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NeoReviews Vol.5 No.12 2004 e534
© 2004 American Academy of Pediatrics

Therapeutic Techniques

Chest Physiotherapy in the Neonate

Susan R. Hintz, MD*

* Assistant Professor of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Palo Alto, Calif

The first 20% of the full text of this article appears below.


   Introduction
 
Chest physiotherapy (CPT) use in infants has been reported in the literature to varying degrees over the years, with inconsistent techniques and for broadly differing indications. CPT has been reported to be associated with deleterious changes in heart rate, respiratory rate, and oxygenation in some case series, (1)(2)(3) but improved oxygenation and secretion clearance in others. (4)(5) Significant complications of the technique also have been reported, including rib fractures (6) and periosteal reactions. (7) Even more concerning were reports indicating a possible link with the development of grade III/IV intraventricular hemorrhage or porencephaly in neonates treated with CPT. (8)(9) However, later reports dispute these findings, including a follow-up report from one of the groups that originally reported the association. (10)(11)

The difficulty in evaluating existing evidence lies in the . . . [Full Text of this Article]


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Copyright © 2004 by the American Academy of Pediatrics.