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http://hdl.handle.net/10773/28083
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DC Field | Value | Language |
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dc.contributor.author | Marques, Alda | pt_PT |
dc.contributor.author | Pinho, Cátia | pt_PT |
dc.contributor.author | Francesco, Silvia de | pt_PT |
dc.contributor.author | Martins, Paula | pt_PT |
dc.contributor.author | Neves, Joana | pt_PT |
dc.contributor.author | Oliveira, Ana | pt_PT |
dc.date.accessioned | 2020-03-26T15:34:27Z | - |
dc.date.available | 2020-03-26T15:34:27Z | - |
dc.date.issued | 2020-02 | - |
dc.identifier.issn | 954-6111 | pt_PT |
dc.identifier.uri | http://hdl.handle.net/10773/28083 | - |
dc.description.abstract | Introduction: Physiotherapy may play a role in the recovery of signs, symptoms and function of patients with lower respiratory tract infections (LRTI) but its effectiveness is still controversial. Objectives: To assess the effects of respiratory physiotherapy compared with standard pharmacological care on symptoms and function in outpatients with LRTI. Design: Single-blind, randomised controlled trial. Setting: Outpatients were recruited from the casualties of a central hospital. Participants: Outpatients with LRTI were recruited and randomly allocated to the control (pharmacological) or experimental (pharmacological and respiratory physiotherapy) group. Intervention: The intervention consisted of conventional pharmacological treatment and conventional pharmacological treatment plus respiratory physiotherapy. Respiratory physiotherapy included breathing and airway clearance techniques, exercise training and education during 3-weeks, 3 times per week. Main outcome measure: Primary outcome measures - occupation rate of wheezes Wh%; Secondary outcome measures - number of crackles, peripheral oxygen saturation (SpO2) modified Borg scale (mBorg), modified Medical Research Council scale (mMRC), 6-min walk test (6MWT), forced expiratory volume in 1 s and forced vital capacity, and volume and density of the lung and bronchial tree volume. Results: Ninety-seven patients (53 controls and 44 experimental) completed the intervention. After the intervention, both groups improved significantly in all variables (0.0001 < p < 0.04; 0.001<ƞ2<0.092), with the exception of the mBorg. The magnitude of improvement of the experimental group exceeded the control group in the number of crackles, SpO2 levels, mMRC and 6MWT (0.002 < p < 0.032; 0.002<ƞ2<0.092). Conclusion: Adding respiratory physiotherapy to the pharmacological treatment of outpatients with LRTI results in greater recovery of symptoms and function parameters. Trial registration: NCT02053870. | pt_PT |
dc.language.iso | eng | pt_PT |
dc.publisher | Elsevier | pt_PT |
dc.relation | info:eu-repo/grantAgreement/FCT/5876-PPCDTI/101943/PT | pt_PT |
dc.relation | UID/BIM/04501/2019 | pt_PT |
dc.rights | restrictedAccess | pt_PT |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | pt_PT |
dc.subject | Computerised respiratory sounds | pt_PT |
dc.subject | CT | pt_PT |
dc.subject | LRTI | pt_PT |
dc.subject | Outcome measure | pt_PT |
dc.subject | Rehabilitation | pt_PT |
dc.title | A randomized controlled trial of respiratory physiotherapy in lower respiratory tract infections | pt_PT |
dc.type | article | pt_PT |
dc.description.version | published | pt_PT |
dc.peerreviewed | yes | pt_PT |
degois.publication.firstPage | 1 - 105861 | pt_PT |
degois.publication.lastPage | 8 - 105861 | pt_PT |
degois.publication.title | Respiratory Medicine | pt_PT |
degois.publication.volume | 162 | pt_PT |
dc.identifier.doi | 10.1016/j.rmed.2019.105861 | pt_PT |
dc.identifier.essn | 1532-3064 | pt_PT |
Appears in Collections: | DETI - Artigos IBIMED - Artigos IEETA - Artigos ESSUA - Artigos Lab3R - Artigos |
Files in This Item:
File | Description | Size | Format | |
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2020_Marques_A randomized controlled trial of respiratory physiotherapy in Lowe.pdf | 1.2 MB | Adobe PDF |
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