Effects of the use of respiratory physiotherapy in children admitted with acute viral bronchiolitis
| Autor: | G.R. Gomes, Márcio Vinícius Fagundes Donadio |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Respiratory Therapy
medicine.medical_specialty medicine.medical_treatment MEDLINE Acute viral bronchiolitis Chest physiotherapy 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Bronchiolitis Viral Humans Expiration Child Rhinopharyngeal business.industry medicine.disease Hospitalization Clinical trial Treatment Outcome 030228 respiratory system Bronchiolitis Pediatrics Perinatology and Child Health Physical therapy Postural drainage business |
| Zdroj: | Archives de Pédiatrie. 25:394-398 |
| ISSN: | 0929-693X |
| DOI: | 10.1016/j.arcped.2018.06.004 |
| Popis: | Objective To evaluate the effects of the use of respiratory physiotherapy in children admitted with acute viral bronchiolitis (AVB). Methods A literature review was done searching the Pubmed, LILACS, PEDro, and Scielo databases. The following key words were used: bronchiolitis, physiotherapy, techniques, physical therapy, and chest physiotherapy. Both controlled and uncontrolled clinical trials, without limits as to date, were selected. Results Fifteen articles were included and the use of different techniques of respiratory physiotherapy showed positive results in eight studies. Most (11) were controlled clinical trials, and only two had a double-blind design. Of the 14 studies with a control group, in six this group was submitted to nasopharyngeal aspiration. The most widely used techniques were manual vibration and postural drainage (eight studies), and then tapping/percussion (seven studied). The maneuvers considered as current, e.g., prolonged slow expiration, expiratory flow acceleration, and rhinopharyngeal retrograde clearance, were used in four, four, and two studies, respectively. Conclusions The use of respiratory physiotherapy in children with AVB remains controversial. The heterogeneity of techniques evaluated in the studies limits the interpretation of efficacy, although its use was considered safe. Recent findings indicating a reduction in the length of the hospital stay remain to be confirmed. |
| Databáze: | OpenAIRE |
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