Postgraduate program in Rehabilitation Sciences, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, Brazil.
Departamento de Fisioterapia, Universidade Estadual da Paraiba, Campina Grande, PB, Brazil.
BMJ Open. 2022 Aug 26;12(8):e062910. doi: 10.1136/bmjopen-2022-062910.
Although respiratory physiotherapy techniques may reduce respiratory load in newborns, manual contact with the ribcage may interfere with pulmonary mechanics. Therefore, this systematic review aims to evaluate the effects of conventional and non-conventional respiratory physiotherapies on pulmonary mechanics of newborns.
We will search PubMed, LILACS, SciELO, ScienceDirect, Cochrane Central and Web of Science databases. Searches will be conducted from September 2022. We will include randomised clinical trials reporting thoracoabdominal synchrony, lung volumes and capacities, respiratory discomfort and pain in newborns aged between 1 hour and 28 days and admitted to neonatal intensive care units. We will exclude studies not fully available or incomplete and studies conducted with newborns presenting structural alterations. Two independent researchers will perform the study selection, data extraction and quality assessment. After consensus, one reviewer will proceed with the process. We will include studies published in English or Portuguese, without publication date restriction. An overview of the included studies and extracted information will be reported and the quality of studies will be assessed. A meta-analysis will be conducted if data regarding between-group comparisons are available.
Ethics approval is not required for this systematic review. Results will be presented in journals and national and international conferences, and findings will be shared on social media using accessible language.
CRD42021266729.
尽管呼吸物理治疗技术可以减轻新生儿的呼吸负荷，但与胸廓的人工接触可能会干扰肺力学。因此，本系统评价旨在评估常规和非常规呼吸物理疗法对新生儿肺力学的影响。
我们将搜索 PubMed、LILACS、SciELO、ScienceDirect、Cochrane Central 和 Web of Science 数据库。搜索将于 2022 年 9 月进行。我们将纳入报告胸腹壁同步性、肺容积和容量、呼吸不适和疼痛的随机临床试验，纳入对象为年龄在 1 小时至 28 天之间、入住新生儿重症监护病房的新生儿。我们将排除未完全获取或不完整的研究以及针对存在结构改变的新生儿进行的研究。两名独立的研究人员将进行研究选择、数据提取和质量评估。在达成共识后，一名评审员将继续进行该过程。我们将纳入发表在英语或葡萄牙语的研究，不限制发表日期。将报告纳入研究的概述和提取的信息，并评估研究的质量。如果有关于组间比较的数据，则将进行荟萃分析。
本系统评价不需要伦理批准。结果将在期刊和国家及国际会议上呈现，并将使用通俗易懂的语言在社交媒体上分享研究结果。
PROSPERO 注册号：CRD42021266729。
