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Benefits of Chest Physiotherapy


 Benefits of Chest Physiotherapy

Respiratory infections

Chest physiotherapy

1. Introduction The need for early intervention physical therapy in respiratory disorders of children, the more justified by its effectiveness. Incidence of childhood respiratory disease to grow by several factors: the pathogen evolved and become more viruses and bacteria, at least, pollution advances in neonatal resuscitation, environmental factors (, lead in the air, passive smoking) and the style of life (living communities encourage the spread of disease, type of domestic heating, overcrowding). The structure of their respiratory system is being developed, along with genetic predisposition, that children more susceptible to respiratory infections, more frequent and severe, often bronchiolitis and pulmonary disease. Main objective is chest physiotherapy against bronchial obstruction and lung distension, not including structural or anatomical malformations or tumors of origin.

2. Bronchial obstruction Definition: consisting of a reduction in the light of the airways that affects air circulation and debit cards. Partial or total, reversible or irreversible. The Physiotherapist works in the pathology can be reversible and the type, location and degree of obstruction.

Multifaktor and the origin is associated with edema, convulsions and hipersecrección, factors to consider when improving the physiotherapy treatment. Hyperinflation Toracopulmonar: it is an abnormal increase in functional residual capacity (FRC), which places the tidal volume (tidal volume) in the volume of reserves of inspiration (Irv). That is, this is the level of increase in ventilation at rest. The most common cause is loss of elasticity of the lung parenchyma and removal of bronchial obstruction more common. Mechanism of slowing inflation bronchial closure homeostatic mechanisms that promote the exchange of gases, but at a time can be very damaging to the exaction of excessive respiratory muscles, causing fatigue. Increased energy expenditure further aggravate the anatomic configuration of the child’s chest, the main actions to the same intercostal muscles . Bronchiolitis or Bronquioalveolitis: It is a syndrome that affects 70-80% of cases in children under two years. This is the most common pediatric respiratory disease, causes 90% of cases of respiratory syncytial virus. The most often initiated by extrathoracic respiratory conditions, and then stretches the airway edema and infiltration intrathoracic produces bronchiolar and bronchospasm. Diagnosis primarily provided by: wheezing, expiration and especially easy to hear. Spasmodik cough Pseudotosferínica and in the acute phase, which remains thick and productive. Mainly present as tachypnea, dyspnea. Hyperinflation is given to us by the increase of percussion sounds. This was stated by the inspiration suprasternal and intercostal retractions. It is evident radiographically.

3. Physiotherapy clinical examination and evaluation.

Babies suffering from obstructive respiratory diseases, clinical examination should provide a series of signs that must always be connected. Although there are no doctors instrumental measurements, which will certainly help validate the techniques of chest physiotherapy, we must recognize that not be used in the field regularly. Physiotherapy examination requires specific training to quickly determine the most appropriate technique, after identifying the location, nature and level of airway obstruction. Equipment needed at least: a stethoscope, pulse oximeter and the ball of emergency resuscitation. The lung auscultation: This is the basis of specific exploration of respiratory therapists. A careful that the indication of auscultation of the technical guidelines and gave us results. This allows us to classify the sounds of breathing target, meaning the sound emitted by the intra-or extrathoracic respiratory noises Respiratory, orchids breath, crackles, thick runcus both crackles, wheezing. To be effective auscultation should be systematic. Children begin in the supine position and then another to compare hemothorax breath sounds in both. This begins with the foundation and advanced to the paraspinal regions, regions subaxilares side, then the knot. Discussed below anterior thoracic, subclavian and supraclavicular fossa. Play and record sounds of breathing in young children have some difficulty given by age: no breath control to not work together, their breathing rate is high and the variables that need further attention, crying, and often sound nasopharyngeal intrathoracic respiratory mask sounds. It is also important to hear directly without a stethoscope, the sound in the mouth. Physics provocative maneuvers. To determine the types of physiotherapy interventions we can use due care to identify which of the four possible types of ventilation problems in children before us. So we can not determine a diagnostic label.

Our technique is based solely on the four modes of ventilation possible: slow or forced inspiration and exhale slowly or forced. Prescription provides information on diagnosis and proper treatment and clinical examination gives us a treatment strategy.