Respiratory physiotherapy strategies and ventilatory support in amyotrophic lateral sclerosis: an integrated home care approach
Respiratory physiotherapy strategies and ventilatory support in amyotrophic lateral sclerosis: an integrated home care approach
DOI:
https://doi.org/10.51473/rcmos.v1i3.2021.1802Keywords:
Amyotrophic Lateral Sclerosis. Respiratory Physiotherapy. Non-Invasive Ventilation. Bronchial Hygiene. Home Care.Abstract
This scientific article analyzes, with critical depth and technical breadth, the effectiveness and intervention protocols of respiratory physiotherapy in the home management of patients with Amyotrophic Lateral Sclerosis (ALS). Through a systematic literature review and analysis of current evidence-based clinical practices, it investigates the complex pathophysiology of respiratory failure in motor neuron disease, as well as therapeutic strategies to prolong survival and maximize quality of life. The study addresses in detail bronchial hygiene techniques, such as Air Stacking and manually assisted coughing, in addition to discussing the gasometric and spirometric criteria for the introduction and management of Non-Invasive Ventilation (NIV). The research highlights the crucial importance of high-complexity home care in maintaining clinical stability, emphasizing the educational role of the physiotherapist in the technical training of caregivers and in the prevention of recurrent hospitalizations due to infectious pulmonary complications.
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Copyright (c) 2021 Vitor Silva Xavier Ferreira (Autor)
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