Arguments pour une kinésithérapie de désencombrement guidée par la courbe débit/volume

Fouré, Henri

doi:10.1016/s1779-0123(07)70487-4

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…However, studies using cCPT (vibration and percussion with postural drainage) have not shown any benefit on the severity of the clinical score, including oxygen requirements and length of hospital stay, in patients receiving cCPT compared to controls [19]. In Frenchspeaking Europe, these techniques have largely been replaced by ones using passive expiratory manoeuvres such as PSET [1,8,20]. These techniques avoid a high transmural pressure and allow the mobilisation of secretions from the more distal airways [17].…”

Section: Discussionmentioning

confidence: 99%

Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: a randomised controlled trial

et al. 2011

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Chest physiotherapy (CP) using passive expiratory manoeuvres is widely used in Western Europe for the treatment of bronchiolitis, despite lacking evidence for its efficacy. We undertook an open randomised trial to evaluate the effectiveness of CP in infants hospitalised for bronchiolitis by comparing the time to clinical stability, the daily improvement of a severity score and the occurrence of complications between patients with and without CP. Children <1 year admitted for bronchiolitis in a tertiary hospital during two consecutive respiratory syncytial virus seasons were randomised to group 1 with CP (prolonged slow expiratory technique, slow accelerated expiratory flow, rarely induced cough) or group 2 without CP. All children received standard care (rhinopharyngeal suctioning, minimal handling, oxygen for saturation ≥92%, fractionated meals). Ninety-nine eligible children (mean age, 3.9 months), 50 in group 1 and 49 in group 2, with similar baseline variables and clinical severity at admission. Time to clinical stability, assessed as primary outcome, was similar for both groups (2.9 ± 2.1 vs. 3.2 ± 2.8 days, P = 0.45). The rate of improvement of a clinical and respiratory score, defined as secondary outcome, only showed a slightly faster improvement of the respiratory score in the intervention group when including stethoacoustic properties (P = 0.044). Complications were rare but occurred more frequently, although not significantly (P = 0.21), in the control arm. In conclusion, this study shows the absence of effectiveness of CP using passive expiratory techniques in infants hospitalised for bronchiolitis. It seems justified to recommend against the routine use of CP in these patients.

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Section: Discussionmentioning

confidence: 99%

Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: a randomised controlled trial

et al. 2011

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“…L'intérêt et l'importance en kinésithérapie respiratoire de la surveillance de la courbe débit-volume ont été soulignés par H. Fouré [35], orientant le MK dans le choix des techniques de drainage bronchique, l'éducation ventilatoire. .…”

Section: Spirométrieunclassified

Y a-t-il une spécificité de la kinésithérapie dans la prise en charge du patient asthmatique ?

Cabillic

Beauvois²,

Bouric

et al. 2012

Kinésithérapie, la Revue

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“…Le tableau synthétique classant les techniques de désencom-brement bronchique en fonction de leur mécanisme physique, élaboré lors de la conférence de consensus de 1994, semble être un axe intéressant pour leur évaluation, permettant de regrouper les techniques ayant des mécanismes d'action identiques. L'évaluation de l'efficacité des techniques utilisées avait déjà fait partie des interrogations et recherches d'un pionnier de la kinésithérapie respiratoire, Henri Fouré[67]. Au vu des résultats de cette revue systématique, il apparaît que seul l'ELTGOL, le drainage autogène et l'ACBT (DP ?)…”

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Techniques manuelles de drainage bronchique des adultes et adolescents : quel niveau de preuve ?

Cabillic¹,

Gouilly²,

Reychler

2014

Kinésithérapie, la Revue

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Arguments pour une kinésithérapie de désencombrement guidée par la courbe débit/volume

Cited by 4 publications

References 10 publications

Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: a randomised controlled trial

Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: a randomised controlled trial

Y a-t-il une spécificité de la kinésithérapie dans la prise en charge du patient asthmatique ?

Techniques manuelles de drainage bronchique des adultes et adolescents : quel niveau de preuve ?

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