Chest physiotherapy by a respiratory manual compressor chicago pneumatic cpb 30 is also considered medically necessary when the member’s pulmonary condition is unstable. CF, chronic bronchitis, bronchiectasis, immotile cilia syndrome, and asthma.
Lung transplant recipients, within the first 6 months post-operatively, who are unable to tolerate standard chest physiotherapy. Aetna considers continuous high-frequency oscillation therapy for the treatment of secretion-induced atelectasis experimental and investigational because there is insufficient evidence supporting its effectiveness. The underlying pathology of abnormal airway clearance differs from one illness to another. The standard dependent method of pulmonary care remains clapping, vibration and compression, together with postural drainage and assisted coughing. Most practitioners prescribe 20 to 30-min CPT sessions 1 to 3 times a day, depending on the severity of disease and the presence of intercurrent infection. Respiratory therapists can teach family members or other informal caregivers to competently administer manual CPT to children and others who are incapable of doing it for themselves. National Institutes of Health states: “Chest therapy consists of bronchial, or postural, drainage, which is done by placing the patient in a position that allows drainage of the mucus from the lungs.
Different types of airway clearance devices have been developed for independent use, which require little or no assistance by others. When a competent care giver is not available to administer CPT manually, specific alternative methods may be utilized. Many of these techniques have been developed and studied using CF patients. They are also, however, frequently prescribed in previously healthy children with an acute respiratory problem with the aim to speed up recovery. These investigators reviewed the evidence behind this use of airway clearance techniques in children without underlying disease. The vest is connected via tubing to an air pulse delivery system. High-frequency chest compression devices have been shown to increase sputum production in CF patients.
Cystic fibrosis is caused by abnormal chloride ion transport on the apical surface of epithelial cells in exocrine gland tissues. The abnormally composition of secretions from affected epithelial surfaces results in increased viscosity. High-frequency chest wall compression devices have been promoted for use in conditions other than CF, including non-CF bronchiectasis. However, there are no adequate published controlled clinical studies of high-frequency chest compression devices for conditions other than CF. There is controversy surrounding the use of high-frequency chest physiotherapy devices for indications other than CF. Chest physiotherapy is standard therapy but effort is substantial. CF, but tolerability and safety data in cerebral palsy and neuromuscular disease are limited.
HFCWO is most widely used in children with CF, but that children with developmental disorders involving neuromuscular dysfunction also have impaired airway clearance with or without ventilatory dependence. The authors stated that “arge, long-term studies are needed examining HFCC in the patients with developmental disorders. HFCWO to be of significant help to patients with ALS. These investigators evaluated the effectiveness of HFCWO administered through the Vest Airway Clearance System when added to standard care in preventing pulmonary complications and prolonging the time to death in patients with ALS. The Frequencer device provides airway clearance by inducing oscillatory sound waves in the chest by means of an electro-acoustical transducer placed externally on the patient’s chest.
The transducer is connected to a frequency generator which is capable of producing frequencies between 20 and 100 Hz. The vibrations in the patient’s chest are effective in loosening mucus deposits and promoting bronchial drainage. These investigators described the operation of the Frequencer, a novel respiratory physiotherapy device comprised of an electro-acoustical transducer. They hypothesized that the Frequencer would be a safe and effective therapy to help clear secretions from the airways of subjects with CF. Although clinical evidence is limited, high-frequency chest wall oscillation devices have been used for lung transplant recipients who are unable to tolerate standard chest physiotherapy in the post-operative period. Canada for patients with CF whereas, in some countries, HFCWO is the preferred form of AC. There have been no long-term studies comparing the effectiveness of HFCWO and PEP in the CF population.
These researchers performed a retrospective case-series study of the clinical experience in the management of atelectasis with HFCWO in post-term infants and toddlers. Mechanical Percussors The purpose of percussion is to apply kinetic energy to the chest wall and lung at regular intervals. Percussion is also referred to as cupping, clapping, and tapotement. On the other end of the pipe, a stainless steel ball rests inside a plastic circular cone.