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Effect of physioteraphy intervention on cardiopulmonary condition of a child with VACTERL Association: a case study

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The VACTREL association is characterised by the presence of various congenital anomalies, and these children are more predisposed to diferente respiratory complications, including pneumonia and bronchiectasis. This case study reports on the effects of physiotherapy intervention on the cardiorespiratory condition of a child diagnosed with VACTREL association who was hospitalised with pneumonia. Data was collected over 20 days of hospitalisation, with pulmonar auscultationand vital signs being the main instruments used to assess the physiotherapy intervention. Three assessments were carried out over time, and initially there was a large amount of secretion production ad stasis in bothe the upper and lower airways, culminating in na obstructive ventilatoru deficit. Initial treatment included bronchial clearance techniques and the use of CPAP. In the second assessment, since there was a decrease in hypersection, a deficit in tolerance to exertion and a decrease in muscle strength, physical exercise was added to the intervention. After 11 intervention aimed at normalising the respiratory condition and improving the musculoskeletal condition, there was a significant reduction in auscultated adventitious noises and na improvement in vital signs. The intervention proved to be effective, as the child returned hoem with a normalised pulmonar auscultation, with stable and normal vilta parameters for his age, more dynamic and autonomous.

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VACTERL Association Pneumonia Respiratory physioteraphy Case report

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Without CC licence