de Morais Nunes Adriele, Nascimento Sales Figueiredo Fernandes Ana Tereza, Tévina de Castro Silva Adyna, Guerra Azevedo Ingrid, Souza Monteiro Karolinne, Pereira Silvana Alves
Programa de Pós-graduação em Fisioterapia, Universidade Federal do Rio Grande do Norte.
Fisioterapia Universidade Estadual da Paraíba.
Can J Respir Ther. 2025 Jun 24;61:145-156. doi: 10.29390/001c.140878. eCollection 2025.
To evaluate the effects of conventional and non-conventional respiratory physiotherapy on pulmonary mechanics, vital parameters, and pain in newborns admitted to a neonatal intensive care unit.
Databases including PubMed, LILACS, SciELO, Science Direct, Cochrane Library, and Web of Science were searched. Randomized clinical trials comparing conventional and non-conventional respiratory physiotherapy in newborns (1 hour to 28 days) in neonatal intensive care units were included. Two reviewers independently screened titles and abstracts and assessed bias using the PEDro scale. Data were presented as mean, standard deviation, median, and quartiles. Meta-analysis was not feasible due to incomplete post-intervention data.
Out of 5,653 articles found, four were included. Two studies reported major increases in peripheral oxygen saturation after both respiratory physiotherapy techniques, a third showed decreased respiratory rate, and a fourth showed increased heart rate. Neither conventional nor non-conventional respiratory physiotherapy was suggested to cause pain in participants. No study evaluated lung mechanics parameters. The methodological quality of the included studies was predominantly moderate. Only one study exhibited low methodological quality.
Both conventional and non-conventional respiratory physiotherapy techniques showed no adverse effects on vital signs or pain in NICU newborns. Further clinical trials are encouraged to assess lung function more comprehensively. Future studies should include short- and long-term evaluations of lung mechanics, respiratory distress, and pain.
评估传统和非传统呼吸物理治疗对入住新生儿重症监护病房的新生儿肺力学、生命体征及疼痛的影响。
检索包括PubMed、LILACS、SciELO、Science Direct、Cochrane图书馆和科学网在内的数据库。纳入比较新生儿重症监护病房中传统和非传统呼吸物理治疗对新生儿（1小时至28天）影响的随机临床试验。两名审阅者独立筛选标题和摘要，并使用PEDro量表评估偏倚。数据以均值、标准差、中位数和四分位数表示。由于干预后数据不完整，无法进行荟萃分析。
在检索到的5653篇文章中，纳入了4篇。两项研究报告了两种呼吸物理治疗技术后外周血氧饱和度均显著升高，第三项研究显示呼吸频率降低，第四项研究显示心率升高。未表明传统或非传统呼吸物理治疗会导致参与者疼痛。没有研究评估肺力学参数。纳入研究的方法学质量主要为中等。只有一项研究方法学质量较低。
传统和非传统呼吸物理治疗技术对新生儿重症监护病房的新生儿生命体征或疼痛均无不良影响。鼓励进行进一步的临床试验以更全面地评估肺功能。未来的研究应包括对肺力学、呼吸窘迫和疼痛的短期和长期评估。
