Comparison of the effects of physiotherapic techiniques in cardiorespiratory parameters of infants with acute viral bronchilitis / Comparação dos efeitos da tecnica de aumento do fluxo expiratorio e de tecnicas fisioterapeuticas convencionais em parametros cardiorrespiratorios de lactentes com bronquiolite viral aguda

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

There are controversies over the prescription of respiratory techniques in the treatment of Acute Viral Bronchiolitis (AVB). The conventional techniques don?t seem to contribute to the clinical evolution of AVB, whereas the techniques of flow, as the increase in expiratory flow (IEF), haven?t been evaluated yet and remain as therapeutical possibility. Objective: Compare the effects of IEF and the vibration associated to Postural Drainage (PD) in the heart respiratory parameters of heart rate (HR), respiratory rate (RR) and transcutaneous oxygen saturation (SpO2) of infants with AVB. Cause and Methods: Infants with AVB, taken to the Pediatrics Emergency Unit in Campinas State University Clinical Hospital, were analyzed in the period from July 2005 to August 2007. The values of HR, RR and SpO2 were registered four times: before the procedure (time 1), immediately after (time 2), 30 and 60 minutes from the end of procedure (times 3 and 4 respectively). The patients were divided into three intervention groups: group A submitted to IEF, group B to vibration associated to PD, and group C (control). The analysis of data was performed by Variance Analysis (ANOVA), qui quadratic and Fischer?s exact test. Results: 81 infants were included in the study, 48 males and 33 females, average age of 4.52 years old and average weight of 6.56 kg. 81.5% of the infants presented the first episode of sibilance and 76.5% had no disease associated. In the global comparison between the groups in the four times, the analysis of the HR average presented a significant difference tendency (p = 0.0536) in relation to the control group, with smaller values in A and B groups. There was no significant difference between the three groups in the analysis of RR and SpO2 average (p >0.05). Conclusion: The application of physiotherapy techniques, IEF and the vibration associated to PD seem to contribute to the decrease of the respiratory rate in infants with AVB

ASSUNTO(S)

lactentes viral bronchilitis pulse oximetry bronquite viral oximetria de pulso physiotherapy fisioterapia infant

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