Clinical evidence surrounding PEP therapy for effective airway clearance

Pursley, D.M. Effect of inspiratory time on PEF/PIF ratio in Three oscillating PEP devices in an adult chronic bronchitis model. Respiratory Therapy 2018; Volume 13, No. 1, 51-54. Retrieved from:

Pursley, D.M., Analysis of Three Oscillating Positive Expiratory Pressure Devices During Simulated Breathing. Respiratory Therapy 2017; Volume 12, No. 1, 52-56. Retrieved from:

Pursley, D.M. Analysis of Tidal Volume and Expiratory Pressure during Oscillatory PEP Therapy in Healthy Subjects. Respiratory Therapy Vol. 11 No. 2 in Spring 2016. Retrieved from:

Restrepo RD. AARC Clinical Practice Guideline: Incentive Spirometry: 2011. Respir Care 2011;56(10):1600 –1604. Retrieved from:

McIlwaine MP, et al. Long-term multicentre randomised controlled study of high frequency chest wall oscillation versus positive expiratory pressure mask in cystic fibrosis. Thorax. 2013 Aug;68(8):746-51. Retrieved from:

Haeffener MP, et al. Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery. Am Heart J. 2008 Nov;156(5):900. Retrieved from:

Ferreira GM. Incentive spirometry with expiratory positive airway pressure brings benefits after myocardial revascularization. Arq Bras Cardiol. 2010 Feb;94(2):230-5, 246-51, 233-8. Retrieved from:

Hristara-Papadopoulou A, et al. Current devices of respiratory physiotherapy. Hippokratia. 2008 Oct-Dec; 12(4): 211–220. Retrieved from:

McCool FD, Rosen MJ. Nonpharmacologic Airway Clearance Therapies: ACCP Evidence-Based Clinical Practice Guidelines. Chest 2006;129(1):250S-259S. Retrieved from

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