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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Postural drainage and chest clapping are commonly used clearence however, there are few published comparative population studies or reviews of techniques.

These fusioterapia are efficacious in preventing bronchial mucous retention. Effects of postural drainage have been investigated using pulmonary function tests and analysis of the arterial gases. Previous history of pneumonia in childhood was detected in All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Nevertheless, the final positive expiratory pressure technique provides a significantly greater improvement in the pulmonary function when compared to postural drainage with percussion.

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

Finally, McIlwaine et al. The techniques require care in their application and some are performed independently such as Fixioterapia, autogenic drainage and the positive expiratory pressure technique and others not, such as postural drainage, percussion, intrapulmonary percussive ventilation and vibrocompression. Positioning versus postural drainage. Pryor [13] stressed the efficiency of the maneuvers of forced expiration and Caromano et al.


J Lab Clin Med ; The presented beneficial effects with an increase in the expectoration and pulmonary clearance; however, statistically significant effects in the pulmonary function variables or differences between the use of manual and mechanical techniques were not observed.

Current strategy for surgical management of bronchiectasis.

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Suppurative disease of the lung and pleura: Support All scientific articles published at www. However, there are few studies that show the association of these techniques, even though they are commonly used in clinical practice.

This procedure promotes the mobilization of the secretions by means of vibrations [15] and is performed with the patient in varying drainage positions [11]. Physiotherapy and bronchial mucus transport.

However, due to the emergence of preventative programs in developed countries, the number of hospitalizations for bronchiectasis has dropped over the last few decades, with high prevalence and incidence only in under-developed countries [4,5]. The cylindrical form is characterized by homogenous dilation but bronquiectasix its form and communication with the distal parenchyma [5].

Frequency in several pulmonary diseases. Predicting outcome following pulmonary resection in cystic fibrosis patients.

Bronchiectasis: diagnostic and therapeutic features A study of patients

The physiotherapeutic sessions lasted one hour, with inhalation of saline solution associated with postural drainage in the lateral decubitus position, vibrocompression and active-assisted mobilization of the thorax.

Langenderfer [11] added to these quoting Murphy et al For Pryor [13], the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease.


Fink [15] reported that nine of twelve possible positions are required to drain all the areas of the lungs. From these results, the authors concluded that respiratory physiotherapy by means of bronchial hygiene was efficacious without imposing an excessive physical load.

On the other hand, further studies are necessary the identify physiotherapeutic protocols, their duration, repetitions, frequency, number of professionals involved, bronquiectqsia of the selected techniques and the cost-benefit ratio for the patient [12,17].

Am Rev Respir Dis ; Other 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].

Postural drainage, percussion, vibration, shaking, cough and forced expiration techniques were utilized. Bronchography in isolation assesses the extent of the disease and verifies if there is a necessity for surgery.

Clinical manifestations of the disease include chronic cough, fever and purulent voluminous expectoration with a fetid odor [1]. Van der Schans et al. Hum Pathol ; The majority of cases have idiopathic causes and, to a lesser degree, a congenital cause, with deficiencies in the elements of the bronchial wall and the cilia [5].

The clinical history and radiological and computed tomography findings enable diagnosis [2,8].