Document Detail

Old and new in chest physiotherapy.
MedLine Citation:
PMID:  2679607     Owner:  NLM     Status:  MEDLINE    
Some "old" chest physiotherapy techniques, such as postural drainage of bronchial secretions, breathing control, relaxation, pre- and post-surgical treatments and exercise training have survived until today because of their unquestionable and persistent validity. This does not mean that in this field of rehabilitation medicine nothing new exists. Chest physiotherapy has now completely overcome the empirical phase that characterized every branch of medicine during its early development. We now employ mainly respiratory pathophysiology techniques for objective evaluation of physiotherapy efficacy. For example we use transcutaneous monitoring of blood gas variations during therapy. Among new chest physiotherapy techniques, biofeedback training may lead to better relaxation in a shorter time, and it is now widely used in breathing control. Jet-ventilation and percussion-ventilation seem likely to mark a further improvement in bronchial secretion drainage. Concerning the future of chest physiotherapy, the recent advances in the physiology and pathophysiology of respiratory muscles are disclosing important practical implications, e.g. in defining criteria for respiratory muscle training and rest in chronic respiratory failure.
O Orlandi; B Perino; R Testi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The European respiratory journal. Supplement     Volume:  7     ISSN:  0904-1850     ISO Abbreviation:  Eur Respir J Suppl     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-11-27     Completed Date:  1989-11-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8910681     Medline TA:  Eur Respir J Suppl     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  595s-598s     Citation Subset:  IM    
Division of Pulmonary Disease, S. Luigi Gonzaga Hospital, Orbassano, Italy.
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MeSH Terms
Breathing Exercises
Patient Education as Topic
Postoperative Care
Preoperative Care
Relaxation Therapy
Respiratory Therapy / methods,  trends*

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