![]() ![]() Volunteers will support hands firmly on the cheeks to reduce the effect of oscillation thereof. to minimize the effect of the bad positioning of the tongue will use a mouth “free-flow”, which contains a depressant for keeping the tongue in the mouth soil, stabilizing it and reducing oral resistance. For this measure will be used IOS Jaeger (Jaeger, Wurzburg, Germany).Manual chest compression is based on the application of forces resulting from the action of respiratory muscles or physiotherapist manual action in order to increase the alveolar pressure creating a pressure gradient to promote change in pulmonary flow and volume.It consists of vigorous compression of the chest at the beginning of expiration or during expiration.When the patient exhales through the flutter expiratory flow causes movement of the ball, creating an oscillatory positive pressure. Flutter is a small device, simple, like a plastic pipe with a mouthpiece at one end and a perforated cover on the other, containing a steel ball resting in a plastic cone inside.Additionally, will be analysed the dyspnea using the Medical Research Council scale acceptability and tolerability scale pulse oxymetry difficulty of expectoration score and volume, adhesivity and purulence of sputum. The main outcome will be obtained by impulse oscillometry, that is a method to access large and small airways, to evaluate the resistance (R), reactance (X), reactance area (AX) and resonant frequency (Fres) of respiratory system for the whole breath and for inspiratory and expiratory phase. Study Primary Completion Date: September 2016īronchiectasis patients and healthy subjects will be evaluated before and after a 30 minutes session of control, breathing exercises with flutter valve, that is a device that produces oscillation and positive pressure during the expiratory phase, or chest compression, that is a manual manoeuvre in the right and left sides of the lower chest, all of them in a sitting position.Intervention Model: Parallel Assignment.The aim of this study is to evaluate the impedance of the respiratory system, by impulse oscillometry, after breathing exercises with chest compression or flutter in patients with bronchiectasis, considering that there are no results in the literature on the effect of these techniques in the small airways of these patients. Physical therapy is essential in the treatment of these patients, using its various techniques and devices. ![]() Overall Status: Completed | Estimated Enrollment: 40 Overviewīronchiectasis is characterized pathologically by the abnormal and permanent dilation of bronchi caused mainly by the perpetuation of inflammation and impaired clearance of secretions. First Received: J| Last Updated: February 23, 2017
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