Physical Therapy for Neonates with Respiratory Dysfunction

Abstract

Chest physical therapy for neonates with pulmonary dysfunction is a growing specialty of physical therapy practice. The purpose of this article is to provide physical therapists current information regarding chest physical therapy for the newborn infant. The neonatal diagnoses for which chest physical therapy is useful or has good rationale are discussed. Common complications are reviewed that affect physical therapy and medical treatment for infants with respiratory diseases and prematurity. Specific indications, contraindications, and precautions for physical therapy techniques are listed. Chest physical therapy evaluation and treatment are described and rationale for the application of various techniques is provided. Literature is reviewed dealing with the effects of chest physical therapy on neonates with pulmonary dysfunction. The strengths and weaknesses of each reviewed study are analyzed and suggestions for direction of future research for physical therapists are provided.

Respiratory system stimulation in children with infantile cerebral palsy

“…Knowledge of topography of the bronchial and pulmonary segments and of the course of the segment bronchi towards the lobar and main bronchi are the condition for correct selection of the drainage position. Bronchial drainage is based on antigravitational mechanism of shifting the bronchial secretion [12,14].…”

“…Warunkiem prawidłowego dobrania pozycji drenażowej jest znajomość topografi i segmentów oskrzelowo-płucnych oraz przebiegu oskrzeli segmentowych w kierunku oskrzeli płatowych i głównych. Drenaż oskrzeli opiera się bowiem na zasadzie przesuwania się wydzieliny w oskrzelach pod wpływem siły grawitacji [12,14].…”