Physiotherapy
Volume 96, Issue 4 , Pages 344-349 , December 2010

Effect of chest wall vibration timing on peak expiratory flow and inspiratory pressure in a mechanically ventilated lung model

  • H. Shannon

      Affiliations

    • Portex Unit: Respiratory Physiology and Physiotherapy, UCL Institute of Child Health, London, UK
    • Great Ormond Street Hospital for Children NHS Trust, London, UK
    • Corresponding Author InformationCorrespondence: Portex Unit: Respiratory Physiology and Physiotherapy, UCL Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK. Tel.: +44 0 207 242 9789x2689; fax: +44 0 207 829 8634.
    • ,
  • R. Stiger

      Affiliations

    • Portex Unit: Respiratory Physiology and Physiotherapy, UCL Institute of Child Health, London, UK
    • University Hospitals of North Staffordshire NHS Trust, Stoke on Trent, UK
    • ,
  • R.K. Gregson

      Affiliations

    • Portex Unit: Respiratory Physiology and Physiotherapy, UCL Institute of Child Health, London, UK
    • Great Ormond Street Hospital for Children NHS Trust, London, UK
    • University of Southampton with Southampton University Hospitals NHS Trust, Southampton, UK
    • ,
  • J. Stocks

      Affiliations

    • Portex Unit: Respiratory Physiology and Physiotherapy, UCL Institute of Child Health, London, UK
    • ,
  • E. Main

      Affiliations

    • Portex Unit: Respiratory Physiology and Physiotherapy, UCL Institute of Child Health, London, UK

References 

  1. Gosselink R, Bott J, Johnson M, Dean E, Nava S, Norrenberg M, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med. 2008;34:1188–1199
  2. Gregson RK, Stocks J, Petley GW, Shannon H, Warner JO, Jagannathan R, et al. Simultaneous measurement of force and respiratory profiles during chest physiotherapy in ventilated children. Physiol Meas. 2007;28:1017–1028
  3. McCarren B, Alison JA, Herbert RD. Vibration and its effect on the respiratory system. Aust J Physiother. 2006;52:39–43
  4. Quanjer PH, Lebowitz MD, Gregg I, Miller MR, Pedersen OF. Peak expiratory flow: conclusions and recommendations of a Working Party of the European Respiratory Society. Eur Respir J. 1997;24(Suppl.):2S–8S
  5. Scanlan M, Shannon H, Ntoumenopoulos G, Stanojevic S, Main E. The effects of manual and ventilator hyperinflation on peak expiratory flow with and without chest wall vibrations. MSc Dissertation. London: University College London; 2008.
  6. McCarren B, Alison JA, Herbert RD. Manual vibration increases expiratory flow rate via increased intrapleural pressure in healthy adults: an experimental study. Aust J Physiother. 2006;52:267–271
  7. Clarke RC, Kelly BE, Convery PN, Fee JP. Ventilatory characteristics in mechanically ventilated patients during manual hyperventilation for chest physiotherapy. Anaesthesia. 1999;54:936–940
  8. Turki M, Young MP, Wagers SS, Bates JH. Peak pressures during manual ventilation. Respir Care. 2005;50:340–344
  9. Main E. Physiotherapy airway clearance techniques compared with suction alone in ventilated infants and children. Br J Intensive Care. 2005;15:128–134
  10. Gregson RK. Characterisation of manual chest physiotherapy and respiratory response in mechanically ventilated children. Doctoral Thesis. Southampton: University of Southampton, School of Medicine; 2008.
  11. Gregson RK, Shannon H, Main E, Stocks J. Factors influencing change in peak expiratory flow during chest physiotherapy in mechanically ventilated children. Thorax. 2007;62(Suppl. 3):A78
  12. Kim CS, Iglesias AJ, Sackner MA. Mucus clearance by two-phase gas-liquid flow mechanism: asymmetric periodic flow model. J Appl Physiol. 1987;62:959–971
  13. Van der Schans CP, Postma DS, Koeter GH, Rubin BK. Physiotherapy and bronchial mucus transport. Eur Respir J. 1999;13:1477–1486
  14. Shannon H, Gregson R, Stocks J, Cole TJ, Main E. Repeatability of physiotherapy chest wall vibrations applied to spontaneously breathing adults. Physiotherapy. 2009;95:36–42

PII: S0031-9406(10)00035-0

doi: 10.1016/j.physio.2010.02.007

Physiotherapy
Volume 96, Issue 4 , Pages 344-349 , December 2010

Article Tools

* Image Usage & Resolution