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The effect of manual therapy on diaphragm function in adults with asthma: Protocol for a randomized controlled trial.
F1000Res
October 2024
Physiotherapy Department, ,, Egaleo, School of Health & Care Sciences, University of West Attica, 12243, Greece.
Background: Diaphragm dysfunction is prevalent among individuals with asthma due to lung hyperinflation and hyperventilation in asthma paroxysm. This study was designed to evaluate the effect of the manual diaphragm release technique (MDRT) on diaphragm function in individuals with asthma.
Methods: Adults with diagnosed stable asthma (n = 24), will be recruited from the General Hospital of Kifissia "Agioi Anargyroi" in Athens, Greece.
Structured respiratory physiotherapy protocol for resolution of atelectasis in pediatric intensive care.
Clinics (Sao Paulo)
September 2024
Department of Paediatrics and Child Health, University of Cape Town: Rondebosch, Western Cape, ZA, South Africa.
Children are at higher risk of atelectasis due to their anatomical and physiological particularities. Several physiotherapy techniques are used to treat atelectasis, but only four studies cite methods in pediatric patients undergoing Invasive Mechanical Ventilation (IMV). The objective of this study was to evaluate the Structured Respiratory Physiotherapy Protocol (SRPP) for airway clearance and lung reexpansion for infants on IMV with atelectasis.
View Article and Find Full Text PDFManual and ventilator hyperinflation parameters used by intensive care physiotherapists in Sri Lanka: An online survey.
PLoS One
May 2024
Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, Sri Lanka.
Introduction: Hyperinflation is a common procedure to clear secretion, increase lung compliance and enhance oxygenation in mechanically ventilated patients. Hyperinflation can be provided as manual hyperinflation (MHI) or ventilator hyperinflation (VHI), where outcomes depend upon the methods of application. Hence it is crucial to assess the application of techniques employed in Sri Lanka due to observed variations from recommended practices.
View Article and Find Full Text PDFDeventilation Syndrome in COPD Patients Receiving Long-Term Home Noninvasive Ventilation: A Systematic Scoping Review.
Respiration
February 2024
Faculty of Health/School of Medicine, Witten/Herdecke University, Witten, Germany.
Article Synopsis
- Noninvasive ventilation (NIV) is an established treatment for COPD patients, but some experience "deventilation syndrome" (DVS), marked by acute breathlessness after stopping NIV.
- A systematic scoping review identified five relevant studies, involving 122 patients, but findings varied widely on how DVS was defined and assessed.
- Although severe airway obstruction, hyperinflation, and worse quality of life were noted in DVS patients, the studies couldn't establish clear conclusions on the causes or treatments, highlighting the need for further research with consistent definitions.
Development of a clinical practice guideline for physiotherapy management of adults invasively ventilated with community-acquired pneumonia.
Physiotherapy
March 2024
The University of Western Australia, School of Allied Health, Western Australia Centre for Health & Ageing, 35 Stirling Highway, Crawley, WA 6000, Australia.
Background And Setting: Patients hospitalised with community-acquired pneumonia (CAP) are frequently admitted to an intensive care unit (ICU) for invasive mechanical ventilation and receive treatment by physiotherapists. However, clinical physiotherapy practice is variable for this ICU cohort.
Objectives: To develop a clinical practice guideline for physiotherapy management of adults invasively ventilated with CAP using the best available evidence.
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