Physiotherapy and bronchial mucus transport

Cees van der Schans, D S Postma, G. H. Koëter, B K Rubin

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Cough and expectoration of mucus are the best-known symptoms in patients with pulmonary disease. The most applied intervention for these symptoms is the use of chest physiotherapy to increase bronchial mucus transport and reduce retention of mucus in the airways. Chest physiotherapy interventions can be evaluated using different outcome variables, such as bronchial mucus transport measurement, measurement of the amount of expectorated mucus, pulmonary function, medication use, frequency of exacerbation and quality of life. Measurement of the transport rate of mucus in the airways using a radioactive tracer appears to be an appropriate outcome variable for short-term studies. Evaluation of chest physiotherapy only with pulmonary function tests appears to be inadequate in short-term studies. The popularity of using pulmonary function tests is probably based more on the availability of the instruments than on a theoretical basis related to the question of chest physiotherapy improving mucus transport. Quality of life and progression of the disease are not often used as outcome variables, but it may be worthwhile to use these in the future.

Original languageEnglish
Pages (from-to)1477-1486
JournalThe European respiratory journal
Volume13
Issue number6
Publication statusPublished - Jun 1999
Externally publishedYes

Keywords

  • mucociliary clearance
  • physiotherapy
  • respiratory therapy
  • respiratory tract diseases

Cite this

van der Schans, C., Postma, D. S., Koëter, G. H., & Rubin, B. K. (1999). Physiotherapy and bronchial mucus transport. The European respiratory journal, 13(6), 1477-1486.
van der Schans, Cees ; Postma, D S ; Koëter, G. H. ; Rubin, B K. / Physiotherapy and bronchial mucus transport. In: The European respiratory journal. 1999 ; Vol. 13, No. 6. pp. 1477-1486.
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title = "Physiotherapy and bronchial mucus transport",
abstract = "Cough and expectoration of mucus are the best-known symptoms in patients with pulmonary disease. The most applied intervention for these symptoms is the use of chest physiotherapy to increase bronchial mucus transport and reduce retention of mucus in the airways. Chest physiotherapy interventions can be evaluated using different outcome variables, such as bronchial mucus transport measurement, measurement of the amount of expectorated mucus, pulmonary function, medication use, frequency of exacerbation and quality of life. Measurement of the transport rate of mucus in the airways using a radioactive tracer appears to be an appropriate outcome variable for short-term studies. Evaluation of chest physiotherapy only with pulmonary function tests appears to be inadequate in short-term studies. The popularity of using pulmonary function tests is probably based more on the availability of the instruments than on a theoretical basis related to the question of chest physiotherapy improving mucus transport. Quality of life and progression of the disease are not often used as outcome variables, but it may be worthwhile to use these in the future.",
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van der Schans, C, Postma, DS, Koëter, GH & Rubin, BK 1999, 'Physiotherapy and bronchial mucus transport' The European respiratory journal, vol. 13, no. 6, pp. 1477-1486.

Physiotherapy and bronchial mucus transport. / van der Schans, Cees; Postma, D S; Koëter, G. H.; Rubin, B K.

In: The European respiratory journal, Vol. 13, No. 6, 06.1999, p. 1477-1486.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Physiotherapy and bronchial mucus transport

AU - van der Schans, Cees

AU - Postma, D S

AU - Koëter, G. H.

AU - Rubin, B K

PY - 1999/6

Y1 - 1999/6

N2 - Cough and expectoration of mucus are the best-known symptoms in patients with pulmonary disease. The most applied intervention for these symptoms is the use of chest physiotherapy to increase bronchial mucus transport and reduce retention of mucus in the airways. Chest physiotherapy interventions can be evaluated using different outcome variables, such as bronchial mucus transport measurement, measurement of the amount of expectorated mucus, pulmonary function, medication use, frequency of exacerbation and quality of life. Measurement of the transport rate of mucus in the airways using a radioactive tracer appears to be an appropriate outcome variable for short-term studies. Evaluation of chest physiotherapy only with pulmonary function tests appears to be inadequate in short-term studies. The popularity of using pulmonary function tests is probably based more on the availability of the instruments than on a theoretical basis related to the question of chest physiotherapy improving mucus transport. Quality of life and progression of the disease are not often used as outcome variables, but it may be worthwhile to use these in the future.

AB - Cough and expectoration of mucus are the best-known symptoms in patients with pulmonary disease. The most applied intervention for these symptoms is the use of chest physiotherapy to increase bronchial mucus transport and reduce retention of mucus in the airways. Chest physiotherapy interventions can be evaluated using different outcome variables, such as bronchial mucus transport measurement, measurement of the amount of expectorated mucus, pulmonary function, medication use, frequency of exacerbation and quality of life. Measurement of the transport rate of mucus in the airways using a radioactive tracer appears to be an appropriate outcome variable for short-term studies. Evaluation of chest physiotherapy only with pulmonary function tests appears to be inadequate in short-term studies. The popularity of using pulmonary function tests is probably based more on the availability of the instruments than on a theoretical basis related to the question of chest physiotherapy improving mucus transport. Quality of life and progression of the disease are not often used as outcome variables, but it may be worthwhile to use these in the future.

KW - mucociliary clearance

KW - physiotherapy

KW - respiratory therapy

KW - respiratory tract diseases

KW - ademhaling

KW - fysiotherapie

M3 - Article

VL - 13

SP - 1477

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JO - The European respiratory journal

JF - The European respiratory journal

SN - 0903-1936

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ER -

van der Schans C, Postma DS, Koëter GH, Rubin BK. Physiotherapy and bronchial mucus transport. The European respiratory journal. 1999 Jun;13(6):1477-1486.