Positive expiratory pressure devices (v no intervention) on secretion clearance in people with SCI who have expiratory muscle weakness
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Weak Against Recommendation
Positive expiratory pressure devices should not be provided to improve secretion clearance in people with SCI who have expiratory muscle weakness.
| Positive expiratory pressure devices (v no intervention) on secretion clearance in people with SCI who have expiratory muscle weakness | |||||||
|---|---|---|---|---|---|---|---|
| P | People with SCI who have respiratory muscle weakness. | Evidence recommendation No evidence recommendation Reason: Reason: No RCTs | Weak opinion statement AGAINST Positive expiratory pressure devices should not be provided to improve secretion clearance in people with SCI who have expiratory muscle weakness. Clinical note: Positive expiratory pressure techniques include oscillating positive pressure devices. |
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| I | Positive expiratory pressure devices | ||||||
| C | No intervention | Consensus-based opinion statement Weak against (75%) |
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| O | Secretion clearance | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends against positive expiratory pressure devices to improve secretion clearance in people with SCI who have expiratory muscle weakness. This is a consensus-based opinion statement supported by the opinions of the experts and two randomised controlled trials related to this topic. The guideline states:
Positive expiratory pressure devices should not be provided to improve secretion clearance in people with SCI who have expiratory muscle weakness.
This statement was formed by considering the balance between benefits and harms, values and preferences, resource use, equity, accessibility, feasibility and personal experience. This is a consensus-based opinion statement. Opinion statements are less robust than evidence-based recommendations. They can be strong or weak. This is a weak statement which means that the guideline panel is confident they can probably recommend against positive expiratory pressure devices to improve secretion clearance in people with SCI who have expiratory muscle weakness based on opinion.
To learn more about the this intervention go to the research summary.