Mohamed Ahmed Kamal Ahmed Shamakh <br/><br/>
Acapella device versus hand-held positive expiratory pressure device on airway clearanee in chronic obstructive  pulmonary diseases /  
 جهاز اكابيلا مقابل الضغط الزفيرى الموجب الممسك باليد على إزالة البلغم فى مرضى الانسداد الرئوى المزمن 
Mohamed Ahmed Kamal Ahmed Shamakh ; Supervised Nagwa M. Badr , Mohamed Mahmoud  Elbatanouny , . Mohamed A. Shendy 
 - Cairo :   Mohamed Ahmed Kamal Ahmed Shamakh ,   2019 
 - 118 P. :   charts , facsimiles , photographs ;   25cm 
<br/><br/>Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary and Geriatrics Disorder 
<br/><br/> Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease that requires multidisciplinary approach with increasing emphasis on self-management. Physiotherapists uses multiple airway clearance techniques in COPD management like Acapella and positive expiratory pressure (PEP).  Objective: To find any difference between acapella and hand-held positive expiratory pressure in management of moderate COPD? Study design: single blinded randomized controlled trial. Methods: 60 patients were recruited from Cairo University Hospitals  Egypt; August 2016 to February 2019. They were randomly assigned into 3 groups equally. Group (A) patients received routine treatment: Active cycle of breathing technique (ACBT). Groups (B and C) received ACBT and either PEP or Acapella respectively. Outcome measures were measured after acute exacerbation and after six months of home self-management 
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<br/><br/><label>Subjects--Index Terms: </label>COPD  PEP  Threshold PEP