effectiveness of standard postural drainage chest physiotherapy (SPT) with a modified physiotherapy regimen without head‐down tilt (MPT) in young infants...
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| Veröffentlicht in: | Pediatric pulmonology 2003-03, Vol.35 (3), p.208-213 |
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| creator | Button, Brenda M. Heine, Ralf G. Catto-Smith, Anthony G. Olinsky, Anthony Phelan, Peter D. Ditchfield, Michael R. Story, Ian |
| description | There is controversy about the need for postural drainage physiotherapy in asymptomatic infants with cystic fibrosis (CF). We aimed to compare the effectiveness of standard postural drainage chest physiotherapy (SPT) with a modified physiotherapy regimen without head‐down tilt (MPT) in young infants with CF. Twenty newly diagnosed infants with CF (mean age, 2.1 months; range, 1–4) were randomized to SPT or MPT. Parents kept a detailed symptom and treatment diary for the following 12 months. Serial chest radiographs, taken at diagnosis, 12 months, 2½ years, and 5 years after diagnosis, were assessed using the Brasfield score. Pulmonary function tests were compared between groups after 5 years. Of the 20 infants, 16 (80%) completed the review at 12 months, and 14 (70%) at 2½ and 5 years. Patients receiving SPT had more days with upper respiratory tract symptoms than those on MPT (70 ± 32.8 vs. 37 ± 24.9 days; P = 0.04) and required longer courses of antibiotics (23 ± 28.5 vs. 14 ± 11.2 days; P = 0.05). Chest x‐ray scores were similar at diagnosis but were worse at 2½ years for those receiving SPT (P = 0.03). Forced vital capacity and forced expired volume in 1 sec (FEV1) at 5–6 years was lower for SPT than for MPT (P |
| doi_str_mv | 10.1002/ppul.10227 |
| format | Article |
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A five-year study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Button, Brenda M. ; Heine, Ralf G. ; Catto-Smith, Anthony G. ; Olinsky, Anthony ; Phelan, Peter D. ; Ditchfield, Michael R. ; Story, Ian</creator><creatorcontrib>Button, Brenda M. ; Heine, Ralf G. ; Catto-Smith, Anthony G. ; Olinsky, Anthony ; Phelan, Peter D. ; Ditchfield, Michael R. ; Story, Ian</creatorcontrib><description>There is controversy about the need for postural drainage physiotherapy in asymptomatic infants with cystic fibrosis (CF). We aimed to compare the effectiveness of standard postural drainage chest physiotherapy (SPT) with a modified physiotherapy regimen without head‐down tilt (MPT) in young infants with CF. Twenty newly diagnosed infants with CF (mean age, 2.1 months; range, 1–4) were randomized to SPT or MPT. Parents kept a detailed symptom and treatment diary for the following 12 months. Serial chest radiographs, taken at diagnosis, 12 months, 2½ years, and 5 years after diagnosis, were assessed using the Brasfield score. Pulmonary function tests were compared between groups after 5 years. Of the 20 infants, 16 (80%) completed the review at 12 months, and 14 (70%) at 2½ and 5 years. Patients receiving SPT had more days with upper respiratory tract symptoms than those on MPT (70 ± 32.8 vs. 37 ± 24.9 days; P = 0.04) and required longer courses of antibiotics (23 ± 28.5 vs. 14 ± 11.2 days; P = 0.05). Chest x‐ray scores were similar at diagnosis but were worse at 2½ years for those receiving SPT (P = 0.03). Forced vital capacity and forced expired volume in 1 sec (FEV1) at 5–6 years was lower for SPT than for MPT (P < 0.05). In conclusion, MPT was associated with fewer respiratory complications than SPT in infants with CF. Pediatr Pulmonol. 2003; 35:208–213. © 2003 Wiley‐Liss, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.10227</identifier><identifier>PMID: 12567389</identifier><identifier>CODEN: PEPUES</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>aspiration ; Biological and medical sciences ; cystic fibrosis ; Cystic Fibrosis - physiopathology ; Cystic Fibrosis - therapy ; Disease Progression ; Drainage, Postural - methods ; gastroesophageal reflux ; Hospitalization ; Humans ; Infant ; Medical sciences ; physiotherapy ; Pneumology ; postural drainage ; pulmonary function ; Respiratory Function Tests ; Respiratory system : syndromes and miscellaneous diseases ; treatment</subject><ispartof>Pediatric pulmonology, 2003-03, Vol.35 (3), p.208-213</ispartof><rights>Copyright © 2003 Wiley‐Liss, Inc.</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2003 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4297-a4355c187841b1f3a3dcdbdfc29497877a52e34b87b377d184bd4f67fb8a96653</citedby><cites>FETCH-LOGICAL-c4297-a4355c187841b1f3a3dcdbdfc29497877a52e34b87b377d184bd4f67fb8a96653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.10227$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.10227$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14582569$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12567389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Button, Brenda M.</creatorcontrib><creatorcontrib>Heine, Ralf G.</creatorcontrib><creatorcontrib>Catto-Smith, Anthony G.</creatorcontrib><creatorcontrib>Olinsky, Anthony</creatorcontrib><creatorcontrib>Phelan, Peter D.</creatorcontrib><creatorcontrib>Ditchfield, Michael R.</creatorcontrib><creatorcontrib>Story, Ian</creatorcontrib><title>Chest physiotherapy in infants with cystic fibrosis: To tip or not? A five-year study</title><title>Pediatric pulmonology</title><addtitle>Pediatr. Pulmonol</addtitle><description>There is controversy about the need for postural drainage physiotherapy in asymptomatic infants with cystic fibrosis (CF). We aimed to compare the effectiveness of standard postural drainage chest physiotherapy (SPT) with a modified physiotherapy regimen without head‐down tilt (MPT) in young infants with CF. Twenty newly diagnosed infants with CF (mean age, 2.1 months; range, 1–4) were randomized to SPT or MPT. Parents kept a detailed symptom and treatment diary for the following 12 months. Serial chest radiographs, taken at diagnosis, 12 months, 2½ years, and 5 years after diagnosis, were assessed using the Brasfield score. Pulmonary function tests were compared between groups after 5 years. Of the 20 infants, 16 (80%) completed the review at 12 months, and 14 (70%) at 2½ and 5 years. Patients receiving SPT had more days with upper respiratory tract symptoms than those on MPT (70 ± 32.8 vs. 37 ± 24.9 days; P = 0.04) and required longer courses of antibiotics (23 ± 28.5 vs. 14 ± 11.2 days; P = 0.05). Chest x‐ray scores were similar at diagnosis but were worse at 2½ years for those receiving SPT (P = 0.03). Forced vital capacity and forced expired volume in 1 sec (FEV1) at 5–6 years was lower for SPT than for MPT (P < 0.05). In conclusion, MPT was associated with fewer respiratory complications than SPT in infants with CF. Pediatr Pulmonol. 2003; 35:208–213. © 2003 Wiley‐Liss, Inc.</description><subject>aspiration</subject><subject>Biological and medical sciences</subject><subject>cystic fibrosis</subject><subject>Cystic Fibrosis - physiopathology</subject><subject>Cystic Fibrosis - therapy</subject><subject>Disease Progression</subject><subject>Drainage, Postural - methods</subject><subject>gastroesophageal reflux</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Medical sciences</subject><subject>physiotherapy</subject><subject>Pneumology</subject><subject>postural drainage</subject><subject>pulmonary function</subject><subject>Respiratory Function Tests</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>treatment</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE-LFDEQxYMo7rh68QNILnoQWpPOfy-yNroKs7rIDnMM6XTCRHu62yTt2t_ejDO6N6GgCupX9XgPgKcYvcII1a-nae7LVNfiHlhhpFSFqOL3wUoKxiouOTkDj1L6hlDZKfwQnOGacUGkWoFNs3Mpw2m3pDDmnYtmWmAYSnkz5ARvQ95Bu6QcLPShjWMK6Q28GWEOExwjHMb8Fl6U1U9XLc5EmPLcLY_BA2_65J6c-jnYfHh_03ys1l8uPzUX68rSWonKUMKYxVJIilvsiSGd7drO21pRJaQQhtWO0FaKlgjRYUnbjnoufCuN4pyRc_Di-HeK44-5GNH7kKzrezO4cU5aEIQ5YbyAL4-gLQ5SdF5PMexNXDRG-hCiPoSo_4RY4Genr3O7d90dekqtAM9PgEnW9D6awYZ0x1EmC3rg8JG7Db1b_iOpr68367_i1fEmpOx-_bsx8bsu4oLp7edL_e6qabZXYqu_kt9ZI5jH</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Button, Brenda M.</creator><creator>Heine, Ralf G.</creator><creator>Catto-Smith, Anthony G.</creator><creator>Olinsky, Anthony</creator><creator>Phelan, Peter D.</creator><creator>Ditchfield, Michael R.</creator><creator>Story, Ian</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><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></search><sort><creationdate>200303</creationdate><title>Chest physiotherapy in infants with cystic fibrosis: To tip or not? A five-year study</title><author>Button, Brenda M. ; Heine, Ralf G. ; Catto-Smith, Anthony G. ; Olinsky, Anthony ; Phelan, Peter D. ; Ditchfield, Michael R. ; Story, Ian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4297-a4355c187841b1f3a3dcdbdfc29497877a52e34b87b377d184bd4f67fb8a96653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>aspiration</topic><topic>Biological and medical sciences</topic><topic>cystic fibrosis</topic><topic>Cystic Fibrosis - physiopathology</topic><topic>Cystic Fibrosis - therapy</topic><topic>Disease Progression</topic><topic>Drainage, Postural - methods</topic><topic>gastroesophageal reflux</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Medical sciences</topic><topic>physiotherapy</topic><topic>Pneumology</topic><topic>postural drainage</topic><topic>pulmonary function</topic><topic>Respiratory Function Tests</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Button, Brenda M.</creatorcontrib><creatorcontrib>Heine, Ralf G.</creatorcontrib><creatorcontrib>Catto-Smith, Anthony G.</creatorcontrib><creatorcontrib>Olinsky, Anthony</creatorcontrib><creatorcontrib>Phelan, Peter D.</creatorcontrib><creatorcontrib>Ditchfield, Michael R.</creatorcontrib><creatorcontrib>Story, Ian</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Button, Brenda M.</au><au>Heine, Ralf G.</au><au>Catto-Smith, Anthony G.</au><au>Olinsky, Anthony</au><au>Phelan, Peter D.</au><au>Ditchfield, Michael R.</au><au>Story, Ian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chest physiotherapy in infants with cystic fibrosis: To tip or not? A five-year study</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr. Pulmonol</addtitle><date>2003-03</date><risdate>2003</risdate><volume>35</volume><issue>3</issue><spage>208</spage><epage>213</epage><pages>208-213</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><coden>PEPUES</coden><abstract>There is controversy about the need for postural drainage physiotherapy in asymptomatic infants with cystic fibrosis (CF). We aimed to compare the effectiveness of standard postural drainage chest physiotherapy (SPT) with a modified physiotherapy regimen without head‐down tilt (MPT) in young infants with CF. Twenty newly diagnosed infants with CF (mean age, 2.1 months; range, 1–4) were randomized to SPT or MPT. Parents kept a detailed symptom and treatment diary for the following 12 months. Serial chest radiographs, taken at diagnosis, 12 months, 2½ years, and 5 years after diagnosis, were assessed using the Brasfield score. Pulmonary function tests were compared between groups after 5 years. Of the 20 infants, 16 (80%) completed the review at 12 months, and 14 (70%) at 2½ and 5 years. Patients receiving SPT had more days with upper respiratory tract symptoms than those on MPT (70 ± 32.8 vs. 37 ± 24.9 days; P = 0.04) and required longer courses of antibiotics (23 ± 28.5 vs. 14 ± 11.2 days; P = 0.05). Chest x‐ray scores were similar at diagnosis but were worse at 2½ years for those receiving SPT (P = 0.03). Forced vital capacity and forced expired volume in 1 sec (FEV1) at 5–6 years was lower for SPT than for MPT (P < 0.05). In conclusion, MPT was associated with fewer respiratory complications than SPT in infants with CF. Pediatr Pulmonol. 2003; 35:208–213. © 2003 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12567389</pmid><doi>10.1002/ppul.10227</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | aspiration Biological and medical sciences cystic fibrosis Cystic Fibrosis - physiopathology Cystic Fibrosis - therapy Disease Progression Drainage, Postural - methods gastroesophageal reflux Hospitalization Humans Infant Medical sciences physiotherapy Pneumology postural drainage pulmonary function Respiratory Function Tests Respiratory system : syndromes and miscellaneous diseases treatment |
| title | Chest physiotherapy in infants with cystic fibrosis: To tip or not? A five-year study |
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