Efeitos de técnicas de fisioterapia respiratória sobre os parâmetros cardiorrespiratórios e a performance alimentar de recém-nascidos pré-termo

• Autor(a) principal: Nunes, Sabrina Felin
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Manancial - Repositório Digital da UFSM
• dARK ID: ark:/26339/001300000v4c2
• Texto Completo: http://repositorio.ufsm.br/handle/1/6590
• topic: Fisioterapia; Displasia broncopulmonar; Doença da membrana hialina; Performance alimentar; Physiotherapy; Bronchopulmonary dysplasia; Hyaline membrane disease; Feeding performance; CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA

Lung diseases associated with immaturity may contribute to the delay in the development of the newborn preterm. The oral feeding may suffer because they spend a lot of energy function in the disorder of the respiratory muscles and the lack of coordination between sucking / swallowing / breathing. The objective of this research was to compare the effects of increased technical expiratory flow slow in relation to the technical manual chest vibration on cardiorespiratory parameters and food performance of newborn preterm with lung disease. Babies who fulfilled the inclusion criteria and that those responsible have allowed their participation, were allocated at random to one of the groups (group 1 - increased expiratory flow slow; group 2 - manual chest vibration). We collected the cardiorespiratory parameters (RR, HR, SpO2) five minutes prior to physical therapy after 5 minutes started oral feeding, and 5 minutes after the end of the food supply. The physical therapy continued until obtaining the full orally, twice daily. Oral feeding performance was evaluated using the variables proficiency, throughput and performance oral feeding, the first oral feeding, and the days to reach full orally. The expiratory flow slow increase technique provided greater cardiorespiratory stability in children with respiratory distress syndrome and bronchopulmonary dysplasia in FR parameter (p=0.0029 and p=0.0344, respectively). In comparison within the group, for children with hyaline membrane disease subjected to vibration there was a significant increase in RR at the end of feeding (p=0.008). Submitted to the increase in technical expiratory flow slow the RF remained stable with significant increase in SpO2 (p=0.001).In the analysis of food performance, it was observed that physical therapy technique did not influence the variables proficiency, throughput and oral feeding performance in the first orally, and did not influence the dietary transition. We conclude that, although the technique of increased expiratory flow has not shown effects on oral feeding performance, presented benefits to newborn preterm, compared to vibration because it provided greater cardiorespiratory stability.