#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Complex respiratory physiotherapy of chronic respiratory diseases in children


Authors: Plešková J.;  Irving A.;  Stehnová T.;  Kobesová A.
Authors‘ workplace: Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN Motol, Praha
Published in: Rehabil. fyz. Lék., 30, 2023, No. 2, pp. 105-113.
Category: Review Article
doi: https://doi.org/10.48095/ccrhfl2023105

Overview

Respiratory physiotherapy (RPT) is an integral part of the comprehensive care for patients with primary respiratory disease and other diagnoses that affect breathing. Scientific literature reports a significant impact of respiratory disorders on postural and motor functions and vice versa. The quality of life can be improved by using various RPT techniques that positively affect airway clearance, respiratory function, and other body functions. RPT can treat numerous pediatric diagnoses, such as respiratory, cardiovascular, metabolic, and neurological diagnoses affecting breathing, including rare genetic diseases such as cystic fibrosis and primary ciliary dyskinesia. The care for patients with rare diseases is centralized in large centres with extensive equipment and well-trained personnel available, such as University Hospital in Motol. This manuscript describes complex physiotherapeutic care for pediatric breathing disorders, including rare respiratory diagnoses and presents an overview of recent scientific research on this topic.

Keywords:

Cystic fibrosis – primary ciliary dyskinesia – respiratory physiotherapy


Sources

1. Kolář P et al. Rehabilitace v klinické praxi. Praha: Galén 2009: 265–281.

2. Hashmi MF, Modi P, Basit H et al. Dyspnea. StatPearls 2023. [online]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499965/.

3. Veitch AM, Hughes MJ. Acute abdominal pain and shortness of breath in a female patient. Br J Radiol 2012; 85(1012): 473–475. doi: 10.1259/bjr/21491850.

4. O’Donnell DE, Banzett RB, Carrieri-Kohlman V et al. Pathophysiology of dyspnea in chronic obstructive pulmonary disease: a roundtable. Proc Am Thorac Soc 2007; 4(2): 145–168. doi: 10.1513/pats.200611-159CC.

5. Smith SR, Asher A. Rehabilitation in chronic graft-versus-host disease. Phys Med Rehabil Clin N Am 2017; 28(1):143–151. doi: 10.1016/j.pmr.2016.08.009.

6. Renault JA, Costa-Val R, Rossetti MB. Respiratory physiotherapy in the pulmonary dysfunction after cardiac surgery. Rev Bras Cir Cardiovasc 2008; 23(4): 562–569. doi: 10.1590/s0102-76382008000400018.

7. Yunt ZX, Solomon JJ. Lung disease in rheumatoid arthritis. Rheum Dis Clin North Am 2015; 41(2): 225–236. doi: 10.1016/j.rdc.2014.12.004.

8. Marušiaková L, Ďurdík P, Bacmaňáková I et al. Čo sa môže skrývať za diagnózou atypickej cystickej fibrózy?. Československá Pediatrie 2016; 71(2): 80–86. [online]. Dostupné z: https://www.medvik.cz/link/bmc16014985.

9. Fliegauf M, Benzing T, Omran H. When cilia go bad: cilia defects and ciliopathies. Nat Rev Mol Cell Biol 2007; 8(11): 880–893. doi: 10.1038/nrm2278. Erratum in: Nat Rev Mol Cell Biol 2008; 9(1): 88.

10. Skov M, Hansen CR, Pressler T. Cystic fibrosis – an example of personalized and precision medicine. APMIS 2019; 127(5): 352–360. doi: 10.1111/apm.12915.

11. Schofield LM, Duff A, Brennan C. Airway clearance techniques for primary ciliary dyskinesia; is the cystic fibrosis literature portable? Paediatr Respir 2018; 25: 73–77. doi: 10.1016/j.prrv.2017.03.011.

12. Skalická V. Terapeutické trendy cystické fibrózy. Pediatr Praxi 2014; 15(6): 340–343.

13. Scotet V, L’Hostis C, Férec C. The changing epidemiology of cystic fibrosis: incidence, survival and impact of the CFTR gene discovery. Genes (Basel) 2020; 11(6): 589. doi: 10.3390/genes11060589.

14. Martinů V. Lékařka PCD centra Pediatrické kliniky FN Motol a 2. LF UK. Ústní sdělení. Praha, 21. 1. 2023.

15. Martinů V, Pohunek P. SOP PCD – ambulantní kontroly a doporučená péče. Řasinky.cz, 2022. [online]. Dostupné z: https://www.rasinky.cz/odb.php.

16. International Physiotherapy Group for Cystic Fibrosis. Physiotherapy for people with cystic fibrosis: from infant to adult. 2019. [online]. Available from: https://www.ecfs.eu/sites/default/files/general-content-files/working-groups/IPG%20CF_Blue%20Booklet_7th%20edition%202019.pdf.

17. Castellani C, Duff AJA, Bell SC et al. ECFS best practice guidelines: the 2018 revision.

J Cyst Fibros 2018; 17(2): 153–178. doi: 10.1016/j.jcf.2018.02.006.

18. Homnick DN. Making airway clearance successful. Paediatr Respir Rev 2007; 8(1): 40–45. doi: 10.1016/j.prrv.2007.02.002.

19. Morrison L, Parrott H (eds) et al. Standards of care and good clinical practice for the physiotherapy management of cystic fibrosis. 2020. [online]. Available from: https://www.cysticfibrosis.org.uk/sites/default/files/2020-12/Standards%20of%20Care%20and%20Good%20Clinical%20Practice%20for%20the%20Physiotherapy%20Management%20of%20Cystic%20Fibrosis%20Fourth%20edition%20December%202020.pdf.

20. Smolíková L. Hygiena horních cest dýchacích – součást léčebné rehabilitace. Pediatr pro Praxi 2002; 6: 262–267.

21. MR-diagnostic.cz. PARI SINUS2, inhalační přístroj pro nazální použití. [online]. Dostupné z: https://www.mr-diagnostic.cz/pari-sinus2.

22. Philippe G, Morin L, Reynaud-Gaubert M. Safety and efficacy of an innovative airway clearance device versus manual chest physiotherapy techniques for airway secretion clearance: a feasibility study. Europ J Respiratory Med 2020; 1(2): 132–137. doi: 10.31488/ejrm.107.

23. Walicka-Serzysko K, Postek M, Jeneralska N et al. The effects of the addition of a new airway clearance device to chest physiotherapy in children with cystic fibrosis pulmonary exacerbations. J Mother Child 2021; 26(3): 16–24. doi: 10.34763/jmotherandchild.20202403.2013.d-20-00008.

24. Kolek V, Jakubec P, Doleželová J et al. Feasibility and safety evaluation of Simeox airway clearance technique (ACT) in patients with bronchiectasis. Eur Respir J 2020; 54 (Suppl 63): PA601. doi: 10.1183/13993003.congress-2019.PA601.

25. Lucas JS, Alanin MC, Collins S et al. Clinical care of children with primary ciliary dyskinesia. Expert Rev Respir Med 2017; 11(10): 779–790. doi: 10.1080/17476348.2017.1360770.

26. Bush A, Payne D, Pike S et al. Mucus properties in children with primary ciliary dyskinesia: comparison with cystic fibrosis. Chest 2006; 129(1): 118–123. doi: 10.1378/chest.129.1.118.

27. Cohen-Cymberknoh M, Simanovsky N, Hiller N et al. Differences in disease expression between primary ciliary dyskinesia and cystic fibrosis with and without pancreatic insufficiency. Chest 2014; 145(4): 738–744. doi: 10.1378/chest.13-1162.

28. Vávrová V. Cystická fibróza. In: Lebl J, Janda J, Pohunek P et al. Klinická pediatrie. Praha: Galén 2012: 439–449.

29. Wilkes DL, Schneiderman JE, Nguyen T et al. Exercise and physical activity in children with cystic fibrosis. Paediatr Respir Rev 2009; 10(3): 105–109. doi: 10.1016/j.prrv.2009.04.001.

30. Saynor ZL, Cunningham S, Morrison L et al. Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals. Thorax 2023; 78(1): 88–91. doi: 10.1136/thorax-2022-219213.

31. Swisher AK, Hebestreit H, Mejia-Downs A et al. Exercise and habitual physical activity for people with cystic fibrosis: expert consensus, evidence-based guide for advising patients. Cardiopulm Phys Ther J 2015; 26(4): 85–98. doi: 10.1097/CPT.0000000000000016.

32. Tattersall R, Walshaw MJ. Posture and cystic fibrosis. J R Soc Med 2003; 96(Suppl 43): 18–22.

33. Cherobin IA, Dalcin PTR, Ziegler B. Association between lung function, physical activity level and postural evaluation variables in adult patients with cystic fibrosis. Clin Respir J 2018; 12(4): 1510–1517. doi: 10.1111/crj.12698.

34. Massery M. Musculoskeletal and neuromuscular interventions: a physical approach to cystic fibrosis. J R Soc Med 2005; 98 (Suppl 45): S55–S66.

35. Pleskova J, Koucky V, Medunova K et al. Reflex zone stimulation reduces ventilation inhomogeneity in cystic fibrosis: a randomised controlled cross-over study. Pediatr Pulmonol 2021; 56(6): 1558–1565. doi: 10.1002/ppul.25350.

36. Vojta V, Peters A. Vojtův princip. Grada Publishing 2010: 17–19.

37. Giannantonio C, Papacci P, Ciarniello R et al. Chest physiotherapy in preterm infants with lung diseases. Ital J Pediatr 2010; 36: 65. doi: 10.1186/1824-7288-36-65.

38. Böhme B, Futschik M. Verbesserte Lungenfunktion nach Vojta‐Brustzonen‐Reiz bei bronchopulmonaler Dysplasie. Monatsschrift Kinderheilkunde 1995; 143(12): 1231–1234.

39. Ha S-Y, Sung Y-H. Effects of Vojta method on trunk stability in healthy individuals. J Exerc Rehabil 2016; 12(6): 542–547. doi: 10.12965/jer.1632804.402.

40. Ha S-Y, Sung Y-H. Effects of Vojta approach on diaphragm movement in children with spastic cerebral palsy. J Exerc Rehabil 2018; 14(6): 1005–1009. doi: 10.12965/jer.1836498.249.

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#