Chest physiotherapy in exacerbated patients with bronchiectasis (v.1)
Research type
Research Study
Full title
Supervised airway clearance techniques in patients with acute exacerbation of bronchiectasis requiring intravenous antibiotic treatment: a randomised controlled trial.
IRAS ID
206007
Contact name
Adam Hill
Contact email
Sponsor organisation
NHS Lothian
Duration of Study in the UK
0 years, 4 months, 3 days
Research summary
One of the main symptoms during an acute pulmonary exacerbation in patients with bronchiectasis is an increase of sputum production.
This study will aim to provide evidence on whether the addition of chest physiotherapy techniques supervised by a physiotherapist could improve the clinical symptoms of patients and whether this improvement is faster than those patients without additional chest physiotherapy support.
Patients will be allocated to an intervention or control group. All patients will attend for assessment at baseline including sputum sample, chest auscultation, spirometry, walk tests and questionnaires to evaluate quality of life and cough severity. The visit will last approximately 2 hours.
All patients attend again at day 7, 14 and 28 for repeats of these assessments.
All patients will be treated with intravenous antibiotic treatment as standard care for exacerbation of broncheictasis.The patients allocated to the intervention group will receive supervision and/or assistance of their chest physiotherapy management during the exacerbation period. Each session will last 15-20 min. Sessions will be performed in hospital if they are an inpatient or at home if out patient. The supervision of chest physiotherapy sessions at home will be undertaken by a tablet computer using video-observed therapy (POLYCOM).
The primary objective will be the impact on cough severity at 28 day after an acute exacerbation, assessed by the Leicester Cough Questionnaire.
Patients will be recruited form Dr Hills Bronchiectasis clinic and from the Respiratory Nurse Specialists Intravenous Antibiotic Outpatient service and also ward 204 RIE (Respiratory ward).
REC name
West of Scotland REC 4
REC reference
16/WS/0119
Date of REC Opinion
17 Jun 2016
REC opinion
Favourable Opinion