The Effect Of Neurophysiological Respiration Facilitation On Arterial Blood Gases In Early Childhood Bronchial Pneumonia

Document Type : Original Article

Authors

1 1-Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University 2-Department of Physical therapy, kafr elzayat general hospital

2 Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University

3 Department of Pediatric, Faculty of medicine, Tanta University

10.21608/iptccu.2024.456808

Abstract

Background: The "Neurophysiological Respiration Facilitation" terminology relates for the external use of proprioceptive and tactile cues that tend to alter the depth of breathing and its rate while triggering reflex respiratory movement responses. Purpose: The present research attempted to assess the efficiency of neurophysiological respiration facilitation on arterial blood gases in bronchial pneumonia. Subjects and Methods: This study was applied on sixty pediatric subjects struggling with bronchial pneumonia, with ages ranging from one to four years. The subjects were chosen from Pediatric ICU of Kafr ElZayat general hospital. All was assigned randomly into two groups (Group A was given conventional chest physiotherapy, while group B was given the same protocol plus neurophysiological facilitation technique). The experimental procedures and potential risks were fully explained to the caregivers before the study, and all caregivers provided written, informed consent. ABG on day 1 and after seven days of the protocol and PaO2 and PaCO2 levels are measured. Result: The result of study showed a significant increase in Pao2 level. The mean difference in PaO2 between groups post treatment was -15.03 mmHg. Group B had a significantly increased PaO2 level than group A post treatment (p = 0.001). And a significant decrease in PaCo2 level. The mean difference in PaCO2 between groups post treatment was 3.33 mmHg. Group B had a significantly decreased PaCO2 level than group A post treatment (p = 0.005). Conclusion: In conclusion there is a significant role of neurophysiological facilitation in treating bronchial pneumonia patients as it improve arterial blood gases

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