Assessment of the Effects of Manual Chest Compression Technique on Atelectasis in Infants: A Randomized Clinical Trial


Objectives: To evaluate the effect of manual chest compression (MCC) in the variables of oxygenation, hemodynamic and respiratory effeteness in infants suffering from respiratory diseases with atelectasis. Methods: Controlled clinical trial, in which 38 infants were evaluated,19 ineach study group (group A: atelectasis and group B: control). Data were measured before, immediately after and 10 minutes after the end of the technique’s application. Results: The average age was of 5.05 months. There was an increase of RR in group A immediately after the application of the technique and signs of respiratory distress with a decrease in the oxygen saturation. Conclusion: There was a reduction in SpO2, an increase of RR and a worsening of clinical signs of respiratory distress. Given this, one may consider that there is a controversy about the benefits, mechanism of action, physiological and therapeutic effects of MCC when applied to infants.

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Diniz, N. , Gomes, E. , Moran, C. , Pereira, S. , Andrade Martins, L. and Carnevalli Pereira, L. (2014) Assessment of the Effects of Manual Chest Compression Technique on Atelectasis in Infants: A Randomized Clinical Trial. International Journal of Clinical Medicine, 5, 507-513. doi: 10.4236/ijcm.2014.59070.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Anonymous (1985) Acute Respiratory Infections in Under-Fives: 15 Millions Death a Year. The Lancet, 28, 699-701.
[2] Postiaux, G. (2004) Fisioterapia Respiratória Pediátrica. O tratamento guiado pela ausculta pulmonar. Artmed, Porto Alegre.
[3] Gomes, E.L.F.D., Postiaux, G., Medeiros, D.R.L., Monteiro, K.K.D.S., Sampaio, L.M.M., Costa, D. (2012) Chest Physical Therapy Is Effective in Reduce Clinical Score in Bronchiolitis: Randomized Controlled Trial. Brazilian Journal of Physical Therapy, 16, 241-247.
[4] Paludo, C., Zhang, L., Lincho, C.S., Lemos, D.V., Real, G.G. and Bergamin, J.A. (2008) Chest Physical Therapy for Children Hospitalised with Acute Pneumonia: A Randomised Controlled Trial. Thorax, 63, 791-794.
[5] Johnston, C. and Carvalho, W.B. (2008) Atelectasia em pediatria: macanismos, diagnóstico e tratamento. Revista da Associaèão Médica Brasileira, 54, 455-460.
[6] Perrota, C., Ortiz, Z. and Roque, M. (2005) Chest Physiotherapy for Acute Bronchiolitis in Paediatric Patients between 0 and 24 Months Old. Cochrane Database of Systematic Reviews, 2, CD004873.
[7] Sixel, B.S., Lemes, D.A., Pereira, K.A. and Guimarães, F.S. (2007) Compressão manual torácica em pacientes com insuficiência respiratória aguda. Fisioterapia Brasil, 8, 103-106.
[8] Lima J.G.M., Reis, L.F.F., Moura, F.M., Souza, C.P.V., Walchan, E.M. and Bergmann, A. (2008) Compressão manual torácica em um modelo experimental de atelectasia em ratos Wistar. Revista Fisioterapia em Movimento, 21, 77-82.
[9] Della Via, F., Oliveira, R.A.R.A. and Dragosavak, D. (2012) Effects of Manual Chest Compression and Descompression Maneuver on Lung Volumes, Capnography and Pulse Oxymeter in Patients Receiving Mechanical Ventilation. Brazilian Journal of Physical Therapy, 16, 354-359.
[10] Herri, S. (2007) Technique Insufflatoire de Levée d’Atélectasie (TILA) en réanimation néonatale. Kinésithérapie, la Revue, 65, 30-34.
[11] Postiaux, G., Ladha, K. and Lens, E. (1995) Proposition d’une kinésithérapie respiratoire confortée par l’équation de Rohrer. Application au nourrisson broncho-obstructif. Annales de Kinésithérapie, 22, 343-354.
[12] Sharp, J.T., Druz, W.S., Balagot, R.C., Baudelin, V.R., Danon, J. (1970) Total Respiratory Compliance in Infants and Children. Journal of Applied Physiology, 29, 775-779.
[13] Gerhardt, T. and Bancalari, E. (1980) Chest Wall Compliance in Full-Term and Premature Infants. Acta Paediatrica Scandinavica, 69, 359-364.
[14] Rabbette, P.S. and Stocks, J. (1998) Influence of Volume Dependency and Timing of Airway Occlusions of the Hering-Breuer Reflex in Infants. Journal of Applied Physiology, 85, 2033-2039.
[15] Hassan, A., Gossage, J., Ingram, D., Lee, S., Milner, A.D. (2001) Volume of Activation of the Hering-Breuer Inflation Reflex in the Newborn Infant. Journal of Applied Physiology, 90, 763-769.
[16] Davis, G.M., Coater, A.L., Papageorgiou, A. and Bureau, M.A. (1988) Direct Measurement of Static Chest Wall Compliance in Animal and Human Neonates. Journal of Applied Physiology, 65, 1093-1098.
[17] Schechter, M.S. (2007) Airway Clearance Aplications in Infants and Children. Respiratory Care, 52, 1382-1391.
[18] Saianda, A. and Bandeira, T. (2009) Estudo funcional respiratório do lactente—Estado da arte e aplicabilidade clínica. Acta Pediátrica Portuguesa, 40, 168-167.

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