Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.

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J Thorac Surg ; Hum Pathol ; Cohen M, Sahn SA. How to cite this article. Bronchiectasis in systemic diseases. Physiotherapeutic interventions and clinical manifestations of the disease reflect in the psychological and social aspects of the patient, as despite of guaranteeing an improvement in the bronchial mucous transportation, the disease can have negative effects such as dependence on interventions by a professional and the necessity of making therapy every day.

Bronchography in isolation assesses the extent of the disease and verifies if there is a necessity for surgery. Previous article Back to the Top Next article. Nevertheless, there are no application protocols that prove their efficiency in the maintenance or the improvement of pulmonary function in patients with cystic fibrosis or bronchiectasis. Moreover, the final positive expiratory pressure stabilized or improved the pulmonary function, a result that had already been demonstrated in another study in by the same authors, who compared the positive expiratory pressure with postural drainage and percussion with the former being more efficacious.

Positioning versus postural drainage. Fink [15] added that in the clinical practice, percussion with postural drainage is effective in the transportation of pulmonary secretions improving the well-being of the patient.


This requires the assistance of a professional, which can make the necessary daily treatment difficult. Int J Clin Pract.

NAC. rtousp () Limpeza brônquica na | Fátima Caromano –

Btonquiectasia of pulmonary disease in patients with cystic fibrosis. It predominantly affects women of between 28 and 48 years old and more frequently affects the inferior lobes. The lack of comparative studies on postural drainage with percussion, that detail the populational sample and methodological resources, make a discussion of the results and the utilization of the physiotherapeutic resources difficult.

The varicose form, on the other hand, presents with fisioterxpia dilation, local constrictions and an irregular format; the most severe form is represented by the saccate form, with rounded dilations and the absence of communication with the pulmonary parenchyma [1]. These techniques are efficacious in preventing bronchial mucous retention. Am J Pathol ; Postural drainage and chest clapping are commonly used clearence fisikterapia, there are few published comparative population studies or reviews of fisiotfrapia.

It can be classified in cylindrical, varicose and cystic, and also in respect to located and whether it affects multiple segments. Bronchiectasis most frequently involves both the lower lobes; when the involvement is unilateral it affects the terminal bronchi and bronchia and is more frequently seen on the left and in the lingula and medial lobe.

Bronchiectasis: diagnostic and therapeutic features A study of patients

This technique has been scientifically proven to be relevant in the bronchial hygiene of patients suffering from cystic fibrosis and bronchiectasis bronquiectasja. Hypersecretion of the airways predominates in the morning or with changes in position, the patients can present with hemoptysis, weight loss, lack of appetite, halitosis, lethargy and prostration. Thus, there is an apparent need for further studies comparing conventional clearance techniques in particular in respect to bronchiectasis.


A Tabela 2 resume os achados verificados em ambos os grupos.

Portal Regional da BVS

The pulmonary lesions were unilateral in The segmental and lobular physiology and pathology of the lung. In the works by Caromano et al. On the other hand, further studies are necessary the identify physiotherapeutic protocols, their duration, repetitions, frequency, number of professionals involved, description of the selected techniques and the cost-benefit ratio for the patient [12,17].

Bronchiectasis is classified in cylindrical, varicose and saccate and in focal or multiple segmental.

J Pneumol ; The presented beneficial effects with bfonquiectasia increase in the expectoration and pulmonary clearance; however, statistically significant effects in the pulmonary function variables or differences between the use of manual and mechanical techniques were not observed. Postural drainage, percussion, vibration, shaking, cough and forced expiration techniques were utilized.

There is evidence of their efficacy due to the increased velocity of mucous transportation, the gas exchange and improvement in fisuoterapia pulmonary function. For Pryor [13], the forced expiration maneuvers suggest more efficacious techniques of bronchial clearance for patients with chronic obstructive pulmonary disease.

The majority of cases have idiopathic causes and, to a lesser degree, a congenital cause, with deficiencies in the elements of the bronchial wall and the cilia [5]. Fink [15] reported that nine of twelve risioterapia positions are required to drain all the areas of the lungs.

Jamnik S, Santoro IL. Van der Schans et al.