Chest associated to motor physiotherapy improves cardiovascular variables in newborns with respiratory distress syndrome.
BACKGROUND
We aimed to evaluate the effects of chest and motor physiotherapy treatment on hemodynamic variables in preterm newborns with respiratory distress syndrome.


METHODS
We evaluated heart rate (HR), respiratory rate (RR), systolic (SAP), mean (MAP) and diastolic arterial pressure (DAP), temperature and oxygen saturation (SO2%) in 44 newborns with respiratory distress syndrome. We compared all variables between before physiotherapy treatment vs. after the last physiotherapy treatment. Newborns were treated during 11 days. Variables were measured 2 minutes before and 5 minutes after each physiotherapy treatment. We applied paired Student t test to compare variables between the two periods.


RESULTS
HR (148.5 ± 8.5 bpm vs. 137.1 ± 6.8 bpm - p < 0.001), SAP (72.3 ± 11.3 mmHg vs. 63.6 ± 6.7 mmHg - p = 0.001) and MAP (57.5 ± 12 mmHg vs. 47.7 ± 5.8 mmHg - p = 0.001) were significantly reduced after 11 days of physiotherapy treatment compared to before the first session. There were no significant changes regarding RR, temperature, DAP and SO2%.


CONCLUSIONS
Chest and motor physiotherapy improved cardiovascular parameters in respiratory distress syndrome newborns.
Departamento de Saúde Materno-infantil, Universidade de São Paulo, Av, Dr, Arnaldo, 715, São Paulo, SP, 01246-904, Brazil. luizcarlos@usp.br.
Luiz Carlos
LC
de Abreu
Vitor E
VE
Valenti
Adriana G
AG
de Oliveira
Claudio
C
Leone
Arnaldo Af
AA
Siqueira
Dafne
D
Herreiro
Rubens
R
Wajnsztejn
Katia V
KV
Manhabusque
Hugo Macedo
HM
Júnior
Carlos B
CB
de Mello Monteiro
Laís L
LL
Fernandes
Paulo Hn
PH
Saldiva