An integrative review on the positive expiratory pressure (PEP)-bottle therapy for patients with pulmonary diseases.


Journal

Physiotherapy research international : the journal for researchers and clinicians in physical therapy
ISSN: 1471-2865
Titre abrégé: Physiother Res Int
Pays: United States
ID NLM: 9612022

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 02 06 2019
revised: 19 09 2019
accepted: 01 11 2019
pubmed: 26 11 2019
medline: 4 6 2020
entrez: 26 11 2019
Statut: ppublish

Résumé

Positive expiratory pressure (PEP)-bottle device delivers a PEP within a range of 10-20 cmH The databases PubMed, Scopus, Web of Science, Cinahl, and Cochrane Library were searched for citations published from their inception until May 2019. Adult participants (>18 years) with pulmonary disease who underwent PEP-bottle treatment, with no restriction on gender, were included in the study. There were no restrictions about the therapeutic settings and the condition of the disease (either acute or chronic). The literature review returned 97 citations. After duplicates removal, the remaining 77 articles have been screened: 66 have been assessed as not eligible at first because the abstract did not meet the inclusion criteria. Eleven articles were left after the first two steps of selection: four have been excluded after full-text reading. PEP-bottle therapy has been proved to improve lung volume, to reduce hyperinflation, and to remove secretions. The device delivers a pressure equal to the water column only if the inner diameter of the tubing and the width of the air escape orifice are equal or greater than 8 mm, and the length of tubing ranges between 20 and 80 cm. The cost of a PEP-bottle device is significantly lower if compared with other commercially available devices having the same therapeutic purposes.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
Positive expiratory pressure (PEP)-bottle device delivers a PEP within a range of 10-20 cmH
METHODS METHODS
The databases PubMed, Scopus, Web of Science, Cinahl, and Cochrane Library were searched for citations published from their inception until May 2019. Adult participants (>18 years) with pulmonary disease who underwent PEP-bottle treatment, with no restriction on gender, were included in the study. There were no restrictions about the therapeutic settings and the condition of the disease (either acute or chronic).
RESULTS RESULTS
The literature review returned 97 citations. After duplicates removal, the remaining 77 articles have been screened: 66 have been assessed as not eligible at first because the abstract did not meet the inclusion criteria. Eleven articles were left after the first two steps of selection: four have been excluded after full-text reading.
CONCLUSION CONCLUSIONS
PEP-bottle therapy has been proved to improve lung volume, to reduce hyperinflation, and to remove secretions. The device delivers a pressure equal to the water column only if the inner diameter of the tubing and the width of the air escape orifice are equal or greater than 8 mm, and the length of tubing ranges between 20 and 80 cm. The cost of a PEP-bottle device is significantly lower if compared with other commercially available devices having the same therapeutic purposes.

Identifiants

pubmed: 31762162
doi: 10.1002/pri.1823
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1823

Informations de copyright

© 2019 John Wiley & Sons, Ltd.

Références

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Auteurs

Benedetta Liverani (B)

Department of Clinical, Integrated and Experimental Medicine (DIMES), Alma Mater Studiorum-University of Bologna, Bologna, Italy.

Stefano Nava (S)

Department of Clinical, Integrated and Experimental Medicine (DIMES), Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Respiratory and Critical Care Unit, St Orsola University Hospital, Bologna, Italy.

Massimiliano Polastri (M)

Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, St Orsola University Hospital, Bologna, Italy.

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