臨床呼吸器疾患とケアのジャーナル: オープンアクセス

Effectiveness of Active Cycle of Breathing Technique ACBT for the participants of Bronchiectasis A narrative review study

Abstract

Nadia Afrin Urme, Fabiha Alam and Ehsanur Rahman

Bronchiectasis is an abnormal, irreversible condition of bronchus, which caused recurrent inflammation and infection, and characterized by chronic cough, and sputum. Its management aims to clear airways. The active cycle of breathing is considering as the utmost standard treatment for bronchiectasis patients as it can reduce the dependency on the drug. The study aimed to explore the effectiveness of the Active cycle breathing technique by review of the article. Review of 5 articles was done to fulfil this purpose. Randomized controlled trial study with PEDro score between 4 to 6 was taken. Studies compare the ACBT with other techniques like conventional therapy, Flutter device, Acapella device, ACBT with postural drainage, Test incremental respiratory endurance (TIRE) technique. From the review, it is found that ACBT causes a decrease in the amount of cough and sputum, increase lung function and quality of life of bronchiectasis patients. Although Flutter and Acapella show more preference to the patient for easy administration and cost-effectiveness, in terms of symptoms improvement ACBT shows a better outcome than these devices. Two article shows the use of ACBT with postural drainage has a more beneficial effect than the use of ACBT alone. One article shows TIRE technique is not effective by comparing with ACBT. So, from the overall review, it is shown that not superior to other technique but it can use as a most effective treatment technique for bronchiectasis patients.