Home > Riviste > European Journal of Physical and Rehabilitation Medicine > Fascicoli precedenti > Articles online first > European Journal of Physical and Rehabilitation Medicine 2020 May 13



Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca


Publication history
Per citare questo articolo



European Journal of Physical and Rehabilitation Medicine 2020 May 13

DOI: 10.23736/S1973-9087.20.06144-4


lingua: Inglese

Effect of active cycle of breathing techniques in patients with chronic obstructive pulmonary disease: a systematic review of intervention

Meidi SHEN 1, Yuewei LI 1, Xiangdong DING 2, Linqi XU 1, Feng LI 1 , Hongjing LIN 3

1 School of Nursing, Jilin University, Changchun, China; 2 Hand Surgery Department, Jilin University Third Hospital, Changchun, China, 3 Respiratory Department, Jilin University First Hospital, Changchun, China


INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD) often suffer from expectoration. To address this problem, active cycle of breathing techniques (ACBT) can be applied. However, the effects of ACBT on COPD patients have shown mixed results. Therefore, we investigated the effectiveness of ACBT in patients with COPD by conducting a systematic review of the literature.
EVIDENCE ACQUISITION: Seven electronic databases (Pubmed; Web of science; Embase; CINAHL; China National Knowledge Infrastructure (CNKI); Chinese Biomedical Literature (CBM); Wanfang Database ) were carefully searched from August 17 to 19, 2019.
EVIDENCE SYNTHESIS: We initially retrieved 2,224 records and ultimately selected 8 articles. A total of 390 patients were included in the eight studies. The intervention program is a comparison of ACBT with non-ACBT. For COPD patients, active cycle of breathing was more effective in sputum production and cough efficiency. Compared with usual care, ACBT may improve lung function, blood gas analysis, and other parameters.
CONCLUSIONS: Our systematic review found that ACBT can effectively improve the sputum production and cough efficiency in patients with COPD. However, there was no definite conclusion on the effectiveness of ACBT on lung function, blood gas analysis and other aspects. More research and quantitative analyses are needed to confirm the effectiveness of ACBT on others aspects of COPD patient.

KEY WORDS: Systematic review; Active cycle of breathing techniques; Chronic obstructive pulmonary disease

inizio pagina