Comparison of flutter device(FD) with postural drainage (PD) in adult patients with non-CF bronchiectasis

L. C. Morgan*, L. Maxwell, R. De Longh, M. J. Peters, J. Rutland

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Cough, sputum production and lung function are determinants of morbidity in patients with bronchiectasis and treatment to increase sputum clearance is a mainstay of long term management. Aim: To compare the efficacy of FD to PD for self-management in adults with bronchiectasis, not caused by cystic fibrosis. Methods: Randomised cross-over trial of 12 adults, aged 3982. All subjects had been previously instructed in use of PD. Subjects selftreated using either FD or PD twice daily. Treatment periods were four weeks. Spiromelry and lung volumes were measured and symptoms, as below were recorded using a 10cm Visual Analogue Scale(VAS) at baseline, crossover and completion. FD and PD were compared to baseline using wilcoxon's test. Results: Dyspnoea, cough, and sleep quality improved significantly only witn FD- SPutum volume imProved with both. Spirometry and lung volumes were not different at any point. All patients elected to continue use of FD after the trial. (Improvement is positive, -p<0.05, p<0.01 ) Conclusions: Symptoms improved more with FD use than PD. Lung function did not change. Patient preference favoured the Flutter* Device. This device should be considered for wider use in patients with non-CF bronchiectasis. symptoms vas(cm) - Pd vas(cm) - Fd dyspnoea 0.5+1.0 3.9+0.9** night cough 0.3+o.6 2.8+0.7* daytime cough 1.o+o.7 2.7+0.6** sputum volume 1.1+o.6* 1.8+0.6** sleep disruption 0.8+o.7 1.5+0.7* well being -0.5+o.6 1.4+o.7 sputum colour 0.1+o.4 0.5+0.4.

Original languageEnglish
Pages (from-to)A40
Number of pages1
JournalRespirology
Volume4
Issue numberSUPPL. 1
Publication statusPublished - 1999
Externally publishedYes

Keywords

  • Bronchiectasis
  • Cough
  • Flutter® device
  • Postural drainage.

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