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Master Thesis

Kinésithérapie respiratoire dans la bronchiolite : enjeux spécifiques en ambulatoire ?

Abstract : INTRODUCTION: Chest physiotherapy has not shown to improve the course of the illness among hospitalized infants with acute bronchiolitis, and is not recommended anymore as standard practice for these infants. There is few data for outpatients. This work aims to bring out the specificities of chest physiotherapy on outpatient infants with bronchiolitis. METHOD: A descriptive study was performed during winter 2013-2014 in Grenoble urban area, using a questionnaire filled by 52 physiotherapists, and a case study consisting of 74 infants from 8 physiotherapist’s offices. RESULTS: The case study showed a high number of infants younger than 3 months, and the average age of infants sent by hospital was lower than for other infants. A differential diagnosis was suspected for 42% of the population. Patients with suspected pneumonitis or asthma were redirected to the medical care they needed. Brochures on bronchiolitis were given to 30% of the parents. Surveyed physiotherapists would like to have details on infants’ clinical presentation when physicians would write the prescription. CONCLUSION: Physiotherapists have a key role in bronchiolitis outpatient treatment, especially for small infants, through therapeutic education, bronchial drainage, and most of all close surveillance which helps detect complications. Determination of differential diagnosis allows patients to receive adequate medical care for their pathology, and allows the number of physiotherapy sessions to be adapted accordingly. Reviewing the proposed documentation to be used by physicians to inform physiotherapists about clinical details, and disseminating information about airway desobstruction techniques, could improve the quality of outpatient bronchiolitis treatment.
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Master Thesis
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Submitted on : Wednesday, November 5, 2014 - 5:34:32 PM
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Rachel Moulis-Rivière. Kinésithérapie respiratoire dans la bronchiolite : enjeux spécifiques en ambulatoire ?. Médecine humaine et pathologie. 2014. ⟨dumas-01080637⟩



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