The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective

South African Journal of Physiotherapy

Field Value
Title The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective
Creator Human, Anri Corten, Lieselotte Morrow, Brenda M.
Subject Healthcare Sciences; Paediatrics; Physiotherapy respiratory management; neuromuscular diseases; chest physiotherapy; airway clearance techniques; children
Description Background: Respiratory morbidity is common in children with neuromuscular diseases (NMD) owing to chronic hypoventilation and impaired cough. Optimal, cost-effective respiratory management requires implementation of clinical practice guidelines and a coordinated multidisciplinary team approach.Objectives: To explore South African physiotherapists’ knowledge, perception and implementation of respiratory clinical practice guidelines for non-ventilated children with NMD.Methods: An online survey was conducted amongst members of the South African Society of Physiotherapy’s Cardiopulmonary Rehabilitation (CPRG) and Paediatric special interest groups and purposive sampling of non-member South African physiotherapists with respiratory paediatrics expertise (N= 481).Results: Most respondents worked in private healthcare, with 1–10 years’ experience treating patients with NMD. For acute and chronic management, most participants recommended nebulisation and 24-h postural management for general respiratory care. Percussions, vibrations, positioning, adapted postural drainage, breathing exercises and manually assisted cough were favoured as airway clearance techniques. In addition, participants supported non-invasive ventilation, oscillatory devices and respiratory muscle training for chronic management.Conclusion: Respondents seemed aware of internationally-endorsed NMD clinical practice guidelines and recommendations, but traditional manual airway clearance techniques were favoured. This survey provided novel insight into the knowledge, perspectives and implementation of NMD clinical practice guidelines amongst South African physiotherapists.Clinical implications: There is an urgent need to increase the abilities of South African physiotherapists who manage children with NMD, as well as the establishment of specialised centres with the relevant equipment, ventilatory support and expertise in order to provide safe, cost-effective and individualised patient care.
Publisher AOSIS
Contributor URC Equipment Grant (Western Cape) Sefako Makgatho Health Sciences University Research Development Grant South African Society of Physiotherapy (PhD grant).
Date 2021-05-07
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v77i1.1527
Source South African Journal of Physiotherapy; Vol 77, No 1 (2021); 11 pages 2410-8219 0379-6175
Language eng
Coverage South Africa — Children
Rights Copyright (c) 2021 Anri Human, Lieselotte Corten, Brenda M. Morrow