期刊论文详细信息
Multidisciplinary Respiratory Medicine
A new tuning fork with different vibration frequencies as an aid to bronchopulmonary hygiene physiotherapy
Luis Vicente Franco de Oliveira4  Alexandre Ricardo Pepe Ambrozin2  Camila Gimenes3  Claudio F Donner1  Célio Guilherme Lombardi Daibem3  Jéssica Julioti Urbano4  Nina Teixeira Fonseca4  Nadua Apostólico4  Daniel Donaire Albino5  Rodrigo Leonel dos Santos6  Maicon Gabriel Gonçalves6  Roberta Munhoz Manzano3  José Roberto de Alcântara6 
[1] Mondo Medico, Multidisciplinary and Rehabilitation Outpatient Clinic, Borgomanero, NO, Italy;Physical Therapy Course in Universidade Estadual Paulista "Julio de Mesquita Filho" (UNESP), Marília, SP, Brazil;Physical Therapy Course in FaculdadesIntegradas de Bauru, Bauru, SP, Brazil;Master’s and PhD Degree Rehabilitation Sciences Program, Universidade Nove de Julho (UNINOVE), RuaItapicuru n° 380 apto 111.Perdizes, CEP 05006-000 São Paulo, SP, Brazil;Universidade Paulista (UNIP), Bauru, SP, Brazil;Graduated in Faculdades Integradas de Bauru, Bauru, SP, Brazil
关键词: Vibration;    Respiratory therapy;    Chest wall oscillation;    Airway clearance;   
Others  :  1231207
DOI  :  10.1186/2049-6958-9-41
 received in 2014-05-30, accepted in 2014-07-07,  发布年份 2014
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【 摘 要 】

Background

The main function of the mucociliary system is the removal of particles or substances that are potentially harmful to the respiratory tract. The tuning fork therapeutic for the purpose of bronchial hygiene has still not been described in the literature. The optimal vibration frequency to mobilize secretions is widely debated and varies between 3 and 25 Hz. It is expected that a tuning fork is able to generate vibrations in the thorax, facilitating bronchial hygiene. The aim of the present study is to develop tuning forks with different frequencies, for use in bronchopulmonary hygiene therapy.

Methods

The first tuning fork was made with a fixed frequency of 25 Hz and it was recorded in the Brazilian institution of patent registration. This device generated a frequency of 25 Hz and had a weight of 521 g, with dimensions of 600 mm in total length. The device is characterized by a bottom end containing a transducer with a diameter of 62 mm and a thickness of 5/16 mm (8''), a rod removable 148 mm, fork length of 362 mm and an extension at the upper end of sinuous shape bilaterally.The tuning forks must be applied at an angle of 90° directly on the chest wall of the patient after pulmonary auscultation for location of secretions. The tuning fork is activated by squeezing the tips of the extensions together and releasing them in a sudden movement.

Results

This study shows the result of the development of others three tuning forks of different dimensions to generate different frequencies. Each equipment reaches a fixed frequency preset of 12, 15 and 20 Hz measured by digital oscilloscope.

Conclusions

The tuning fork models developed in this study generated different frequencies proposed by the scientific literature as effective in the mobilization of pulmonary secretions.

【 授权许可】

   
2014 de Alcântara et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Blanco EEA, Pinge MCM, Neto OAA, Pessoa NG: Effects of nitric oxide in mucociliary transport. Braz J Otorhinolaryngol 2009, 75(6):866-871.
  • [2]Macchione M, Guimaraes ET, Saldiva PH, Filho LG: Methods for studying respiratory mucus and mucus clearance. Braz J Med Biol Res 1995, 28(12):1347-1355.
  • [3]Trindade SH, de Mello JF Jr, Mion Ode G, Lorenzi-Filho G, Macchione M, Guimarães ET, Saldiva PH: Methods for studying mucociliary transport. Braz J Otorhinolaryngol 2007, 73(5):704-712.
  • [4]Bush A, Cole P, Hariri M, Mackay I, Phillips G, O’Callaghan C, Wilson R, Warner JO: Primary ciliary dyskinesia: diagnosis and standards of care. Eur Respir J 1998, 12:982-988.
  • [5]Olm MAK, Adde FV, Silva Filho LV, Rodrigues JC: Discinesia ciliar primária: quando o pediatra deve suspeitar e como diagnosticar? Rev Paul Pediatr 2007, 25(4):371-376.
  • [6]Haddad ER, Costa LCD, Negrini F, Sampaio LMM: A borda gens fisioterapêuticas para remoção de secreções das vias aéreas em recém-nascidos: relato de casos. Pediatr (São Paulo) 2006, 2(28):135-140.
  • [7]Jones AP, Rowe BH: Withdrawn: Bronchopulmonary hygiene physical therapy for chronic obstructive pulmonary disease and bronchiectasis. Cochrane Database Syst Rev 2011, 7:CD000045.
  • [8]Goodwin JM: Mechanical chest stimulation as a physiotherapy aid. Med EngPhys 1994, 16:267-272.
  • [9]Shannon H, Stiger R, Gregson RK, Stocks J, Main E: Effect of chest wall vibration timing on peak expiratory flow and inspiratory pressure in a mechanically ventilated lung model. Physiotherapy 2010, 96(4):344-349.
  • [10]American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis: Diagnosis and management of bronchiolitis. Pediatrics 2006, 118(4):1774-1793.
  • [11]Perrotta C, Ortiz Z, Roque M: Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev 2005, 2:CD004873.
  • [12]Pupin MK, Riccetto AGL, Ribeiro JD, Baracat ECE: Comparison of the effects that two different respiratory physical therapy techniques have on cardiorespiratory parameters in infants with acute viral bronchiolitis. J Bras Pneumol 2009, 35(9):860-867.
  • [13]Faling JL: Pulmonary rehabilitation: physical modalities. Clin Chest Med 1986, 4(7):599-617.
  • [14]Silveira ACT: Uso da oscilaçãooral de alta frequência em paziente ventilados mecanicamente, um estudo prospectivo e revisão de literatura. Cadernos Uni FOA – Ano II 2007, 4:104-110.
  • [15]Lyon, FR: Conferénce de Consensussur la Kinésithérapie Respiratoire, 1994 Déc. 2–3. KinesitherScientif 1995, 344(4):45-54.
  • [16]Alcantara JR, Santos RL, Albino DD, Manzano RM: Desenvolvimento de aparelho de diapasão como uma ferramenta auxiliarnas manobras de higiene brônquica para fisioterapeutas. Conscientiae Saúde 2012, 11(4):529-534.
  • [17]Meirelles FO, Duarte MS: Resposta ao teste do diapasão em indivíduos com fraturas diagnosticadas. 2010. Disponívelem: [ https://www.yumpu.com/pt/document/view/15350310/resposta-ao-teste-do-diapasao-em-individuosfrasce webcite]. Acesso em: 28 out
  • [18]Bickerton RC, Barr GS: The origin of tuning fork. J R Soc Med 1987, 80:771-773.
  • [19]Butlher DS: Mobilização do Sistema Nervoso. 1st edition. Barueri: Manole; 2003.
  • [20]Misurya RK: Use of tuning fork in diagnostic auscultation of fractures. Br J Accid Surg 1987, 18:63-64.
  • [21]Paker SP: Study on the influence of vibration on task execution aircraft pilots. [Masterdegreethesis]. São Paulo: EscolaPolitécnica da Universidade de São Paulo; 2008.
  • [22]Alves MF, ABC do osciloscópio: Instituto Politécnicodo Porto Departamento de Engenharia Electrotécnica. 2nd edition. 1998.
  • [23]Gomide LB, Silva CS, Matheus JPC, Torres LAGMM: Atuação da fisioterapia respiratória em paziente com fibrosecística: um arevisão da literatura. Arq Ciênc Saúde 2007, 14(4):227-233.
  • [24]Liebano RE, Hassen MAS, Mazzi HH, Racy J, Correa JB: Principais manobras cinesioterapêuticas manuais utilizadas na fisioterapia respiratória: descrição das técnicas. Rev Ciênc Méd 2009, 18(1):35-45.
  • [25]Van Hengstum M, Festen J, Beurskens C, Hankel M, van den Broek W, Corstens F: No effect of oral high frequency oscillation combined with forced expiration manoeuvres on tracheobronchial clearance in chronic bronchitis. Eur Respir J 1990, 3(1):14-18.
  • [26]NaueWda S, da Silva AC, Güntzel AM, Condessa RL, de Oliveira RP, Rios Vieira SR: Increasing pressure support does not enhance secretion clearance if applied during manual chest wall vibration in intubated patients: a randomised trial. J Physiother 2011, 57(1):21-26.
  • [27]Van Der Schans CP: Bronquial mucus transport. Respir Care 2007, 52(9):1150-1158.
  • [28]Bott J, Blumenthal S, Buxton M, Ellum S, Falconer C, Garrod R, Harvey A, Hughes T, Lincoln M, Mikelsons C, Potter C, Pryor J, Rimington L, Sinfield F, Thompson C, Vaughn P, White J, British Thoracic Society Physiotherapy Guideline Development Group: Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax 2009, 64(Suppl.1):i1-i51.
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