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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.
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.
Abstract:
Objective: This systematic review aims to assess the effectiveness of respiratory physiotherapy techniques in oxygenation, chest X-ray findings, and lung auscultation in paediatric patients aged 0 to 18 years diagnosed with atelectasis. Methods: A comprehensive search was conducted in the PubMed, PEDro, Web of Science, and Cochrane Library databases. Results: Eight randomised clinical trials were included, involving 430 children ranging from 35 weeks of gestational age to 14 years. These trials evaluated various respiratory physiotherapy techniques and their effects on oxygenation and chest radiograph outcomes. The methodological quality of the studies ranged from acceptable to good, according to the PEDro scale. Conclusions: Recent evidence indicates that respiratory physiotherapy is effective and safe in the paediatric population with atelectasis. Both manual and instrumental techniques demonstrated efficacy, with instrumental techniques showing superior outcomes in many cases.
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