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

Cabillic, Michel; Gouilly, Pascal; Reychler, Grégory

doi:10.1016/j.rmr.2015.12.004

Cited by 17 publications

(6 citation statements)

References 53 publications

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“…Currently, no evidence exists indicating that conventional chest physiotherapy changes the course of COVID-19 in the acute phase of the disease in patients with hypoxemic respiratory failure and dry cough. However, some patients with productive cough may benefit from bronchial hygiene maneuvers and techniques that stimulate coughing (20,21). Patients with a mild form of the disease should be instructed to perform breathing exercises independently.…”

Section: ' Conventional Chest Physiotherapymentioning

confidence: 99%

Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience

Righetti¹,

Onoue²,

Politi³

et al. 2020

Clinics

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Some patients with coronavirus disease (COVID-19) present with severe acute respiratory syndrome, which causes multiple organ dysfunction, besides dysfunction of the respiratory system, that requires invasive procedures. On the basis of the opinions of front-line experts and a review of the relevant literature on several topics, we proposed clinical practice recommendations on the following aspects for physiotherapists facing challenges in treating patients and containing virus spread: 1. personal protective equipment, 2. conventional chest physiotherapy, 3. exercise and early mobilization, 4. oxygen therapy, 5. nebulizer treatment, 6. noninvasive ventilation and high-flow nasal oxygen, 7. endotracheal intubation, 8. protective mechanical ventilation, 9. management of mechanical ventilation in severe and refractory cases of hypoxemia, 10. prone positioning, 11. cuff pressure, 12. tube and nasotracheal suction, 13. humidifier use for ventilated patients, 14. methods of weaning ventilated patients and extubation, and 15. equipment and hand hygiene. These recommendations can serve as clinical practice guidelines for physiotherapists. This article details the development of guidelines on these aspects for physiotherapy of patients with COVID-19.

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Section: ' Conventional Chest Physiotherapymentioning

confidence: 99%

Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience

Righetti¹,

Onoue²,

Politi³

et al. 2020

Clinics

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“…Physiotherapy is an integral part of the treatment of CF [ 2 ] and the clinical efficacy of airway clearance is well established [ 3 ][ 4 ][ 5 ][ 6 ]. According to a recent Cochrane systematic review, no single airway clearance technique has shown superiority [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

The immediate effects of a single autogenic drainage session on ventilatory mechanics in adult subjects with cystic fibrosis

et al. 2018

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IntroductionThe aim of this study was to gain insight into the physiological changes occurring in subjects with cystic fibrosis (CF) after autogenic drainage (AD). Changes in respiratory system resistance (Rrs), reactance (Xrs), and spirometry were analyzed in adult CF subjects after a single AD physiotherapy session.MethodsThis prospective observational study was conducted during the annual check-up of adult CF subjects in stable condition. Spirometry and Rrs and Xrs measurements using the forced oscillations technique at 5, 11, and 19 hertz (Hz) were performed before and 30 min after a 20-min AD session. Control CF subjects were tested at baseline and 50 min without AD. Results are expressed as mean ± standard deviation or median [interquartile range].ResultsThirty subjects were included in the physiotherapy group (age 29 [25–34] years, forced expiratory volume in 1 s (FEV1) 40.3 [30.1–57.9]% predicted) and 11 in the control group (age 31 [28.5–36.5] years, FEV1 43.6 [31.1–51.9] % predicted). No significant changes in any parameter were observed in the control group. AD modestly but significantly increased the forced vital capacity (FVC) and FEV1 (p<0.001). Inspiratory resistance was also significantly improved by AD: Rrs5 from 5.74±2.39 to 5.24±2.17 cmH2O/L/s, p<0.05; Rrs11 from 4.83±1.98 to 4.32±1.7 cmH2O/L/s, p = 0.003; and Rrs19 from 4.18 [3.46–5.07] to 3.86 [2.76–4.98] cmH2O/L/s, p<0.001. In contrast, AD had no significant effects on frequency dependence of resistance (Rrs5–Rrs19) or expiratory resistance. Inspiratory Xrs5, but not ΔXrs5 (expiratory—inspiratory Xrs), was improved by AD (p<0.05). Moderate correlations were detected between the improvement in FEV1 and FVC and inspiratory resistance (r = 0.53, p = 0.005 and r = 0.44, p = 0.02, respectively).ConclusionA single session of AD improved inspiratory airway resistance, except in the distal airways. The forced oscillations technique provides a new tool for understanding the pathophysiological effects of airway clearance physiotherapy in CF.

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“…After that the glottis suddenly opens and allows high-velocity airflow from the lungs. Peak flow rates may be as high as 300 litre/minute [9].…”

Section: Methods Of Airway Clearancementioning

confidence: 99%

Approaches of Physiotherapy in Intensive Care Unit A Point of View

Santos-Filho¹

2022

JIMH

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Physiotherapy is the simplest way of treatment used in all world to be applied in cardiopulmonary patients. The techniques involved to give to the patients’ better conditions of life and to avoid the implications of these ills, to meliorate the physical conditions and the quality of life. This work pretends to present the utilization of physiotherapist methods and its consequences in develop better conditions through the patients. Presenting this revision guide to give a north to all physiotherapist and their patients.

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

Cited by 17 publications

References 53 publications

Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience

Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience

The immediate effects of a single autogenic drainage session on ventilatory mechanics in adult subjects with cystic fibrosis

Approaches of Physiotherapy in Intensive Care Unit A Point of View

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