[Chest physical therapy of the distal lung. Mechanical basis of a new paradigm]. / La kinésithérapie respiratoire du poumon profond. Bases mécaniques d'un nouveau paradigme.
Rev Mal Respir
; 31(6): 552-67, 2014 Jun.
Article
en Fr
| MEDLINE
| ID: mdl-25012039
ABSTRACT
Recent medical literature has shown that there has been renewed interest focused on the small airways deep in the lung tissue. Although there is involvement of the distal airways at an early stage in mucus secreting lung diseases, no specific chest physical therapy (CPT) manoeuver has been proposed for small airways clearance. A four-tier classification of CPT has been established with identification of its benefits at each level of a monoalveolar respiratory tract model. The usual expiratory techniques directed towards the upper and middle respiratory tract are not applicable to the small airways and new paradigm is proposed appropriate to their specific mechanical characteristics. This comprises a slow resistive inspiratory manoeuver in the lateral position. Clinical auscultation of the lung is the cornerstone of the validation and follow-up of the technique.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Mecánica Respiratoria
/
Modalidades de Fisioterapia
/
Pulmón
/
Enfermedades Pulmonares Obstructivas
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
Fr
Año:
2014
Tipo del documento:
Article