Short‐ and long‐term neurological outcomes following neonatal chest physiotherapy

Beeby, Philip J.; Henderson‐Smart, David J; Lacey, J L; Rieger, Ingrid

doi:10.1046/j.1440-1754.1998.00155.x

Cited by 31 publications

(26 citation statements)

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“…Besides the scarce benefits, some authors have suggested that ARP might entail the risk of a neurologic damage, especially in neonates whose weight is <1500 grams, a risk which other studies did not confirm [4,8,13-18]. …”

Section: Discussionmentioning

confidence: 99%

Chest physiotherapy in preterm infants with lung diseases

et al. 2010

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BackgroundIn neonatology the role of chest physiotherapy is still uncertain because of the controversial outcomes.MethodsThe aim of this study was to test the applicability in preterm infants of 'reflex rolling', from the Vojta method, in preterm neonates with lung pathology, with particular attention to the effects on blood gases and oxygen saturation, on the spontaneous breathing, on the onset of stress or pain. The study included 34 preterm newborns with mean gestational age of 30.5 (1.6) weeks - mean (DS) - and birth weight of 1430 (423) g - mean (DS) -, who suffered from hyaline membrane disease, under treatment with nasal CPAP (continuous positive airways pressure), or from pneumonia, under treatment with oxygen-therapy. The neonates underwent phase 1 of 'reflex rolling' according to Vojta method three times daily. Respiratory rate, SatO2, transcutaneous PtcCO2 e PtcO2 were monitored; in order to evaluate the onset of stress or pain following the stimulations, the NIPS score and the PIPP score were recorded; cerebral ultrasound scans were performed on postnatal days 1-3-5-7, and then weekly.ResultsIn this population the first phase of Vojta's 'reflex rolling' caused an increase of PtcO2 and SatO2 values. No negative effects on PtcCO2 and respiratory rate were observed, NIPS and PIPP stress scores remained unmodified during the treatment; in no patient the intraventricular haemorrhage worsened in time and none of the infants developed periventricular leucomalacia.ConclusionsOur experience, using the Vojta method, allows to affirm that this method is safe for preterm neonates, but further investigations are necessary to confirm its positive effects and to evaluate long-term respiratory outcomes.

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Section: Discussionmentioning

confidence: 99%

Chest physiotherapy in preterm infants with lung diseases

et al. 2010

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“…[27][28][29] No wonder that conventional CPT gives poor results and is poorly tolerated, with side effects such as esophageal reflux, tachypnea, tachycardia, hypoxemia, rib fracture, and severe central nervous system complications, especially in newborns. [30][31][32][33][34] The 2012 Cochrane review showed no significant benefit from conventional CPT on clinical score or hospital stay, and conventional CPT in acute viral bronchiolitis is no longer recommended. [35][36][37] In France, increased-exhalation technique has been widely used in various ways since the 1970s.…”

Section: Chest Physical Therapymentioning

confidence: 99%

Chest Physical Therapy in Acute Viral Bronchiolitis: An Updated Review

2013

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“…Since this publication, several authors have disputed the association between ECPE and CPT. Beeby [9] found no evidence that chest physiotherapy was associated with abnormal neurological outcomes in extremely preterm infants. The recent article by Harding and associate [10] also found similar results as Beeby.…”

Section: Discussionmentioning

confidence: 98%