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Special Issue: Respiratory Care |
Ms. Crane is Assistant Professor, Department of Pediatrics, School of Medicine, and Division of Physical Therapy, School of Community and Allied Health, University Station, University of Alabama in Birmingham, Birmingham, AL 35294 (USA).
Chest physical therapy for neonates with pulmonary dysfunction is a growing specialty of physical therapy practice. The purpose of this article is to provide physical therapists current information regarding chest physical therapy for the newborn infant. The neonatal diagnoses for which chest physical therapy is useful or has good rationale are discussed. Common complications are reviewed that affect physical therapy and medical treatment for infants with respiratory diseases and prematurity. Specific indications, contraindications, and precautions for physical therapy techniques are listed. Chest physical therapy evaluation and treatment are described and rationale for the application of various techniques is provided. Literature is reviewed dealing with the effects of chest physical therapy on neonates with pulmonary dysfunction. The strengths and weaknesses of each reviewed study are analyzed and suggestions for direction of future research for physical therapists are provided.
Key Words: Infant, newborn Pulmonary disorders Respiratory therapy Physical therapy
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