The effects of various respiratory physiotherapies after lung resection: a systematic review

Karoline Stentoft Larsen, Birgit Skoffer, Lisa Gregersen Oestergaard, Maurits Van Tulder, Annemette Krintel Petersen

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

PURPOSE: The purpose of this review was to investigate the effect of respiratory physiotherapy after lung resection on mortality, postoperative pulmonary complications (PPC), length of stay, lung volumes, and adverse events.

MATERIAL AND METHODS: Randomized or quasi-randomized controlled trials were searched in CENTRAL, PubMed, EMBASE, Cinahl, PEDro, and hand searching of related studies. Various respiratory physiotherapy interventions were compared to standard care, sham treatment, or no treatment. Two reviewers assessed eligibility and quality of studies using Cochrane guidelines. Meta-analyses were undertaken on subgroups of intervention.

RESULTS: Various types of positive pressure breathing, deep breathing exercises, and strength and aerobic exercises as a supplement to standard care did not show any significant effect over standard care in preventing mortality or PPC, reducing length of stay, or improving lung volumes.

CONCLUSION: Prophylactic continuous positive airway pressure does not seem to affect rate of mortality and PPC, when compared with standard care embodying respiratory physiotherapy such as airway clearance techniques and assistance with early ambulation. However, further research is still needed to make a final conclusion. The effect of standard respiratory physiotherapy as a package is still unknown, and may or may not be effective in preventing PPC among patients undergoing lung resection.

Original languageEnglish
Pages (from-to)1-19
Number of pages19
JournalPhysiotherapy Theory and Practice
DOIs
Publication statusE-pub ahead of print - 24 Jan 2019

Fingerprint

Lung
Mortality
Length of Stay
Breathing Exercises
Early Ambulation
Continuous Positive Airway Pressure
PubMed
Meta-Analysis
Respiration
Randomized Controlled Trials
Placebos
Guidelines
Exercise
Pressure
Research
Therapeutics

Cite this

Larsen, Karoline Stentoft ; Skoffer, Birgit ; Gregersen Oestergaard, Lisa ; Van Tulder, Maurits ; Petersen, Annemette Krintel. / The effects of various respiratory physiotherapies after lung resection : a systematic review. In: Physiotherapy Theory and Practice. 2019 ; pp. 1-19.
@article{d1c90a92ee53496f9782cce8ea11747a,
title = "The effects of various respiratory physiotherapies after lung resection: a systematic review",
abstract = "PURPOSE: The purpose of this review was to investigate the effect of respiratory physiotherapy after lung resection on mortality, postoperative pulmonary complications (PPC), length of stay, lung volumes, and adverse events.MATERIAL AND METHODS: Randomized or quasi-randomized controlled trials were searched in CENTRAL, PubMed, EMBASE, Cinahl, PEDro, and hand searching of related studies. Various respiratory physiotherapy interventions were compared to standard care, sham treatment, or no treatment. Two reviewers assessed eligibility and quality of studies using Cochrane guidelines. Meta-analyses were undertaken on subgroups of intervention.RESULTS: Various types of positive pressure breathing, deep breathing exercises, and strength and aerobic exercises as a supplement to standard care did not show any significant effect over standard care in preventing mortality or PPC, reducing length of stay, or improving lung volumes.CONCLUSION: Prophylactic continuous positive airway pressure does not seem to affect rate of mortality and PPC, when compared with standard care embodying respiratory physiotherapy such as airway clearance techniques and assistance with early ambulation. However, further research is still needed to make a final conclusion. The effect of standard respiratory physiotherapy as a package is still unknown, and may or may not be effective in preventing PPC among patients undergoing lung resection.",
author = "Larsen, {Karoline Stentoft} and Birgit Skoffer and {Gregersen Oestergaard}, Lisa and {Van Tulder}, Maurits and Petersen, {Annemette Krintel}",
year = "2019",
month = "1",
day = "24",
doi = "10.1080/09593985.2018.1564095",
language = "English",
pages = "1--19",
journal = "Physiotherapy, Theory and Practice",
issn = "0959-3985",
publisher = "Taylor & Francis",

}

The effects of various respiratory physiotherapies after lung resection : a systematic review. / Larsen, Karoline Stentoft; Skoffer, Birgit; Gregersen Oestergaard, Lisa; Van Tulder, Maurits; Petersen, Annemette Krintel.

In: Physiotherapy Theory and Practice, 24.01.2019, p. 1-19.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - The effects of various respiratory physiotherapies after lung resection

T2 - a systematic review

AU - Larsen, Karoline Stentoft

AU - Skoffer, Birgit

AU - Gregersen Oestergaard, Lisa

AU - Van Tulder, Maurits

AU - Petersen, Annemette Krintel

PY - 2019/1/24

Y1 - 2019/1/24

N2 - PURPOSE: The purpose of this review was to investigate the effect of respiratory physiotherapy after lung resection on mortality, postoperative pulmonary complications (PPC), length of stay, lung volumes, and adverse events.MATERIAL AND METHODS: Randomized or quasi-randomized controlled trials were searched in CENTRAL, PubMed, EMBASE, Cinahl, PEDro, and hand searching of related studies. Various respiratory physiotherapy interventions were compared to standard care, sham treatment, or no treatment. Two reviewers assessed eligibility and quality of studies using Cochrane guidelines. Meta-analyses were undertaken on subgroups of intervention.RESULTS: Various types of positive pressure breathing, deep breathing exercises, and strength and aerobic exercises as a supplement to standard care did not show any significant effect over standard care in preventing mortality or PPC, reducing length of stay, or improving lung volumes.CONCLUSION: Prophylactic continuous positive airway pressure does not seem to affect rate of mortality and PPC, when compared with standard care embodying respiratory physiotherapy such as airway clearance techniques and assistance with early ambulation. However, further research is still needed to make a final conclusion. The effect of standard respiratory physiotherapy as a package is still unknown, and may or may not be effective in preventing PPC among patients undergoing lung resection.

AB - PURPOSE: The purpose of this review was to investigate the effect of respiratory physiotherapy after lung resection on mortality, postoperative pulmonary complications (PPC), length of stay, lung volumes, and adverse events.MATERIAL AND METHODS: Randomized or quasi-randomized controlled trials were searched in CENTRAL, PubMed, EMBASE, Cinahl, PEDro, and hand searching of related studies. Various respiratory physiotherapy interventions were compared to standard care, sham treatment, or no treatment. Two reviewers assessed eligibility and quality of studies using Cochrane guidelines. Meta-analyses were undertaken on subgroups of intervention.RESULTS: Various types of positive pressure breathing, deep breathing exercises, and strength and aerobic exercises as a supplement to standard care did not show any significant effect over standard care in preventing mortality or PPC, reducing length of stay, or improving lung volumes.CONCLUSION: Prophylactic continuous positive airway pressure does not seem to affect rate of mortality and PPC, when compared with standard care embodying respiratory physiotherapy such as airway clearance techniques and assistance with early ambulation. However, further research is still needed to make a final conclusion. The effect of standard respiratory physiotherapy as a package is still unknown, and may or may not be effective in preventing PPC among patients undergoing lung resection.

U2 - 10.1080/09593985.2018.1564095

DO - 10.1080/09593985.2018.1564095

M3 - Article

SP - 1

EP - 19

JO - Physiotherapy, Theory and Practice

JF - Physiotherapy, Theory and Practice

SN - 0959-3985

ER -