Akademik Veri Yönetim Sistemi
Türk Toraks Derneği 27. Yıllık Kongresi, Girne, Kıbrıs (Kktc), 29 Nisan - 03 Mayıs 2024, ss.101, (Özet Bildiri)
Aim: The primary aim of this study was to determine the effects of device-assisted physiotherapy compared with traditional physiotherapy on spirometry indices in patients with primary ciliary dyskinesia (PCD) through real-life experience. Method: A retrospective longitudinal cohort study was conducted on patients with PCD aged 6-18 years who had performed one of these methods: device-assisted (Group1) or traditional (Group2) chest physiotherapy. The demographic, clinical characteristics, and spirometry results at baseline to the end of the study were recorded from the medical documents. Result: The study included 124 patients (Group1:54, Group2:70). The groups had no significant differences in age, diagnosed age, sex, BMI, BMI z-score, chronic airway colonization, frequency of pulmonary exacerbations per year, and bronchiectasis status. Baseline and last FEV1%, FEV1 z-score, FVC%, and FVC z-score were significantly higher in Group1 than Group2. Delta changes in FEV1% and FVC% were significantly better in Group1 than in Group2; however, absolute changes in the spirometry indices z-score did not significantly differ between and within the groups from baseline to the end of the study. The results of the PCD‐QOL questionnaires showed that children’s social functioning and upper respiratory symptoms scores were significantly lower in Group 1 than in Group 2. However, the treatment burden did not significantly differ between the groups in each age group and for parents. Conclusion: The study showed that the pulmonary function of patients doing device-assisted physiotherapy was better. However, the changes in spirometry indices did not differ with the chest physiotherapy type. Doing any type of physiotherapy positively affects the respiratory functions of PCD patients. The type of chest physiotherapy did not cause a difference in the treatment burden in children with PCD. Anahtar kelimeler: Primary Ciliary Dyskinesia, Spirometry, Children