Pulmonary impedance as a new marker of respiratory physiotherapy in adults with obstructive lung diseases
a systematic review
DOI:
https://doi.org/10.11606/issn.2176-7262.v52i4p319-327Keywords:
Lung Diseases, Obstructive, Airway Resistance, Respiratory Function Tests, Physical Therapy SpecialtyAbstract
Study design: Systematic review. Objective: evaluate whether physiotherapy resources modify pulmonary impedance assessed by forced oscillation techniques (FOT’s) in adults with obstructive lung diseases (OLD). Method: This is a systematic review, through PubMed, Scielo, Lilacs, and PEDro databases. The following search strategy was used: Obstructive pulmonary disease OR chronic obstructive pulmonary disease OR COPD OR Bronchiectasis OR Bronchial diseases OR Cystic fibrosis OR mucoviscidosis AND impulse oscillometry OR forced oscillation techniques AND physical therapy OR physiotherapy AND Airway Resistance. Results: Of a total of 216 articles, only three were included. The samples totaled 64 participants, including subjects with cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), and bronchiectasis. Two studies used flutter® and one performed autogenic drainage. Pulmonary impedance was evaluated in two studies by the impulse oscillometry system (IOS) and in one by the modified FOT (m-FOT). There was a reduction in resistance in several frequencies, with the most frequent being of the total resistance (3/3), the central resistance (2/3), and the peripheral resistance (2/3). Besides, pulmonary reactance results were conflicting. Conclusion: It has been shown that the physiotherapeutic resources used to remove airway secretions modify the pulmonary impedance evaluated by FOT’s in adults with OLD, in which total airway resistance (R5) is the parameter with the greatest therapeutic improvement.
Downloads
References
Toyoshima MTK, Ito GM, Gouveia N. Tendências temporais da morbidade e da mortalidade por doenças respiratórias na cidade de São Paulo. Rev de Med (São Paulo). 2003;82(1-4):67-77.
Toyoshima MTK, Ito GM, Gouveia N. Morbidade por doenças respiratórias em pacientes hospitalizados em São Paulo/SP. Rev Assoc Med Bras. 2005;51(4):209-13.
Brasil, Saúde Md, Saúde SdVe. Boletim epidemiológico. MS Brasília; 2016.
Sociedade Brasileira de Pneumologia e Tisiologia. Diretrizes da Sociedade Brasileira de Pneumologia e Tisiologia para o manejo da asma-2012. J Bras Pneumol. 2012;38(supl.1):1-146.
Athanazio RA, Silva Filho LVRF, Vergara AA, Ribeiro AF, Riedi CA, Procianoy EdFA, et al. Diretrizes brasileiras de diagnóstico e tratamento da fibrose cística. J Bras Pneumol. 2017;43(3): 219-245.
Pessôa CLC, Pessôa RS. Epidemiologia da DPOC no presente–aspectos nacionais e internacionais. Pulmão RJ-Atualizações Temáticas. 2009;1(1):7-12.
Santos de Faria Júnior N, Marrach de Pasqual R, Apostólico N, Pastréllo Hirata R, Carvalho Aguiar Id, Vicente R, et al. Características clínicas de pacientes portadores de bronquiectasias acompanhados em um ambulatório especializado de pneumologia. ConScientiae Saúde. 2011;10(2):299-304.
Reychler G, Debier E, Contal O, Audag N. Intrapulmonary Percussive Ventilation as an Airway Clearance Technique in Subjects With Chronic Obstructive Airway Diseases. Respir Care. 2018;63(5):620-31.
Gastaldi AC, Paredi P, Talwar A, Meah S, Barnes PJ, Usmani OS. Oscillating positive expiratory pressure on respiratory resistance in chronic obstructive pulmonary disease with a small amount of secretion: a randomized clinical trial. Medicine. 2015;94(42).
Freitas DA, Chaves GS, Santino TA, Ribeiro CT, Dias FA, Guerra RO, et al. Standard (head‐down tilt) versus modified (without head‐down tilt) postural drainage in infants and young children with cystic fibrosis. Cochrane Database of Systematic Reviews. 2018;(3).
Morrison L, Innes S. Oscillating devices for airway clearance in people with cystic fibrosis. 2017;(5).
Donadio MV, Heinzmann-Filho JP, Vendrusculo FM, Frasson PX, Marostica PJ. Six-minute walk test results predict risk of hospitalization for youths with cystic fibrosis: a 5-year follow-up study. J Pediatr. 2017;182:204-9. e1.
Kriemler S, Radtke T, Christen G, Kerstan-Huber M, Hebestreit H. Short-term effect of different physical exercises and physiotherapy combinations on sputum expectoration, oxygen saturation, and lung function in young patients with cystic fibrosis. Lung. 2016;194(4):659-64.
Pupin MK, Riccetto AGL, Ribeiro JD, Baracat ECE. Comparação dos efeitos de duas técnicas fisioterapêuticas respiratórias em parâmetros cardiorrespiratórios de lactentes com bronquiolite viral aguda. J Bras Pneumol. 2009;35(9):860-7.
Strickland SL, Rubin BK, Drescher GS, Haas CF, O’Malley CA, Volsko TA, et al. AARC Clinical practice guideline: effectiveness of nonpharmacologic airway clearance techniques in hospitalized patients. Respir care. 2013;58(12):2187-93.
Rosa FKd, Roese CA, Savi A, Dias AS, Monteiro MB. Comportamento da mecânica pulmonar após a aplicação de protocolo de fisioterapia respiratória e aspiração traqueal em pacientes com ventilação mecânica invasiva. Rev Bras Ter Intensiva. 2010;19(2):170-5.
Gomes GR, Donadio MF. Effects of the use of respiratory physiotherapy in children admitted with acute viral bronchiolitis. Arch Pediatr. 2018;25(6):394-398.
Nair A, Ward J, Lipworth BJ. Comparison of bronchodilator response in patients with asthma and healthy subjects using spirometry and oscillometry. Ann Allergy Asthma Immunol. 2011 Oct;107(4):317-22.
Sakarya A, Uyan ZS, Baydemir C, Anık Y, Erdem E, Gokdemir Y, Karadag B, Karakoc F, Ersu R. Evaluation of children with cystic fibrosis by impulse oscillometry when stable and at exacerbation. Pediatr Pulmonol. 2016 Nov;51(11):1151-1158.
Lipworth BJ, Jabbal S. What can we learn about COPD from impulse oscillometry? Respir Med. 2018 Jun; 139:106-109.
de Assumpção MS, Gonçalves RM, Ferreira LG, Schivinski CI. Sistema de oscilometria de impulso em pediatria: revisão de literatura. Medicina (Ribeirao Preto). 2014;47(2):131-42.
Figueiredo PH, Zin WA, Guimarães FS. Flutter valve improves respiratory mechanics and sputum production in patients with bronchiectasis. Physiother Res Int. 2012;17(1):12-20
Wallaert E, Perez T, Prevotat A, Reychler G, Wallaert B, Le Rouzic O. The immediate effects of a single autogenic drainage session on ventilatory mechanics in adult subjects with cystic fibrosis. PLoS One. 2018; 29;13(3):e0195154.
Shiwa S, Costa L, Moser A, Aguiar I, Oliveira L. PEDro: a base de dados de evidências em fisioterapia. Fisioter Mov. 2011; 24 (3): 523-33.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009 Jul 21;6(7):e1000097.
Gomes GR, Calvete FP, Rosito GF, Donadio MV. Rhinopharyngeal Retrograde Clearance Induces Less Respiratory Effort and Fewer Adverse Effects in Comparison With Nasopharyngeal Aspiration in Infants With Acute Viral Bronchiolitis. Respir Care. 2016;61(12):1613-1619.
Bradley JM, Moran FM, Elborn JS. Evidence for physical therapies (airway clearance and physical training) in cystic fibrosis: an overview of five Cochrane systematic reviews. Respir Med. 2006;100(2):191-201.
Silva YR, Greer TA, Morgan LC, Li F, Farah CS. A Comparison of 2 Respiratory Devices for Sputum Clearance in Adults With Non-Cystic Fibrosis Bronchiectasis. Respir Care. 2017;62(10):1291-1297.
Komarow HD, Myles IA, Uzzaman A, Metcalfe DD. Impulse oscillometry in the evaluation of diseases of the airways in children. Ann Allergy Asthma Immunol. 2011;106(3):191-9.
Matsushima S, Inui N, Yasui H, Kono M, Nakamura Y, Toyoshima M, et al. Indacaterol and tiotropium combination therapy in patients with chronic obstructive pulmonary disease. Pulm Pharmacol Ther. 2015;30:11-5.
Brashier B, Salvi S. Measuring lung function using sound waves: role of the forced oscillation technique and impulse oscillometry system. Breathe (Sheff). 2015;11(1):57-65.
Saadeh C, Saadeh C, Cross B, Gaylor M, Griffith M. Advantage of impulse oscillometry over spirometry to diagnose chronic obstructive pulmonary disease and monitor pulmonary responses to bronchodilators: an observational study. SAGE Open Med. 2015;6;3:2050312115578957.
Albuquerque CGd, Andrade FMDd, Rocha MAdA, Oliveira AFFd, Ladosky W, Victor EG, et al. Determining respiratory system resistance and reactance by impulse oscillometry in obese individuals. J Bras Pneumol. 2015;41(5):422-6.
McCormack P, Burnham P, Southern KW. Autogenic drainage for airway clearance in cystic fibrosis. Cochrane Database Syst Rev. 2017;6;10:CD009595.
Morgan K, Osterling K, Gilbert R, Dechman G. Effects of Autogenic Drainage on Sputum Recovery and Pulmonary Function in People with Cystic Fibrosis: A Systematic Review. Physiother Can. 2015 Fall; 67(4): 319–326.
Schöni MH. Autogenic drainage: a modern approach to physiotherapy in cystic fibrosis. J R Soc Med. 1989; 82(Suppl 16): 32–37.
Lester MK1, Flume PA. Airway-clearance therapy guidelines and implementation. Respir Care. 2009;54(6):733-50. 38. Dias CM, Siqueira TM, Faccio TR, Gontijo LC, Salge JAdSB, Volpes MS. Estudo da técnica hiperinsuflação manual com compressão torácicaRev Bras Ter Intensiva. 2011; 23(2):190-198.
Restrepo RD, Serrato DM, Adasme R. Assessing Respiratory System Mechanical Function. Clin Chest Med. 2016;37(4):615-632.
Hempel G, Simon P, Salz P, Wrigge H. Respiratory Failure: Innovations in Diagnostics and Therapy. Anasthesiol Intensivmed Notfallmed Schmerzther. 2018;53(2):126-140.
Skylogianni E, Douros K, Anthracopoulos MB, Fouzas S. The Forced Oscillation Technique in Paediatric Respiratory Practice. Paediatr Respir Rev. 2016;18:46-51.
Downloads
Published
Issue
Section
License
