Who needs chest physiotherapy? Moving from anecdote to evidence

Wallis, Colin; Prasad, Ammani

doi:10.1136/adc.80.4.393

Cited by 75 publications

(48 citation statements)

References 43 publications

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“…(3) However, one point which can make analysis of the efficacy of the respiratory therapy techniques in AVB difficult is the fact that the techniques applied in the various studies were evaluated together with conventional techniques. (3,(20)(21)(22)(23) Some authors, (20,24) using 33 were female (40.75%): ages ranged from 1 to 11 months (mean, 4.52 months); and weights ranged from 2.6 to 11.8 kg (mean, 6.56 kg). The period of manifestation of the disease was between 2 and 10 days (mean, 5.49 days).…”

Section: Discussionmentioning

confidence: 99%

Comparação dos efeitos de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorrespiratórios de lactentes com bronquiolite viral aguda

et al. 2009

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Objective: To compare the expiratory flow increase technique (EFIT) and vibration accompanied by postural drainage (PD) in terms of their effects on the heart rate (HR), respiratory rate (RR) and SpO 2 of infants with acute viral bronchiolitis (AVB). Methods: Infants with clinical and radiological diagnosis of AVB were analyzed. The HR, RR and SpO 2 were registered at four time points: prior to the procedure; and at 10, 30 and 60 min after the procedure. The patients were divided into three groups: submitted to the EFIT; submitted to vibration/PD; and control. Results: We included 81 infants, 27 per group, with a mean age of 4.52 years and a mean weight of 6.56 kg. Using ANOVA, we found that the EFIT and vibration/PD groups presented no significant differences in relation to the control group in terms of the mean values for HR, RR or SpO 2 (p > 0.05). Considering only the four time points evaluated, the mean RR was significantly lower in the EFIT and vibration/PD groups than in the control group (p < 0.05). Conclusions: In terms of overall improvement of cardiorespiratory parameters, neither the EFIT nor vibration/PD provided any benefit to infants with BVA. However, over time, respiratory physical therapy seems to contribute to decreasing the RR in these patients. Keywords:Bronchiolitis, viral; Physical therapy modalities; Infant. ResumoObjetivo: Comparar os efeitos das técnicas de aumento do fluxo expiratório (AFE) e vibração associada à drenagem postural (DP) nos parâmetros cardiorrespiratórios de frequência cardíaca (FC), frequência respiratória (FR) e SpO 2 de lactentes com bronquiolite viral aguda (BVA). Métodos: Foram analisados lactentes com diagnóstico clínico e radiológico de BVA. A FC, FR e SpO 2 foram registradas em quatro tempos: antes do procedimento e após 10, 30 e 60 min do término do procedimento. Os pacientes foram divididos em três grupos: submetido à AFE; submetido à vibração/DP; e controle. Resultados: Foram incluídos no estudo 81 lactentes, 27 em cada grupo de estudo, com média de idade de 4,52 meses e peso médio de 6,56 kg. Na comparação por ANOVA, as médias da FR, FC e SpO 2 nos grupos AFE e vibração/DP não apresentaram diferenças significantes em relação ao grupo controle (p > 0,05). Considerando somente os quatro tempos, houve queda significante dos valores médios de FR nos grupos AFE e vibração/DP em relação ao controle (p < 0,05). Conclusões: A aplicação de AFE e de vibração associada à DP não apresentou um benefício global na melhora dos parâmetros cardiorrespiratórios em lactentes com BVA. Quando analisados isoladamente no decorrer do tempo, a fisioterapia respiratória parece contribuir na diminuição da FR nesses pacientes. Original ArticleComparison of the effects that two different respiratory physical therapy techniques have on cardiorespiratory parameters in infants with acute viral bronchiolitis J Bras Pneumol. 2009;35(9):860-867 861 tion, autogenic drainage and induced cough. (7)(8)(9) Among those, the EFIT is the most widely used in the routine treatment of children ...

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Section: Discussionmentioning

confidence: 99%

Comparação dos efeitos de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorrespiratórios de lactentes com bronquiolite viral aguda

et al. 2009

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“…Modified PD with head bent down 30 degrees and leaning forward on a pillow was performed for both sides of the body before 5 minutes of percussion (80 -100 time per minute) (24) as well as vibration on the chest wall. TA samples were collected before or after CPT from the bronchial or tracheal airway with a negative pressure suctor at -100 cmH 2 O and kept in a sterile mucus extractor #6 (Endomed Company Limited, USA) at -20°C before analysis.…”

Section: Chest Physical Therapy Program and Sample Collectionmentioning

confidence: 99%

“…Evidence from previous reviews has suggested that clinical chest physical therapy (CPT) is used widely in the treatment of post-pneumonia to eliminate inflammatory exudate or secretion and prevent lung atelectasis, as well as reduce airway resistance, enhance gas exchange, and reduce breathing effort (1)(2)(3). Basic CPT techniques such as manual percussion, vibration on the chest wall, and postural drainage (PD) are performed commonly (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Lung Injury Score, PvO2/FiO2 Ratio and Oxidative Stress Markers in Tracheal Aspirate Samples in Intubated Infant Patients During Chest Physical Therapy

Leelarungrayub

Borisuthibandit

Pinkaew

et al. 2017

Arch Pediatr Infect Dis

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“…These complications may be poorly tolerated by neonates because of their age and their respiratory dynamics and airways physiological characteristics. Physiotherapy is regularly prescribed for optimizing airways efficiency; but very few studies demonstrate its effectiveness [1][2][3]. The expected benefits are both prevention and treatment of respiratory complications, frequently observed after thoracic surgery.…”

Section: Introductionmentioning

confidence: 99%

Chest Physiotherapy in Newborns after Surgical Treatment of Esophageal Atresia: The Alternative of Ventilatory Support in Madagascar

R¹,

riamizao²,

Rakotondrainibe³

et al. 2017

OAJTMR

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Submit Manuscript | http://medcraveonline.com According to Patil RT et al. [4], elective postoperative ventilation in the management of EA with TEF allows the protection of the esophageal anastomosis following repair of esophageal atresia with trachea-esophageal fistula. Using ventilatory support in early post-operative period avoids the need for initial vigorous physiotherapy. Thus, the anastomosis can be rested and protected from injury; moreover, the prevention of postoperative respiratory distress could maintain adequate tissue PaO 2 .

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Who needs chest physiotherapy? Moving from anecdote to evidence

Cited by 75 publications

References 43 publications

Comparação dos efeitos de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorrespiratórios de lactentes com bronquiolite viral aguda

Comparação dos efeitos de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorrespiratórios de lactentes com bronquiolite viral aguda

Correlation Between Lung Injury Score, PvO2/FiO2 Ratio and Oxidative Stress Markers in Tracheal Aspirate Samples in Intubated Infant Patients During Chest Physical Therapy

Chest Physiotherapy in Newborns after Surgical Treatment of Esophageal Atresia: The Alternative of Ventilatory Support in Madagascar

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