Cumplimiento de las recomendaciones en rehabilitación respiratoria de la British Thoracic Society en pacientes con fibrosis quística: estudio en fisioterapeutas colombianos

Diana Duran-Palomino; Olga Chapetón; Jaime Martínez-Santa; Adriana Campos-Rodríguez; Robinson Ramírez-Vélez

doi:10.17843/rpmesp.2013.302.201

Authors

Diana Duran-Palomino Programa de Especialización en Rehabilitación, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario. Bogotá D.C, Colombia. Fisioterapeuta especialista en rehabilitación cardiaca y pulmonar.
Olga Chapetón Departamento Fisioterapia, Clínica Fundación Valle del Lili. Cali, Colombia. fisioterapeuta en rehabilitación cardiopulmonar.
Jaime Martínez-Santa Programa de Especialización en Rehabilitación, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario. Bogotá D.C, Colombia. fisioterapeuta especialista en Epidemiologia.
Adriana Campos-Rodríguez Grupo GICAEDS, Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás. Bogotá, D.C, Colombia. fisioterapeuta máster en Educación.
Robinson Ramírez-Vélez Grupo GICAEDS, Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás. Bogotá, D.C, Colombia. Programa de Fisioterapia, Universidad Manuela Beltrán, Bogotá D.C, Colombia. fisioterapeuta PhD en Ciencias Biomédicas.

DOI:

https://doi.org/10.17843/rpmesp.2013.302.201

Keywords:

Respiration disorders, Rehabilitation, Cystic fibrosis, Physical therapy specialty

Abstract

The aim was to evaluate compliance with the recommendations in respiratory rehabilitation (ReR), raised by the British Thoracic Society (BTS) in patients with cystic fibrosis. A cross-sectional study was conducted in 224 Colombian physiotherapists to identify interventions and components of ReR programs as recommended by the BTS. Interventions with high level of evidence (Grade A) such as: Bronchial Hygiene Therapy (54.0%), and Active Cycle of Breathing Techniques (35.3%) were identified. However, high percentage of physiotherapists practiced interventions with lower grade of recommendation (Grade D) such as: hypertonic saline and bronchodilator to prevent bronchospasm (33.9%), and using manual therapy techniques and thoracic mobility exercises (38.4%) to correct postural and breathing problems. In conclusions we confirm important differences in therapeutic assistant components of the ReR raised by the BTS for patients with cystic fibrosis.