Eficácia das técnicas instrumentais oscilatórias de desobstrução brônquica no tratamento da Doença Pulmonar Obstrutiva Crônica, uma revisão sistemática
DOI:
https://doi.org/10.47197/retos.v60.106983Palavras-chave:
COPD, mucociliary clearance, chest wall oscillations, respiratory therapy.Resumo
Introdução. Técnicas de desobstrução brônquica utilizando dispositivos instrumentais oscilantes utilizados na abordagem de pacientes com DPOC podem melhorar o padrão de tosse e promover o fluxo expiratório, facilitando a expulsão de secreções, evitando atelectasias, promovendo ventilação mecânica, oxigenação e manutenção de via aérea patente. Métodos: Foi realizada uma revisão sistemática seguindo os critérios de inclusão a partir de uma busca em bases de dados eletrônicas como: PubMed, Science Direct, Scopus, Springer, Google Scholar, entre o período de 01/05/2023 a 01/02/2024 em inglês, Idioma espanhol e português, incluindo estudos como Ensaios Clínicos Randomizados e estudos de coorte. Resultados: Foram incluídos 14 artigos, 100% em inglês. O número de participantes foi de 3.105, com idades entre 35 e 85 anos, 50,2% dos participantes eram mulheres. Oscilação Oral de Alta Frequência (HFCWO®) foi o dispositivo mais utilizado 35,7% n=5, seguido do Flutter® 28,6% n=4. O tempo de intervenção variou entre 1 a 12 semanas, de 3 a 7 vezes por semana, entre 1 a 4 sessões diárias, com duração entre 10 a 30 minutos, entre 10 a 20 Hz Conclusões: O uso do HFCWO pode ter um impacto positivo em. reabilitação pulmonar, especificamente nas variáveis de função pulmonar e oxigenação, quando implementada como terapia complementar à mobilização precoce, exercício terapêutico e técnicas respiratórias para desobstrução brônquica.
Palavras-chave: DPOC, depuração mucociliar, oscilações da parede torácica, fisioterapia respiratória, exercícios respiratórios.
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