Effect of high-frequency chest wall oscillation versus chest physiotherapy on lung function after lung transplant

Angeli Esguerra-Gonzales, Monina Ilagan-Honorio, Priscilla Kehoe, Stephanie Fraschilla, Ai Jin Lee, Ashley Madsen, Taline Marcarian, Kristina Mayol-Ngo, Pamela S. Miller, Jay Onga, Betty Rodman, David Ross, Zeba Shameem, Karabi Nandy, Joy Toyama, Susan Sommer, Cheryl Tamonang, Filma Villamor, S. Samuel Weigt, Anna Gawlinski

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Abstract

Purpose: The aim of this study is to compare the effects of chest physiotherapy (CPT) and high-frequency chest wall oscillation (HFCWO) on lung function in lung transplant recipients. Background: Chest physiotherapy and HFCWO are routinely used after lung transplant to attenuate dyspnea, increase expiratory flow, and improve secretion clearance. Methods: In a two-group experimental, crossover design with repeated-measures, 45 lung transplant recipients (27 single, 18 bilateral; 64% male; mean age, 57years) were randomized to receive CPT at 10:00 AM and 2:00 PM followed by HFCWO at 6:00 PM and 10:00 PM (n=22) or vice versa (n=23) on postoperative day 3. Dyspnea (modified Borg score), Spo2/FiO2, and peak expiratory flow (PEF) were measured pre-treatment and post-treatment. Data were analyzed using chi-square tests, t tests, and linear mixed effects models. Results: There was no statistically significant treatment effect for dyspnea or PEF in patients who received HFCWO versus CPT. However, there was a significant treatment effect on the Spo2/FiO2 ratio (p<0.0001). Conclusions: Preliminary results suggest that lung function (measured by Spo2/FiO2) improves with HFWCO after lung transplantation. Although dyspnea and PEF did not differ significantly between treatment types, HFCWO may be an effective, feasible alternative to CPT.

Original languageEnglish
Pages (from-to)59-66
Number of pages8
JournalApplied Nursing Research
Volume27
Issue number1
DOIs
StatePublished - 1 Feb 2014

Keywords

  • Chest physiotherapy
  • High frequency chest wall oscillation
  • Lung transplant
  • Post-lung transplant
  • Pulmonary hygiene

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    Esguerra-Gonzales, A., Ilagan-Honorio, M., Kehoe, P., Fraschilla, S., Lee, A. J., Madsen, A., Marcarian, T., Mayol-Ngo, K., Miller, P. S., Onga, J., Rodman, B., Ross, D., Shameem, Z., Nandy, K., Toyama, J., Sommer, S., Tamonang, C., Villamor, F., Weigt, S. S., & Gawlinski, A. (2014). Effect of high-frequency chest wall oscillation versus chest physiotherapy on lung function after lung transplant. Applied Nursing Research, 27(1), 59-66. https://doi.org/10.1016/j.apnr.2013.11.005