Airway-clearance techniques in children and adolescents with chronic suppurative lung disease and bronchiectasis

Annemarie L. Lee, Brenda M. Button, Esta Lee Tannenbaum

Research output: Contribution to journalShort SurveyResearchpeer-review

27 Citations (Scopus)


Common symptoms of chronic suppurative lung disease or bronchiectasis in children and adolescents are chronic cough with sputum production, retention of excess secretions in dilated airways, and a history of recurrent infections. Clinical management includes the prescription of airway-clearance techniques (ACTs) to facilitate mucociliary clearance, optimize sputum expectoration, relieve symptoms, and improve well-being. A wide range of ACTs are available for selection, and these strategies may be applied in isolation or in combination. The choice of technique will depend in part on the age of the child, their clinical state, and factors which may influence treatment adherence. While the evidence base for ACTs in children and adolescent with these conditions is not robust, the current available evidence in addition to clinical expertise provides guidance for technique prescription and clinical effect. An overview of the most commonly applied ACTs, including their physiological rationale and discussion of factors influencing prescription in children and adolescents is outlined in this review.

Original languageEnglish
Article number2
Number of pages8
JournalFrontiers in Pediatrics
Publication statusPublished - 24 Jan 2017


  • Airway-clearance techniques
  • Breathing techniques
  • Bronchiectasis
  • Mucus production
  • Positive expiratory pressure

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