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Intervenções de fisioterapia para pessoas com pectus excavatum: uma revisão da literatura
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| 38273 | 703.12 KB | Adobe PDF |
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Abstract(s)
Contexto: Pectus excavatum (ou tórax de funil) (PE) representa 90% das deformidades torácicas. O tratamento padrão-ouro é a cirurgia para casos graves, para os outros, poucos estudos mencionam abordagens conservadoras, fisioterapêuticas. Objectivo: O objectivo desta revisão era rever e sumariar a literatura existente acerca das intervenções fisioterapêuticas em pessoas com PE e identificar lacunas no conhecimento existente. Metodologia: Foram incluídos artigos se descrevessem uma intervenção considerada como sendo da área da fisioterapia e visassem pessoas com PE que não foram operadas. Resultados: Foram incluídos 6 estudos, todos eles abordando a noção do tratamento não invasivo do PE, 4 dos quais sugerem tratamento concomitante com fisioterapia, e 2 dos quais sugerem tratamento fisioterapêutico exclusivo. Apenas um era um ensaio controlado randomizado (RCT). Conclusão: A evidência existente para orientar os fisioterapeutas na gestão de pessoas com PE que desejam evitar a cirurgia é limitada. Isto defende a necessidade de investigação experimental de alta qualidade para determinar quais as técnicas de fisioterapia que podem ser benéficas para esta população. No entanto, dos 6 estudos presentes, pudemos sugerir que a integração de várias abordagens de fisioterapia, incluindo músculo-esquelética, cardiorespiratória e ortopédica, parece justificar-se em pessoas com PE.
Background: Pectus excavatum (or funnel chest) (PE) represents 90% of chest deformities. The gold standard treatment is surgery for severe cases, for the others, few studies mention conservative, physiotherapeutic approaches. Objective: The aim of this scoping review was To review and summarise the existing literature on physiotherapy interventions in people with PE and identify gaps in existing knowledge. Methodology: Articles were included if they described an intervention considered to be in the field of physiotherapy and targeted people with PE who did not undergo surgery. Results: Six studies were included, all of which address the issue of non-invasive treatment of pectus excavatum, 4 of which suggest concomitant treatment with physiotherapy, and 2 of which suggest physiotherapy treatment alone. Only one was a randomized controlled trial (RCT). Conclusion: The existing evidence to guide physiotherapists in the management of people with PE who wish to avoid surgery is limited. This argues for the need for high quality experimental research to determine which physiotherapy techniques may be beneficial for this population. However, from the 6 studies present, we were able to suggest that the integration of various physiotherapy approaches, including musculoskeletal, cardiorespiratory and orthopedic, seems justified in people with PE.
Background: Pectus excavatum (or funnel chest) (PE) represents 90% of chest deformities. The gold standard treatment is surgery for severe cases, for the others, few studies mention conservative, physiotherapeutic approaches. Objective: The aim of this scoping review was To review and summarise the existing literature on physiotherapy interventions in people with PE and identify gaps in existing knowledge. Methodology: Articles were included if they described an intervention considered to be in the field of physiotherapy and targeted people with PE who did not undergo surgery. Results: Six studies were included, all of which address the issue of non-invasive treatment of pectus excavatum, 4 of which suggest concomitant treatment with physiotherapy, and 2 of which suggest physiotherapy treatment alone. Only one was a randomized controlled trial (RCT). Conclusion: The existing evidence to guide physiotherapists in the management of people with PE who wish to avoid surgery is limited. This argues for the need for high quality experimental research to determine which physiotherapy techniques may be beneficial for this population. However, from the 6 studies present, we were able to suggest that the integration of various physiotherapy approaches, including musculoskeletal, cardiorespiratory and orthopedic, seems justified in people with PE.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Pectus excavatum Funnel chest Conservative treatment Nonsurgical Rehabilitation Exercise