Year: 2024 | Month: January | Volume: 14 | Issue: 1 | Pages: 51-64
DOI: https://doi.org/10.52403/ijhsr.20240108
Role of Proprioceptive Neuromuscular Facilitation Techniques of Respiration in Mechanically Ventilated Patients – A Systematic Review of Clinical Evidence
Dr. Dinkey Mankad, PT1, Dr. Shreya Trivedi, PT2, Dr. Janvi P Bhatt, PT3
1,3PG scholar, Cardio-respiratory & Intensive Care, KSPR, KPGU, Vadodara
2MPT, Cardiovascular and Respiratory physiotherapy Assistant Professor, KSPR, KPGU, Vadodara
Corresponding Author: Dr. Dinkey Mankad, PT
ABSTRACT
BACKGROUND: The Intensive Care Unit (ICU) is a specialised unit reserved for patients with life-threatening illnesses, injuries, or complications. Mechanical ventilation is a useful modality for patients who are unable to sustain the level of ventilation necessary to maintain the gas exchange functions. it is imperative to promote routine chest physical therapy in order to improve pulmonary and hemodynamic parameters. Neurophysiological facilitation of respiration is the terminology used to describe externally applied proprioceptive and tactile stimuli that produce reflex respiratory movement responses and that appear to alter the rate and depth of breathing.
Aim: The aim of the present systemic review is to provide comprehensive analysis of the respiratory proprioceptive neuromuscular facilitation technique in mechanically ventilated patients by focusing on the all the clinical evidence.
Method: The present systematic review was performed according to PRISMA guidelines [Preferred Reporting Items for Systematic Reviews and Meta-analyses] Two independent reviewers completed title, abstract, and full-text screening, assessing for study inclusion. Discrepancies were resolved by discussion or by a third reviewer A literature search was carried out on the PubMed, EMBASE, Scopus, PEDRO, Google Scholar and Research Gate By two independent investigators using the following keywords “chest PNF” “Respiratory PNF” “Neurophysiological facilitation of respiration” “NPF” “Chest PT” “Mechanical ventilator”. Studies meeting all inclusion and exclusion were reviewed and data were extracted.10 articles were selected for this systematic review.
Results: In the present review, data from 1281 patients were retrieved. 56.3 % are male and 48.5% are females. Mean age of included participants is 38 years with a range between 18-45. Out of 10 studies 7 were used combination of intercostals stretch and anterior basal lift technique of chest PNF, 2 studies were used vertebral pressure and abdominal co contraction and remaining 1 were used perioral pressure technique. Mean Duration of post operative rehabilitation is 3-5 days.
Conclusion: According to the analysis of the studies that are included in the above review we can determine that proprioceptive neuromuscular facilitation techniques of respiration are effective in improving hemodynamic [ Heart rate, Blood pressure] and Pulmonary [ Tidal Volume, Minute Ventilation, Lung Compliance, Respiratory rate, spo2] parameter in mechanically ventilated patients.
Key words: “chest PNF” “Respiratory PNF” “Neurophysiological facilitation of respiration” “NPF” “Chest PT” “Mechanical ventilator”.