Respiratory Physiotherapy Interventions in Paediatric Population with Atelectasis: A Systematic Review

Carlota Beatriz Esteban-Gavilán1, Patricia Rico-Mena2, Javier Güeita-Rodríguez3

  • 1Department of Physiotherapy, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain.

PubMed

Insights

Respiratory physiotherapy is effective and safe for treating pediatric atelectasis, improving oxygenation and chest X-ray results. Both manual and instrumental techniques show benefits, with instrumental methods often yielding better outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Evidence-Based Practice

Background:

  • Atelectasis is a common respiratory condition in children.
  • Effective physiotherapy interventions are crucial for managing pediatric atelectasis.

Purpose of the Study:

  • To systematically review the effectiveness of respiratory physiotherapy techniques for pediatric atelectasis.
  • To evaluate impacts on oxygenation, chest X-ray findings, and lung auscultation.

Main Methods:

  • Comprehensive database search (PubMed, PEDro, Web of Science, Cochrane Library).
  • Inclusion of eight randomized clinical trials involving 430 pediatric patients.
  • Assessment of methodological quality using the PEDro scale.

Main Results:

  • Respiratory physiotherapy demonstrated effectiveness in pediatric patients with atelectasis.
  • Both manual and instrumental techniques were found to be efficacious.
  • Instrumental physiotherapy techniques showed superior outcomes in several cases.

Conclusions:

  • Respiratory physiotherapy is a safe and effective treatment for pediatric atelectasis.
  • Evidence supports the use of both manual and instrumental techniques.
  • Instrumental techniques may offer enhanced benefits for managing pediatric atelectasis.

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