Tecnicas de fisioterapia respiratoria: efeito nos parametros cardiorrespiratorios e na dor do neonato estavel em UTIN

Martins, Renata; Silva, Maria Eduarda Merlin da; Honório, Gesilani Júlia da Silva; Paulin, Elaine; Schivinski, Camila Isabel Santos

doi:10.1590/s1519-38292013000400004

Cited by 11 publications

(12 citation statements)

References 20 publications

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“…International association for pain study de ines painful sensation as a sensorial emotional disgusting experience, associated to potential and or real tecidual lesion, being always subjective (5,17). It is important to analyze if chest physiotherapy causes pain in neonates, once pain in luences directly in stabilization and clinical evolution, having long term repercussions in family interactions, cognition and learning (5).…”

Section: Resultsmentioning

confidence: 99%

The respiratory physiotherapy causes pain in newborns? A systematic review

et al. 2017

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Introduction: Neonatal respiratory physicaltherapy plays an important role in prevention and treatment of respiratory pathologies. In preterm neonates, immaturity of respiratory system can let development of various respiratory diseases. Meanwhile, it is discussed if respiratory physiotherapy can cause pain. Objective: Investigate presence of pain in neonates undergone to respiratory physiotherapy by a systematic review. Methods: Scienti ic search in electronic databases: Medline, Lilacs, Bireme, PEDro, Pubmed, Scielo and Capes thesis and dissertations base. Portuguese, English and Spanish, publication year from 2000 to 2012. Results: Thriteen studies were included, but one of them was excluded due to fulltext unavaiable. Therefore, twelve articles were included, nine (81,8%) con irm pain in newborn (NB), from these, in eight (72,7%) intervention was suction and in only one vibrocompression. Four articles studied term and premature newborns. Mechanical ventilatory assistance was used in seven of the studies analyzed. Conclusion: Results suggest that suction and vibrocompression were pain causers in NB. However, evidenced the necessity of well delineated methods to evaluate if physicaltherapy techniques can cause pain in neonates.

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Section: Resultsmentioning

confidence: 99%

The respiratory physiotherapy causes pain in newborns? A systematic review

et al. 2017

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“…O RTA é uma técnica que tem como característica manuseios e apoios suaves, diferente de outras técnicas fisioterapêuticas. Em algumas situações, no entanto, a simples presença do terapeuta e o contato manual podem desencadear o choro e a agitação do RN, assim como a presença de luz e ruídos (MARTINS et al, 2013).…”

Section: Discussionunclassified

Efeitos Do Método De Reequilíbrio Toracoabdominal Sobre a Função Cardiorrespiratória De Prematuros Com Síndrome Do Desconforto Respiratório

Carvalho¹,

Zimpel²,

Costa³

et al. 2021

Rev. Cont. Saúde

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Resumo Objetivo: Avaliar os efeitos do método de reequilíbrio tóraco-abdominal sobre a função cardiorrespiratória de prematuros com Síndrome do Desconforto Respiratório. Métodos: Ensaio clínico não randomizado. Os recém-nascidos participantes do estudo foram divididos em dois grupos. O grupo 1 recebeu os manuseios do método de reequilíbrio tóraco-abdominal: apoio no espaço íleo-costal, apoio abdominal inferior e apoio tóraco-abdominal. O grupo 2 recebeu o tratamento que consistiu no alongamento dos músculos acessórios da respiração e mobilização da cintura escapular. Ambos os grupos foram avaliados antes e após o tratamento. A avaliação foi composta pela verificação da saturação periférica de oxigênio, frequência cardíaca, frequência respiratória e grau de desconforto respiratório a partir do Boletim de Silverman-Andersen. Resultados: Participaram do estudo 14 recém-nascidos. Foi verificado aumento significativo da saturação periférica de oxigênio nos recém-nascidos submetidos ao reequilíbrio tóraco-abdominal (p-valor = 0,04) e aumento significativo da frequência cardíaca nos recém-nascidos que receberam o tratamento de controle (p-valor = 0,01). Não houve diferença estatística na relação intergrupos e nos demais fatores avaliados na análise intragrupos. Conclusão: O método de reequilíbrio tóraco-abdominal produziu efeitos positivos sobre a saturação periférica de oxigênio de recém-nascidos diagnosticados com Síndrome do Desconforto Respiratório, não influenciando nos parâmetros de frequência cardíaca, frequência respiratória e grau de desconforto respiratório. O reequilíbrio tóraco-abdominal não demonstrou superioridade ao tratamento de controle exceto pela saturação periférica de oxigênio.

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“…The ileum-costal support is responsible for stimulating the diaphragm, thus improving their performance, with consequent improvement in oxygenation and decreased work of breathing, reflecting directly on increasing SpO2. (21) In a descriptive study type series of cases, carried out with 10 children with gastroesophageal reflux disease, we evaluated cardiorespiratory parameters, such as the SpO2; before (T1), immediately after (T2) and 15 minutes after (T3), the application of TAR. Upon completion of the technique, SpO2 increased from T1 (95.30 ± 2.71) to T2 (97.70 ± 1.16), with T3 value higher than before the TAR (97.60 ± 1.65).…”

Section: Discussionmentioning

confidence: 99%

Influence of method Thoracic-Abdominal Rebalance on parameters cardiorespiratory in patients with cystic fibrosis

et al. 2015

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Introduction: Cystic fibrosis (CF) is a genetic, systemic disorder characterized by generalized dysfunction of exocrine glands, with chronic progressive evolution. The Thoracic-Abdominal Rebalancing (TAR) aims to encourage ventilation and promote the removal of pulmonary secretions. Objective: To evaluate the influence of TAR on cardiorespiratory parameters in CF patients. Method: This is an exploratory retrospective study of case series, which involved eight patients with CF, of both sexes, aged 3-24 years, who underwent TAR. Records of information was extracted on the identification, age, gender, time of diagnosis and general clinical status, as well as the data of the cardiorespiratory parameters: Heart Rate (HR), Respiratory Rate (FR), blood pressure (BP) and Saturation peripheral oxygen (SpO2), before and after each service. To compare the values, we used the parametric Student t test for paired samples, with statistical significance level of p = 0.05. Results: Male gender was prevalent in 62.5% of the sample analyzed. The mean age was 12.12 ± 7.20 years. The median time to diagnosis was around 10.11 ± 5.48 years. Comparing the total average values, verified a decrease of BP and HR variables after the completion of the TAR. However, no statistically significant difference, since there was obtained, respectively, p = 0.097 / p = 0.062. However, the RR showed a significant decrease (p = 0.012) and SpO2 (p = 0.030), which showed an increase after the implementation of the method. Conclusion: The TAR may influence the cardiorespiratory variables in CF patients, is showing to be a safe technique and of great importance in the treatment of these patients.

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Tecnicas de fisioterapia respiratoria: efeito nos parametros cardiorrespiratorios e na dor do neonato estavel em UTIN

Cited by 11 publications

References 20 publications

The respiratory physiotherapy causes pain in newborns? A systematic review

The respiratory physiotherapy causes pain in newborns? A systematic review

Efeitos Do Método De Reequilíbrio Toracoabdominal Sobre a Função Cardiorrespiratória De Prematuros Com Síndrome Do Desconforto Respiratório

Influence of method Thoracic-Abdominal Rebalance on parameters cardiorespiratory in patients with cystic fibrosis

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