[Instrumentation support in respiratory kinesiotherapy].

Area of Science:

• Respiratory Medicine
• Physiotherapy
• Pulmonary Rehabilitation

Context:

• Instrumental support is crucial in respiratory physiotherapy, addressing pulmonary expansion, bronchial drainage, and respiratory muscle function.
• Techniques like incentive spirometry, positive pressure respiration, and resistance exercises are employed.
• These methods are vital for managing respiratory unit instability caused by surfactant alterations or airway closure, often seen post-operatively or in chronic conditions affecting functional residual capacity (CRF).

Purpose:

• To explore the multifaceted applications of instrumental support in respiratory physiotherapy.
• To evaluate the efficacy of various techniques in improving pulmonary function and respiratory muscle strength.
• To synthesize the current understanding of how instrumental support impacts key respiratory parameters.

Summary:

• Instrumental support enhances pulmonary expansion via spirometry and positive pressure ventilation, and aids bronchial drainage through various methods including external vibrations and negative pressure assistance.
• Continuous positive airway pressure (CPAP) aids functional residual capacity (CRF) recovery but is less effective for increasing trans-pulmonary pressure.
• Respiratory muscle function can be improved using devices like pneumatic cuirasses and resistance exercises, though clinical outcomes are often inconsistent.

Impact:

• Highlights the diverse roles of instrumental support in respiratory care.
• Underscores the need for further research to reconcile contradictory clinical findings.
• Provides a comprehensive overview for clinicians and researchers in respiratory physiotherapy.