Effects of physiotherapy on hemodynamic variables in newborns with Acute Respiratory Distress Syndrome

Effects of physiotherapy on hemodynamic variables in newborns with Acute Respiratory Distress Syndrome

Author Abreu, Luiz Carlos de Autor UNIFESP Google Scholar
Valenti, Vitor Engrácia Autor UNIFESP Google Scholar
Oliveira, Adriana G. de Google Scholar
Leone, Claudio Google Scholar
Siqueira, Arnaldo Augusto Franco de Google Scholar
Gallo, Paulo R. Google Scholar
Fonseca, Fernando Luiz Affonso Autor UNIFESP Google Scholar
Simon, Viviane G. N. Google Scholar
Saldiva, Paulo Hilário Nascimento Autor UNIFESP Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Abstract Background: Acute respiratory distress syndrome (ARDS) is a frequent respiratory disturbance in preterm newborns. Preceding investigations evaluated chronic physiotherapy effects on newborns with different lung diseases; however, no study analyzed acute physiotherapy treatment on premature newborns with ARDS. In this study we aimed to evaluate the acute effects of chest and motor physiotherapy treatment on hemodynamic variables in preterm newborns with ARDS.Methods: We evaluated heart rate (HR), respiratory rate (RR), systolic (SAP), mean (MAP) and diastolic arterial pressure (DAP), temperature and oxygen saturation (SO(2)%) in 44 newborns with ARDS. We compared all variables between six periods in one day: before first physiotherapy treatment vs. after first physiotherapy treatment vs. before second physiotherapy treatment vs. after second physiotherapy treatment vs. before third physiotherapy treatment vs. after third physiotherapy treatment. Variables were measured 2 minutes before and 5 minutes after each physiotherapy session. We applied Anova one way followed by post hoc Bonferroni test.Results: HR (147.5 +/- 9.5 bpm vs. 137.7 +/- 9.3 bpm; p<0.001), RR (45.5 +/- 8.7cpm vs. 41.5 +/- 6.7 cpm; p=0.001), SAP (70.3 +/- 10.4 mmHg vs. 60.1 +/- 7.1 mmHg; p=0.001) and MAP (55.7 +/- 10 mmHg vs. 46 +/- 6.6 mmHg; p=0.001) were significantly reduced after the third physiotherapy treatment compared to before the first session. There were no significant changes regarding temperature, DAP and SO(2) %.Conclusion: Chest and motor physiotherapy acutely improves HR, RR, SAP, MAP and SO(2) % in newborns with ARDS.
Keywords Respiratory Distress Syndrome
Newborn
Infant
Physical Therapy (Specialty)
Premature
Diseases
Language English
Date 2011-01-01
Published in Healthmed. Sarajevo: Drunpp-sarajevo, v. 5, n. 3, p. 528-534, 2011.
ISSN 1840-2291 (Sherpa/Romeo, impact factor)
Publisher Drunpp-sarajevo
Extent 528-534
Access rights Closed access
Type Article
Web of Science ID WOS:000290567700009
URI http://repositorio.unifesp.br/11600/43756

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