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

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dc.contributor.authorAbreu, Luiz Carlos de [UNIFESP]
dc.contributor.authorValenti, Vitor Engrácia [UNIFESP]
dc.contributor.authorOliveira, Adriana G. de
dc.contributor.authorLeone, Claudio
dc.contributor.authorSiqueira, Arnaldo Augusto Franco de
dc.contributor.authorGallo, Paulo R.
dc.contributor.authorFonseca, Fernando Luiz Affonso [UNIFESP]
dc.contributor.authorSimon, Viviane G. N.
dc.contributor.authorSaldiva, Paulo Hilário Nascimento [UNIFESP]
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T17:30:25Z
dc.date.available2018-06-15T17:30:25Z
dc.date.issued2011-01-01
dc.description.abstractBackground: 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.en
dc.description.affiliationUniv Sao Paulo, Dept Saude Maternoinfantil, BR-05508 Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Dept Poluicao, BR-05508 Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Disciplina Cardiol, Dept Med, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Disciplina Cardiol, Dept Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent528-534
dc.identifier.citationHealthmed. Sarajevo: Drunpp-sarajevo, v. 5, n. 3, p. 528-534, 2011.
dc.identifier.issn1840-2291
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/43756
dc.identifier.wosWOS:000290567700009
dc.language.isoeng
dc.publisherDrunpp-sarajevo
dc.relation.ispartofHealthmed
dc.rightsAcesso restrito
dc.subjectRespiratory Distress Syndromeen
dc.subjectNewbornen
dc.subjectInfanten
dc.subjectPhysical Therapy (Specialty)en
dc.subjectPrematureen
dc.subjectDiseasesen
dc.titleEffects of physiotherapy on hemodynamic variables in newborns with Acute Respiratory Distress Syndromeen
dc.typeArtigo
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