Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.

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The respiratory physiotherapeutic treatment makes conventional clearance techniques, such as postural drainage and percussion, available. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Am J Pathol ; Positioning versus postural drainage.

Bronchiectasis: diagnostic and therapeutic features A study of patients

In this context, this study aimed at evaluating the efficaciouness of postural drainage and chest clapping on bronchus clearence in bronchiectasis patients and to compare the effects and associations of these techniques with others reported in the literature. Ann Thorac Surg ; Management of pulmonary disease in patients with cystic fibrosis. Buenos Aires ;59 1: Int J Clin Pract.

Postural drainage, percussion, vibration, shaking, cough and forced expiration techniques were utilized. In Brazil, the main causes are viral or bacterial respiratory infections during childhood as well as tuberculosis [7].

Causes of death in patients with bronchiectasis. Jamnik S, Santoro IL. However, fisiotrapia are few studies that show the association of these techniques, even though they are commonly used in clinical practice. Fisioterapiia techniques are efficacious in preventing bronchial mucous retention.


This requires the assistance of a professional, which can make the necessary daily treatment difficult. In the works by Caromano et al. Physiotherapeutic interventions and clinical manifestations of the disease reflect in the psychological and social aspects of the patient, as despite of guaranteeing an improvement in the bronchial mucous transportation, the disease can have negative effects such as dependence on interventions by a professional and the necessity of making therapy every day.

Recent research reported that postural drainage and chest clapping are effective therapies to mobilize pulmonary secretions as they increase the velocity of mucus transportion, improving pulmonary function and gas exchange.

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NAC. rtousp () Limpeza brônquica na | Fátima Caromano –

Support All scientific articles published at www. Services on Demand Journal. For this reason physiotherapists have been choosing techniques that give more independence to patients. Sputum elastase in steady-state bronchiectasis.

The efficacy of percussion and postural drainage requires the assistance of a professional, which can make the daily use of therapy difficult [16]. How to cite this article.

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Bronchiectasis is classified in cylindrical, varicose and saccate and in focal or multiple segmental. In the literature, only one study, published by Van der Schans et al. The mean quantity expectorated in the two programs did not give a statistically significant difference.

A comparison of the therapeutic effectiveness of and preference for postural drainage and percussion, intrapulmonary percussive ventilation, and high-frequency chest wall compression in hospitalized cystic fibrosis patients. Pryor [13] stressed the efficiency of the maneuvers of forced expiration and Caromano et al. Thoracic percussion also increases the intrathoracic pressure and hypoxemia, with the latter being unimportant when the technique is used for periods of less than 30 seconds and combined with three or four lung expansion exercises [13].


Am Rev Respir Dis ; Reviews of publications and field studies emerged due to the apparent necessity of research on the cost-benefits of physiotherapeutic procedures of bronchial hygiene for bronchiectasis [17]. The segmental and lobular physiology and pathology of the lung. Clinical, pathophysiologic, and microbiologic characterization of bronchiectasis in an aging cohort.

Ten patients were submitted to alternate sessions of the Flutter VRP1 device and postural drainage, percussion and vibration with two sessions weekly for four weeks. Hypertrophic accessory musculature, dyspnea, thoracic pain, fatigue, pulmonary auscultation with inspiratory stertor crackles and wheezes are observed during the physical examination, [5,7]. Bronquiextasia causes include infections, obstructions, inhalation and aspiration of ammonia, gastric aspiration, alcoholism, heroin use, allergies, rheumatologic and neurological diseases, non-specific low respiratory function after infections, cystic fibrosis and primary immunodeficiency [5,8].

A review of cases. Clinical manifestations of the disease include chronic cough, fever and purulent voluminous expectoration with a fetid odor [1]. For Pryor [13], the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease.

The cylindrical form is characterized by homogenous dilation but maintains its form and communication with the distal parenchyma [5]. Arcasoy SM, Kotloff R. Effects of postural drainage have been investigated using beonquiectasia function tests and analysis of the arterial gases.

J Lab Clin Med ;