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Updated: Aug 1, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review

Ana Igual Blasco1,2, Jessica Piñero Peñalver2,3,4,5, Francisco Javier Fernández-Rego5,6

  • 1International School of Doctorate of the University of Murcia (EIDUM), University of Murcia, 30100 Murcia, Spain.

Healthcare (Basel, Switzerland)
|April 28, 2023
PubMed

Insights

Chest physiotherapy techniques, including Vojta

Area of Science:

  • Neonatal care
  • Pediatric respiratory medicine
  • Physiotherapy

Background:

  • Preterm infants face increased risks of respiratory complications.
  • Effective interventions are crucial for managing respiratory difficulties in this vulnerable population.

Purpose of the Study:

  • To review evidence on chest physiotherapy for respiratory issues in preterm infants.
  • To identify optimal and safe physiotherapy techniques for neonates.

Main Methods:

  • Systematic literature search across multiple databases (PubMed, WOS, Scopus, etc.) up to April 2022.
  • Inclusion of 10 studies with 522 participants.
  • Assessment of methodological quality using MINCIR Therapy, PEDro, Cochrane risk of bias, and Newcastle Ottawa scales.

Main Results:

  • Common interventions included conventional chest physiotherapy and Vojta's reflex rolling.
  • Lung compression and expiratory flow techniques were also utilized.
  • All assessed techniques were found to be safe for preterm infants.

Conclusions:

  • Conventional chest physiotherapy, Vojta's reflex rolling, and lung compression demonstrated benefits for respiratory difficulties.
  • Vojta's reflex rolling showed particular promise in comparative studies.
  • Further research may be needed to address heterogeneity in intervention duration and participant numbers.

Keywords:
physical therapy modalitiespremature and neonatal intensive care unitrespiratory distress syndrome

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