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dc.contributor.authorBhowmik, A.
dc.contributor.authorChahal, K.
dc.contributor.authorAustin, G.
dc.contributor.authorChakravorty, I.
dc.date.accessioned2011-05-25T15:13:28Z
dc.date.available2011-05-25T15:13:28Z
dc.date.issued2009
dc.identifier.citationBhowmik , A , Chahal , K , Austin , G & Chakravorty , I 2009 , ' Improving mucociliary clearance in chronic obstructive pulmonary disease ' , Respiratory Medicine , vol. 103 , no. 4 , pp. 496-502 . https://doi.org/10.1016/j.rmed.2008.10.014
dc.identifier.issn0954-6111
dc.identifier.otherPURE: 130115
dc.identifier.otherPURE UUID: 03a364d9-d94b-4008-b3be-998759e604b7
dc.identifier.otherdspace: 2299/5854
dc.identifier.otherScopus: 60649089032
dc.identifier.urihttp://hdl.handle.net/2299/5854
dc.descriptionOriginal article can be found at : http://www.sciencedirect.com/ Copyright Elsevier [Full text of this article is not available in the UHRA]
dc.description.abstractPatients with COPD usually experience mucus hypersecretion as a result of airway inflammation and response to noxious stimuli. These in turn lead to worsening airway resistance, impaired airflow, increased work of breathing, dyspnoea and exercise intolerance. Mucus hypersecretion may also lead to increased exacerbations and poor health related quality of life (HRQL). Institution based pulmonary rehabilitation programs incorporating airway clearance techniques have been shown to improve HRQL, reduce dyspnoea and improve exercise tolerance but are often difficult to provide due to restricted accessibility and resource implications. This review examines the current evidence base and best clinical practice in the area of airway clearance. Mechanical devices such as the flutter valves, positive end expiratory pressure and high frequency chest wall oscillation (HFCWO) may be able to provide the benefits of improved airway clearance in the patient’s home potentially with reduced demands on healthcare resources.en
dc.language.isoeng
dc.relation.ispartofRespiratory Medicine
dc.subjectCOPD
dc.subjecthigh frequency chest wall oscillation
dc.subjectphysiotherapy
dc.subjectexacerbations
dc.titleImproving mucociliary clearance in chronic obstructive pulmonary diseaseen
dc.contributor.institutionCentre for Postgraduate Medicine
dc.description.statusPeer reviewed
rioxxterms.versionofrecordhttps://doi.org/10.1016/j.rmed.2008.10.014
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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