International Journal For Multidisciplinary Research

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Effectiveness Of High-Frequency Chest Wall Oscillation In Pulmonary Rehabilitation: An Evidence-Based Analysis

Author(s) Dr. Kruti Sunilbhai Desai, Dr. Kinjal Virendrasinh Daru, Dr. Drashti Sunilbhai Desai, Niki Virendrasinh Daru, Pooja Atul Desai
Country India
Abstract Chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD), bronchiectasis, and cystic fibrosis are frequently associated with impaired mucociliary clearance and mucus retention, leading to airflow obstruction, recurrent infections, and compromised pulmonary function (Hardy, 1994; Tomkiewicz et al., 1994). High-Frequency Chest Wall Oscillation (HFCWO) is a non-invasive airway clearance technique that delivers rapid chest compressions via an inflatable vest to facilitate secretion mobilization (AbdelAzeem et al., 2024; Nicolini et al., 2013). This evidence-based review aimed to assess the clinical effectiveness of HFCWO as part of pulmonary rehabilitation. A comprehensive literature search across PubMed, Scopus, Cochrane Library, and CINAHL included studies published between 2013 and 2025, with randomized controlled trials, systematic reviews, and clinical trials involving adult patients assessed using CASP and JBI appraisal tools. Eight studies, including four RCTs and four experimental trials, were included. Results demonstrated statistically significant improvements in airway clearance, FEV₁, and health-related quality of life in patients receiving HFCWO compared to conventional chest physiotherapy (Huang et al., 2022; Seifer et al., 2020; Ibrahim & Abdellatif, 2020). Additional benefits included improved patient adherence, comfort, and reduced healthcare utilization (Camacho Urribarri et al., 2024; Alahmari et al., 2017). The findings support the integration of HFCWO as an effective adjunct in pulmonary rehabilitation protocols, especially for patients with chronic mucus retention.
Keywords HFCWO, Pulmonary Rehabilitation, Airway Clearance, Respiratory Therapy
Field Medical / Pharmacy
Published In Volume 7, Issue 4, July-August 2025
Published On 2025-07-09
DOI https://doi.org/10.36948/ijfmr.2025.v07i04.50654
Short DOI https://doi.org/g9s9qp
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