Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review

Preterm birth carries a higher risk of respiratory problems. The objectives of the study are to summarize the evidence on the effect of chest physiotherapy in the treatment of respiratory difficulties in preterm infants, and to determine the most appropriate technique and whether they are safe. Sear...

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Main Authors: Ana Igual Blasco, Jessica Piñero Peñalver, Francisco Javier Fernández-Rego, Galaad Torró-Ferrero, Julio Pérez-López
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/8/1091
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author Ana Igual Blasco
Jessica Piñero Peñalver
Francisco Javier Fernández-Rego
Galaad Torró-Ferrero
Julio Pérez-López
author_facet Ana Igual Blasco
Jessica Piñero Peñalver
Francisco Javier Fernández-Rego
Galaad Torró-Ferrero
Julio Pérez-López
author_sort Ana Igual Blasco
collection DOAJ
description Preterm birth carries a higher risk of respiratory problems. The objectives of the study are to summarize the evidence on the effect of chest physiotherapy in the treatment of respiratory difficulties in preterm infants, and to determine the most appropriate technique and whether they are safe. Searches were made in PubMed, WOS, Scopus, Cochrane Library, SciELO, LILACS, MEDLINE, ProQuest, PsycArticle and VHL until 30 April 2022. Eligibility criteria were study type, full text, language, and treatment type. No publication date restrictions were applied. The MINCIR Therapy and PEDro scales were used to measure the methodological quality, and the Cochrane risk of bias and Newcastle Ottawa quality assessment Scale to measure the risk of bias. We analysed 10 studies with 522 participants. The most common interventions were conventional chest physiotherapy and stimulation of the chest zone according to Vojta. Lung compression and increased expiratory flow were also used. Heterogeneities were observed regarding the duration of the interventions and the number of participants. The methodological quality of some articles was not adequate. All techniques were shown to be safe. Benefits were described after conventional chest physiotherapy, Vojta’s reflex rolling, and lung compression interventions. Improvements after Vojta’s reflex rolling are highlighted in the comparative studies.
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spelling doaj.art-1fc75686a71b4602b667b6127534c1b52023-11-17T19:26:18ZengMDPI AGHealthcare2227-90322023-04-01118109110.3390/healthcare11081091Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic ReviewAna Igual Blasco0Jessica Piñero Peñalver1Francisco Javier Fernández-Rego2Galaad Torró-Ferrero3Julio Pérez-López4International School of Doctorate of the University of Murcia (EIDUM), University of Murcia, 30100 Murcia, SpainEarly Intervention Center Fundación Salud Infantil, 03201 Elche, SpainResearch Group in Early Intervention of the University of Murcia (GIAT), University of Murcia, 30100 Murcia, SpainResearch Group in Early Intervention of the University of Murcia (GIAT), University of Murcia, 30100 Murcia, SpainDepartment of Developmental and Educational Psychology, Faculty of Psycology, University of Murcia, 30100 Murcia, SpainPreterm birth carries a higher risk of respiratory problems. The objectives of the study are to summarize the evidence on the effect of chest physiotherapy in the treatment of respiratory difficulties in preterm infants, and to determine the most appropriate technique and whether they are safe. Searches were made in PubMed, WOS, Scopus, Cochrane Library, SciELO, LILACS, MEDLINE, ProQuest, PsycArticle and VHL until 30 April 2022. Eligibility criteria were study type, full text, language, and treatment type. No publication date restrictions were applied. The MINCIR Therapy and PEDro scales were used to measure the methodological quality, and the Cochrane risk of bias and Newcastle Ottawa quality assessment Scale to measure the risk of bias. We analysed 10 studies with 522 participants. The most common interventions were conventional chest physiotherapy and stimulation of the chest zone according to Vojta. Lung compression and increased expiratory flow were also used. Heterogeneities were observed regarding the duration of the interventions and the number of participants. The methodological quality of some articles was not adequate. All techniques were shown to be safe. Benefits were described after conventional chest physiotherapy, Vojta’s reflex rolling, and lung compression interventions. Improvements after Vojta’s reflex rolling are highlighted in the comparative studies.https://www.mdpi.com/2227-9032/11/8/1091respiratory distress syndromephysical therapy modalitiespremature and neonatal intensive care unit
spellingShingle Ana Igual Blasco
Jessica Piñero Peñalver
Francisco Javier Fernández-Rego
Galaad Torró-Ferrero
Julio Pérez-López
Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review
Healthcare
respiratory distress syndrome
physical therapy modalities
premature and neonatal intensive care unit
title Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review
title_full Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review
title_fullStr Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review
title_full_unstemmed Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review
title_short Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review
title_sort effects of chest physiotherapy in preterm infants with respiratory distress syndrome a systematic review
topic respiratory distress syndrome
physical therapy modalities
premature and neonatal intensive care unit
url https://www.mdpi.com/2227-9032/11/8/1091
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