Effectiveness of chest physiotherapy and pulmonary rehabilitation in patients with non-cystic fibrosis bronchiectasis: a narrative review

Submitted: June 3, 2019
Accepted: January 8, 2020
Published: February 12, 2020
Abstract Views: 10130
PDF: 6811
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


Respiratory physiotherapy and rehabilitation are important therapeutic options in non-cystic fibrosis bronchiectasis (NCFB). The aims of this review of clinical trials were to evaluate the safety and the effects on physiologic and clinical outcomes of airway clearance techniques (ACTs) and rehabilitation in NCFB patients, in comparison to usual care. The search was performed on March 2018 by using PubMed and PeDro databases. 33 studies were selected. The use of ACTs for NCFB were effective in increasing sputum volume although no benefit in quality of life (QoL) or pulmonary exacerbations were observed. There were no differences in effectiveness between the several techniques used. Humidification and saline inhalation were able to aid airway clearance. Hypertonic solution (HS) was more effective than isotonic solutions (IS) in improving expectoration and sputum viscosity. Pulmonary rehabilitation (PR) was found to be associated with short term benefits in exercise capacity, dyspnea and fatigue. Exercise training seems to improve quality of life and lower exacerbation rate, but long-term data are not available. Further studies are necessary to identify the most feasible long-term outcomes such as QoL and exacerbation rate.



PlumX Metrics


Download data is not yet available.


How to Cite

Annoni, Sara, Angela Bellofiore, Elena Repossini, Marta Lazzeri, Antonello Nicolini, and Paolo Tarsia. 2020. “Effectiveness of Chest Physiotherapy and Pulmonary Rehabilitation in Patients With Non-Cystic Fibrosis Bronchiectasis: A Narrative Review”. Monaldi Archives for Chest Disease 90 (1). https://doi.org/10.4081/monaldi.2020.1107.