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Respiratory physiotherapy in patients with Amyotrophic Lateral Sclerosis. A systematic review.

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Title: Respiratory physiotherapy in patients with Amyotrophic Lateral Sclerosis. A systematic review.
Alternate Title: Fisioterapia respiratoria en pacientes con Esclerosis Lateral Amiotrófica. Una revisión sistemática.
Authors: Rubén, Abal-Monteagudo1, Iria, Da Cuña-Carrera1, Alejandra, Alonso-Calvete1 alejalonso@uvigo.es, Yoana, González-González1
Source: Archivos de Neurociencias. Oct-Dec2020, Vol. 25 Issue 4, p9-22. 14p.
Subjects: ONLINE information services, PHYSICAL therapy, SYSTEMATIC reviews, AMYOTROPHIC lateral sclerosis, RESPIRATORY therapy, MEDLINE, PHRENIC nerve
Abstract (English): Introduction: Amyotrophic lateral sclerosis is a central nervous system disease with a progressive degeneration of superior and inferior motor neurons, causing several complications, specially respiratory problems. Respiratory physiotherapy has a great importance in this disease, since it can improve considerably the pulmonary function and gases changes, increasing the air volumes and decreasing the respiratory work, facilitating then the elimination of bronchial secretions. Thus, the aim of this study is to review the scientific literature in the last 5 years about the physiotherapy in ALS patients. Development: A systematic review was carried out, searching in PubMed and Web of Science with the terms "amyotrophic lateral sclerosis" y "respiratory therapy". 217 results were obtained, and after the inclusion and exclusion criteria 19 studies were selected. All works analyzed carried out different interventions in respiratory physiotherapy such as VNI, phrenic stimulation, Cough-Assist or exercise therapy. Conclusions: Respiratory physiotherapy seems to be effective for patients with ALS, except from phrenic stimulation. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: La esclerosis lateral amiotrófica es una enfermedad del sistema nervioso central caracterizada por la degeneración progresiva de las neuronas motoras superiores e inferiores, produciendo así diversas complicaciones en el individuo, entras las cuales destacan los problemas respiratorios. La fisioterapia respiratoria tiene una gran importancia en el tratamiento de esta patología, mejorando la función pulmonar y el intercambio de gases, aumentando los volúmenes de aire, disminuyendo el trabajo respiratorio y facilitando la eliminación de las secreciones traqueo-bronquiales. Por tanto, el objetivo de este trabajo es analizar la bibliografía científica de los últimos cinco años sobre la fisioterapia respiratoria en pacientes con esclerosis lateral amiotrófica. Diseño y metodología: Se realizó una búsqueda de artículos científicos en PubMed y Web of Science, entre el 16 de enero y el 7 de febrero del 2020, empleando los términos de búsqueda "amyotrophic lateral sclerosis" y "respiratory therapy". Resultados: Se obtuvieron un total de 217 resultados, de los cuales 19 fueron seleccionados tras aplicar los criterios de inclusión y exclusión. Los artículos analizados llevan a cabo distintos tipos de intervención de fisioterapia respiratoria, la estimulación frénica, el Cough-Assist o terapia basada en ejercicio físico. Limitaciones: La calidad de los estudios no siempre ha sido la más adecuada, y las intervenciones han sido muy heterogéneas. Conclusión: A excepción de la estimulación frénica, los distintos tipos de intervenciones de fisioterapia respiratoria son beneficiosos para los pacientes con ELA. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
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Abstract:Introduction: Amyotrophic lateral sclerosis is a central nervous system disease with a progressive degeneration of superior and inferior motor neurons, causing several complications, specially respiratory problems. Respiratory physiotherapy has a great importance in this disease, since it can improve considerably the pulmonary function and gases changes, increasing the air volumes and decreasing the respiratory work, facilitating then the elimination of bronchial secretions. Thus, the aim of this study is to review the scientific literature in the last 5 years about the physiotherapy in ALS patients. Development: A systematic review was carried out, searching in PubMed and Web of Science with the terms "amyotrophic lateral sclerosis" y "respiratory therapy". 217 results were obtained, and after the inclusion and exclusion criteria 19 studies were selected. All works analyzed carried out different interventions in respiratory physiotherapy such as VNI, phrenic stimulation, Cough-Assist or exercise therapy. Conclusions: Respiratory physiotherapy seems to be effective for patients with ALS, except from phrenic stimulation. [ABSTRACT FROM AUTHOR]
ISSN:10285938
DOI:10.31157/archneurosciencesmex.v25i4.213