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Efficacy of pulmonary rehabilitation plus chest physiotherapy versus chest physiotherapy alone in patients with bronchiectasis [with consumer summary]
Abdo AM, Elsaadany HM, El Dib AS, Elkholy AA, Bahr HM
Egyptian Journal of Chest Diseases and Tuberculosis 2024 Jan-Mar;73(1):101-107
clinical trial
3/10 [Eligibility criteria: No; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

CONTEXT: Bronchiectasis is a chronic airway disease characterized by cough, dyspnoea, expectoration, and poor quality of life. Besides medical treatment, regular chest physiotherapy and pulmonary rehabilitation (PR) may be an effective approach for bronchiectasis. AIMS: To compare the effects of PR and chest physiotherapy with chest physiotherapy alone in bronchiectasis. SETTINGS AND DESIGN: This randomized controlled trial observational research enrolled 40 cases with bronchiectasis who were categorized into two groups: (group I); 20 cases received PR and chest physiotherapy in addition to medical treatment, (group II): 20 cases received chest physiotherapy in addition to medical treatment. METHODS AND MATERIAL: Cases were assessed with modified borg scale, 6-minute walk test (6-MWT), arterial blood gases, spirometry and underwent PR program. Statistical analysis used the same group's quantitative data were compared using the paired Student's t-test. The frequency and percentage (%) of qualitative characteristics were displayed. RESULTS: In (group I), there was a statistically notable improvement in modified Borg Scale, 6-MWT, arterial oxygen pressure (PaO2), partial pressure of carbon dioxide (PaCO2), arterial oxygen saturation, FEV1 (actual and predicted %values), FVC (actual and predicted %values), FEV1/FVC actual value, sputum volume and training intensity. In (group II) there was a statistically notable improvement in 6-MWT, PaO2, PaCO2, FEV1 (actual and predicted %values), FVC (actual and predicted %values), FEV1/FVC actual value, and sputum volume. The percentage of improvement in all parameters was significantly higher among group (I). CONCLUSIONS: PR in addition to chest physiotherapy is superior to chest physiotherapy alone in the improvement of symptoms and exercise tolerance in bronchiectasis.

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