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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After establishing the existence of the disease and bronquiectasa the hypothesis of surgery, conservative treatment is initiated [4] which includes bronchodilator drugs, mucolytic agents, corticoids and antibiotics, as well as hyper-dehydration and bronchoaspiration [10].

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Pulmonary function tests in fifty patients with bronchiectasis. It can be classified in cylindrical, varicose and cystic, and also in respect to located and whether it affects multiple segments.

Am J Physiol ; Results of surgical and conservative management: Hypersecretion of the airways predominates in the morning or with changes in position, the patients can present with hemoptysis, weight loss, lack of appetite, halitosis, lethargy and prostration. Online Submission Register here Advanced Search. From these results, the authors concluded that respiratory physiotherapy by means of bronchial hygiene was efficacious without imposing an excessive physical load.

Bronquiectasia localizada e multissegmentar: Positioning versus postural drainage. N Eng J Med ; Dis Chest fiisoterapia However, there are few studies that show the association of these techniques, even though they are commonly used in clinical practice. The physiopathology consists of colonization of microorganisms and in the interaction of several enzymes and chemical mediators that cause inflammatory reactions and destruction of the bronchial tree; there is infiltration of neutrophils in the tissue hronquiectasia reduce the frequency of ciliary beats, resulting in impairment of the mucociliary transport and consequent bronchial obstruction [1,4].


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 bronquiectasis and incidence only in under-developed countries [4,5].

The efficacy of percussion and postural drainage requires the assistance of a professional, which can make the daily use of therapy difficult [16]. J Pneumol ; For Pryor [13], the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease.

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

Ten patients were submitted to alternate sessions of the Flutter VRP1 device and postural drainage, bronquirctasia and vibration with two fisioteralia weekly for four weeks. The immunological component of the celular inflammatory infiltrate in bronchiectasis.

The majority of the published studies do not show significant differences in the results when comparing the efficacy of the clearance techniques, suggesting that the most comfortable technique and the one that has less social compromise should be utilized for the patient.

J Pediatr Surg ; In the literature, only one study, published by Van der Schans et al. The Brazilian Journal of Cardiovascular Surgery is indexed in: For this reason physiotherapists have been choosing techniques that give more independence to patients.

Thus, there is an apparent need for further studies comparing conventional clearance techniques in particular in respect to bronchiectasis. Keywords Respiratory tract diseases. fisioferapia


In the works by Caromano et al. Frequency in several pulmonary diseases. J Thorac Surg ; Previous history of pneumonia in bronquiectaia was detected in Curr Opin Infect Dis.

Hum Pathol ; ABSTRACT Bronchiectasis consists of abnormal, permanent and irreversible dilation of bronquiwctasia and bronchia, with recurrent infections, inflammation, hypersecretion and reduction of mucus clearance. Med J ; 1: Postural drainage, percussion, vibration, shaking, cough and forced expiration techniques were utilized. Bronquiectasias en la infancia.

Jones A, Rowe BH.

Bronchiectasis: diagnostic and therapeutic features A study of patients

With the evolution of the disease, there is a reduction in the expiration volume and vital capacity, the pulmonary tissue becomes retracted with pleural adherences; the bronchiectasic segments present with purulent secretions; the mucous membrane become swollen and ulcerated and the tissue of the mucociliary lining becomes cubic [1,5]. Bronchopulmonary hygiene physical therapy in bronquiectasis and chronic obstructive disease: Correlation of CT findings with clinical evaluation in patients with symptomatic bronchiectasis.

Postural fisilterapia and chest clapping are commonly used clearence however, there are few published comparative population studies or reviews of techniques. Bronchography in isolation assesses the bronquicetasia of the disease and verifies if there is a necessity for surgery.

New physiotherapeutic techniques appeared including the Flutter device, autogenic drainage, forced expiration technique, active cycle, expiratory positive pressure therapy and intrapulmonary percussive ventilation [3,11,12,14].