Bronquiectasia e fisioterapia desobstrutiva: ênfase em drenagem postural e postural e a percussão são efetivas na mobilização da secreção pulmonar, uma . NAC. rtousp () Limpeza brônquica na portadores de bronquiectasia, atendidosno Laboratóriode Fisioterapia Respiratória do. Primera página del artículo de sobre bronquiectasias. y no están tan habituados al empleo de la fisioterapia respiratoria como tratamiento. na. De todos ellos, el análisis multivariado determinó que la presencia de obstrucción.

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The etiology is unspecific and is considered the final stage of diverse pathological processes. Several studies indicate that postural drainage with percussion is fiisoterapia in bronchial hygiene.

Nevertheless, the final positive expiratory pressure technique provides a significantly greater improvement in the pulmonary function when compared to postural drainage with percussion.

NAC. rtousp () Limpeza brônquica na | Fátima Caromano –

Dis Chest ; Surg Gynecol Obstet ; In Brazil, the main causes are viral or bacterial respiratory infections during childhood as well as tuberculosis [7]. Arcasoy SM, Kotloff R. Other procedures are also utilized such as the Flutter device, autogenic drainage, the positive expiratory pressure technique, forced expiration techniques and intrapulmonary percussive ventilation. Bronchiectasis is a frequently found disease in medical practice in Brazil leading to significant morbidity and decrease in quality of life of the affected individuals.

Other causes include infections, obstructions, inhalation and aspiration of ammonia, gastric aspiration, alcoholism, heroin use, allergies, rheumatologic and bronnquiectasia diseases, non-specific low respiratory function after infections, cystic fibrosis and primary immunodeficiency [5,8]. A continuing challenge in developing countries. This requires the assistance of a professional, which can make the necessary daily treatment difficult.


It can be classified in cylindrical, varicose and cystic, and also in respect to located and whether it affects multiple segments. The clinical history and radiological and computed tomography findings enable diagnosis [2,8].

Hum Pathol ; Langenderfer [11] added to these quoting Murphy et al Thoracic percussion also increases the intrathoracic pressure and hypoxemia, with the latter being unimportant when the bronauiectasia is used for periods of less than 30 seconds and combined with three or four lung expansion exercises [13].

Recent research reported that postural drainage and chest clapping are effective therapies to mobilize pulmonary secretions as fisiioterapia increase the velocity of mucus transportion, improving pulmonary function and gas exchange.

Effects of postural drainage have been investigated using pulmonary function tests and analysis of the arterial gases. An important chemoattractant in sputum of patients with chronic inflammatory airway diseases. Pryor [13] stressed the efficiency of the maneuvers of forced expiration and Caromano et al. However, today they are associated with other techniques [11,14].

The current management of patients with bronchiectasis: Alternatives to percussion and postural drainage: J Pneumol ; Reviews of publications and field studies emerged due to the apparent necessity of research on the cost-benefits of physiotherapeutic procedures of bronchial hygiene for bronchiectasis [17].


In the majority of the patients, lung resection surgery improved permanently the prolonged bronchopulmonary symptoms of patients with bronchiectasis, differently from the patients who received only clinical treatment. Cinesioterapia em piscina na bronquiectasia: Current strategy for surgical management of bronchiectasis.

Physiotherapeutic interventions and clinical hronquiectasia of the disease reflect in the psychological and social aspects of the patient, as despite of guaranteeing an improvement in the bronchial mucous transportation, the disease can have negative effects such as dependence on interventions by a professional and the necessity of making therapy every day.

Clinical manifestations are chronic cough, fever and voluminous expectoration, with a fetid odor. Bronquiectasias en la infancia.

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Previous article Back to the Top Next article. The follow up showed that most of the surgically treated patients had significant symptoms improvement and rarely needed to be re-hospitalized. The techniques bromquiectasia care in their application and some are performed independently such as Flutter, autogenic drainage and the positive expiratory pressure technique and others not, such as postural drainage, percussion, intrapulmonary percussive ventilation and vibrocompression.