2017, Number 3
Effectiveness of different techniques of respiratory physiotherapy in bronchiolitis. Systematic review
Language: Spanish
References: 21
Page: 529-540
PDF size: 172.62 Kb.
ABSTRACT
Introduction: The bronchiolitis of viral guy is the respiratory pathology more common in under 1 year, being the respiratory syncytial virus (VRS) the main infectious implicated agent with close to 80 % of the cases.Objective: To determine the efficacy of the different Chest physiotherapy in reducing the score on the severity scale and improving the physiological parameters in infants with bronchiolitis.
Materials and Methods: A systematic review was carried out in the databases PEDro, Scielo and Medline. We included controlled, randomized trials with patients diagnosed with bronchiolitis. We chose articles published in the period from January 1st 2006 and September 29, 2016, both in Spanish and in English. The studies compilation was performed in an independent way, not blinded by 2 reviewers, and the studies were classified using the PEDro scale.
Results: We found 140 articles that potentially might be included in this work. After applying the inclusion and exclusion criteria, only 10 articles were chosen for the analysis.
Conclusions: There is moderate evidence in favor of the use of nebulized 3% hypertonic in infants with bronchiolitis to reduce hospital stay and severity score; moderate evidence in favor of the use of expiratory flow modification techniques in infants with bronchiolitis to decrease the severity score and moderate evidence against the use of percussion and vibrations techniques to decrease hospital stay and severity score.
REFERENCES
1- Callén Blecua M, Praena Crespo M, García Merino A, Mora andarillas I, Grupo de Vías Respiratorias. Protocolo de Bronquiolitis Diagnóstico y tratamiento en Atención Primaria [Internet]. España: Documentos Técnicos del GVR (P-GVR-4); 2015 [citado 21 Ene 2016]. Disponible en: http://www.respirar.org/grupo-vias-spiratorias/protocolos
7- Sánchez M, Martín R, Cano J, et al. Estudio de la eficacia y utilidad de la fisioterapia respiratoria en la bronquiolitis aguda del lactante hospitalizado. Ensayo clínico aleatorizado y doble ciego. An Pediatr (Barc) [Internet]. 2012 [citado 12 de Agosto 2015];77(1):5-11. Disponible en: http://www.sciencedirect.com/science/article/pii/S1695403311006114
14- Hardy M, Oberli C, Sourial H, et al. Chest physiotherapy using passive expiratory techniques does not reduce bronchiolitis severity: a randomised controlled trial. Eur J Pediatr [Internet]. 2012 [citado 12 de Agosto 2016];171(1):457–62. Disponible en: http://link.springer.com/article/10.1007/s00431-011-1562-y
15- Van Ginderdeuren F, Vandenplas Y, Deneyer M, et al. Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis. Pediatric Pulmonology [Internet]. 2016 [citado 21 Jul 2016];52(2):225-231. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/ppul.23495/abstract#publication-history
18- Gajdos V, Katsahian S, Beydon N, et al. Effectiveness of Chest Physiotherapy in Infants Hospitalized with Acute Bronchiolitis: A Multicenter, Randomized, Controlled Trial. 2010. PLoS Med [Internet]. 2010 [citado 21 Jul 2016];7(9):e1000345. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20927359
19- Remondini R, Santos AZ, Castro G, et al. Comparative analysis of the effects of two chest physical therapy interventions in patients with bronchiolitis during hospitalization period. Einstein (Sao Paulo) [Internet]. 2014 [citado 21 Jul 2016];12(4):452-8. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25628196