Thesis (MScPhysio (Physiotherapy))--University of Stellenbosch, 2007. / AIM: The aim of this study was threefold. Firstly to determine the effect of passive thoracic
flexion-rotation (PTFR) movement on the total static compliance of the respiratory system,
tidal volume, respiratory rate and plateau pressure. Secondly, to identify the interventions
used by physiotherapists to influence compliance and thirdly to compare the effects of
these interventions. DESIGN: A one group, pre-test-post-test physiological study and a
systematic review of the literature were performed. METHOD: A randomised sample
consisting of 18 intubated and ventilated subjects of varying periods of ventilation and
various conditions was obtained. The interventions used included tactile stimulation and
PTFR movements. Subjects acted as their own controls. Objective variables namely tidal
volume, respiratory rate and plateau pressure were recorded by a research assistant.
These measurements were taken immediately following the intervention and repeated
again three times in an interval of 20 minutes after the movement was discontinued. Total
static compliance of the respiratory system was calculated as tidal volume divided by the
difference between plateau pressure and positive end-expiratory pressure. The search
strategy for the systematic review included the searching of five databases, a secondary
search (pearling) and a hand search. Two independent reviewers agreed on the inclusion
of articles and their methodological quality. A critical review form (Law et al 1998) was
used for scoring methodological quality and a hierarchy of evidence for allocating the level
of evidence of each study. Inclusion criteria were experimental studies, written in English
and published after January 1995. Participants were intubated, ventilated humans, over
the age of 18.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/2104 |
| Date | 03 1900 |
| Creators | Bergh, Alison |
| Contributors | Hanekom, S. D., Bester, M. M., University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Physiotherapy. |
| Publisher | Stellenbosch : University of Stellenbosch |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 3534980 bytes, application/pdf |
| Rights | University of Stellenbosch |
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