Márcio Vinícius Fagundes Donadio1, Natália Evangelista Campos2, Fernanda Maria Vendrusculo2, Augusta Machado Stofella3, Ana Carolina da Silva Almeida4, Bruna Ziegler5, Camila Isabel Santos Schivinski6, Cíntia Helena Santuzzi7, Edilene do Socorro Nascimento Falcão Sarges8, Fernanda Mayrink Gonçalves9, Maria Ângela Gonçalves de Oliveira Ribeiro10, Nelbe Nesi Santana11, Sarah Bezerra de Paiva12, Vanessa Cristina Waetge Pires de Godoy13, Evanirso da Silva Aquino14. 1. Laboratory of Pediatric Physical Activity, Infant Center, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil. Electronic address: mdonadio@pucrs.br. 2. Laboratory of Pediatric Physical Activity, Infant Center, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil. 3. Associação de Assistência à Mucoviscidose no Paraná, Curitiba, PR, Brazil. 4. Hospital Infantil Joana de Gusmão, Florianópolis, SC, Brazil. 5. Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. 6. Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brazil. 7. Hospital Estadual Dório Silva, Serra, ES, Brazil. 8. Hospital Universitário João de Barros Barreto, Universidade Federal do Pará, Belém, PA, Brazil. 9. Hospital Infantil Nossa Senhora da Glória, Vitória, ES, Brazil. 10. Department of Pediatrics, School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil. 11. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz), Rio de janeiro, RJ, Brazil. 12. Hospital das Clínicas de Goiânia, Goiânia, GO, Brazil. 13. Hospital São Paulo, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. 14. Department of Biological Science and Health, Pontifícia Universidade Católica de Minas Gerais (PUCMG), Campus Betim, Belo Horizonte, MG, Brazil.
Abstract
BACKGROUND: Respiratory therapy is a part of the treatment of patients with cystic fibrosis (CF). However, there is no information about the main factors influencing the recommendation of the use of different techniques or devices by physical therapists from different specialized centers. OBJECTIVE: To determine the respiratory therapy techniques recommended for the treatment of patients with CF seen in specialized treatment centers in Brazil. METHODS: This is a descriptive study including a sample of Brazilian CF specialized treatment centers. Data on demographics, spirometric variables, and recommended respiratory therapy treatment techniques were collected. RESULTS: Twelve specialized treatment centers with a total of 974 patients were included (13.5±11.3 years old and FEV1 (%) 75.7±27.9). The most recommended techniques were huffing (61.1% of patients), high frequency oral oscillation (HFOO) (52.0%), and positive expiratory pressure (PEP) (45.3%). Most often, recommendation was to perform treatment once (54.8% of patients) or twice (34%) a day. There was great variability in the recommendation among the different states. When data were separated by age, there was a predominance of performing conventional and manual techniques in infants and preschool children. There were no significant variations according to pulmonary function. Based on the literature, techniques based on volume, huffing, and PEP were most prevalently performed in international centers. CONCLUSION: The most recommended treatment techniques for patients with CF in Brazil are huffing, HFOO, and PEP, followed by volume-based techniques. There were geographical variations in the preferred treatment techniques, as well as based on patient age, but not based on the level of pulmonary function.
BACKGROUND: Respiratory therapy is a part of the treatment of patients with cystic fibrosis (CF). However, there is no information about the main factors influencing the recommendation of the use of different techniques or devices by physical therapists from different specialized centers. OBJECTIVE: To determine the respiratory therapy techniques recommended for the treatment of patients with CF seen in specialized treatment centers in Brazil. METHODS: This is a descriptive study including a sample of Brazilian CF specialized treatment centers. Data on demographics, spirometric variables, and recommended respiratory therapy treatment techniques were collected. RESULTS: Twelve specialized treatment centers with a total of 974 patients were included (13.5±11.3 years old and FEV1 (%) 75.7±27.9). The most recommended techniques were huffing (61.1% of patients), high frequency oral oscillation (HFOO) (52.0%), and positive expiratory pressure (PEP) (45.3%). Most often, recommendation was to perform treatment once (54.8% of patients) or twice (34%) a day. There was great variability in the recommendation among the different states. When data were separated by age, there was a predominance of performing conventional and manual techniques in infants and preschool children. There were no significant variations according to pulmonary function. Based on the literature, techniques based on volume, huffing, and PEP were most prevalently performed in international centers. CONCLUSION: The most recommended treatment techniques for patients with CF in Brazil are huffing, HFOO, and PEP, followed by volume-based techniques. There were geographical variations in the preferred treatment techniques, as well as based on patient age, but not based on the level of pulmonary function.
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