A randomised controlled equivalence trial to determine the effectiveness and cost utility of manual chest physiotherapy techniques in the management of exacerbations of chronic obstructive pulmonary disease (MATREX)

Cross, JL, Elender, F, Barton, GR, Clark, AB, Shepstone, L, Blyth, A, Bachmann, MO and Harvey, IM (2010) A randomised controlled equivalence trial to determine the effectiveness and cost utility of manual chest physiotherapy techniques in the management of exacerbations of chronic obstructive pulmonary disease (MATREX). Health Technology Assessment, 14 (23). pp. 1-147. ISSN 2046-4924

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Abstract

Manual chest physiotherapy (MCP) techniques, involving chest percussion, vibration and assisted coughing, have long been used in the treatment of respiratory conditions. However, strong evidence for the benefit of this intervention is lacking. Specifically with respect to chronic obstructive pulmonary disease (COPD), a review of the research literature indicates a clear state of clinical equipoise. Traditionally, patients hospitalised with an exacerbation of COPD have been given MCP to assist with sputum clearance. However, uncertainty as to whether it confers either short- or long-term benefits has led to wide variation in practice, with individual clinical preference tending to dictate whether or not a patient receives treatment. Current clinical guidelines on the management of COPD are unable to provide evidence statements on physiotherapy interventions on account of inherent methodological limitations in existing research. The aim of this study was to address this situation by providing robust evidence on the effectiveness of MCP for this clinical population.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
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Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:13
Last Modified: 11 Apr 2019 15:33
URI: https://ueaeprints.uea.ac.uk/id/eprint/15140
DOI: 10.3310/hta14230

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