Fisioterapia respiratória no empiema pleural: revisão sistemática da literatura

Abstract

Alguns dos recursos utilizados em fisioterapia respiratória não são baseados em evidências científicas comprovadas. A má utilização desses recursos pode ser nociva do ponto de vista de efeitos adversos, ou levar a um custo-benefício não favorável. Os autores fizeram uma revisão sistemática da literatura, através das bases de dados Oldmedline, Medline, Cinahl, Lilacs, e nos registros de ensaios clínicos da Biblioteca Cochrane e do National Institutes of Health, dos EUA, visando a encontrar ensaios sobre a eficácia da fisioterapia respiratória no empiema pleural em crianças, adolescentes ou adultos. Nenhum ensaio sobre o assunto foi encontrado. Os autores concluem que faltam evidências sobre a eficácia da fisioterapia no empiema pleural. Ensaios clínicos são necessários para responder a esta questão.

Effects of Physiotherapeutic Interventions on Quality of Life and Respiratory Function of subjects with COPD

“…In addition, manovacuometry is also an indispensable method to evaluate inspiratory muscle strength (maximum inspiratory pressure -MIP) and expiratory muscles (maximal expiratory pressure -MEP), being considered an important tool of respiratory physical therapy (13) . It is known today that minimizing complications resulting from pulmonary functional loss through respiratory exercises increases pulmonary ventilation and gas exchange efficiency, thus improving the contraction efficiency of respiratory muscles, reducing the sensation of dyspnea and energy expenditure during ventilation, and the individual can perform their activities of daily living (ADL) without major disruption to the body (14)(15)(16) . Therefore, COPD treatment includes a multidisciplinary approach which takes into account aerobic and inspiratory muscle training, as well as behavioral instructions (14)(15)(16)(17) , in addition to physiotherapy having a prominent role, since its treatment has a positive impact on the quality of life of these individuals (17) .…”

“…It is known today that minimizing complications resulting from pulmonary functional loss through respiratory exercises increases pulmonary ventilation and gas exchange efficiency, thus improving the contraction efficiency of respiratory muscles, reducing the sensation of dyspnea and energy expenditure during ventilation, and the individual can perform their activities of daily living (ADL) without major disruption to the body (14)(15)(16) . Therefore, COPD treatment includes a multidisciplinary approach which takes into account aerobic and inspiratory muscle training, as well as behavioral instructions (14)(15)(16)(17) , in addition to physiotherapy having a prominent role, since its treatment has a positive impact on the quality of life of these individuals (17) . Currently, there is consensus in the rehabilitation of these patients to improve aerobic capacity, which may be associated with other techniques such as respiratory muscle resistive training (18,19) , however, the lack of elucidation of these protocols (20) and the few studies that specifically evaluate thoracic muscle changes (18) make this study interesting.…”