{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T12:57:48Z","timestamp":1785589068427,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Certain physiological characteristics increase the susceptibility of newborns, particularly preterm infants, to pulmonary collapse. In addition, newborns are prone to the accumulation of airway secretions, which, even in small volumes, can compromise respiratory function. Consequently, breathing therapy plays a crucial role in promoting airway clearance and supporting effective ventilation in this population. This scoping review aimed to map the breathing therapy methods used for newborns admitted to intensive care units and also to identify the clinical outcomes assessed in the studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a scoping review of all clinical studies involving hospitalized newborns of both sexes aged 0\u201328\u00a0days who received conventional or nonconventional respiratory physiotherapy. Exclusion criteria were studies on animals, reviews, protocols, or studies that were unavailable or incomplete. Outcomes analyzed included respiratory distress, cardiorespiratory parameters, thoracoabdominal synchrony, pain, and lung volumes and capacities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The search yielded 1261 articles. Twelve studies were included for data extraction and synthesis. The main respiratory techniques studied were vibration, percussion, postural drainage, increased expiratory flow, lung squeezing (pulmonary hyperinflation using a manual resuscitator), and muscle synergy techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The included studies reported short\u2010term changes in cardiorespiratory parameters following the interventions, while no consistent evidence of increased pain was observed. However, the available evidence is heterogeneous and predominantly derived from single\u2010session interventions, highlighting the need for well\u2010designed and adequately powered studies to further evaluate the efficacy and safety of these interventions in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70304","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T12:55:20Z","timestamp":1785588920000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Respiratory Physiotherapy Techniques in Neonatal Intensive Care Units: A Scoping Review"],"prefix":"10.1002","volume":"31","author":[{"given":"Nilson Willamy Bastos de Souza","family":"J\u00fanior","sequence":"first","affiliation":[{"name":"Postgraduation Program in Rehabilitation Sciences UEL\u2010UNOPAR State University of Londrina (UEL)  Londrina Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5167-3673","authenticated-orcid":false,"given":"Ana Tereza do Nascimento Sales Figueiredo","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Para\u00edba State University (UEPB)  Campina Grande Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolinne","family":"Souza Monteiro","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Federal University of Rio Grande do Norte (UFRN)  Rio Grande do Norte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7890-7778","authenticated-orcid":false,"given":"Adynna T\u00e9vina de Castro","family":"Silva","sequence":"additional","affiliation":[{"name":"Multiprofessional Residency in Neonatal Intensive Care Federal University of Rio Grande do Norte UFRN  Rio Grande do Norte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2802-4093","authenticated-orcid":false,"given":"Adriele de Morais","family":"Nunes","sequence":"additional","affiliation":[{"name":"Postgraduatoin Program in Rehabilitation Sciences at the Federal University of Rio Grande do Norte (UFRN) Federal University of Rio Grande do Norte UFRN  Rio Grande do Norte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3270-6940","authenticated-orcid":false,"given":"Josiane Marques","family":"Felcar","sequence":"additional","affiliation":[{"name":"Postgraduation Program in Rehabilitation Sciences UEL\u2010UNOPAR State University of Londrina (UEL)  Londrina Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6226-2837","authenticated-orcid":false,"given":"Silvana","family":"Alves Pereira","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Federal University of Rio Grande do Norte (UFRN)  Rio Grande do Norte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202210\u20101971OC"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2008.12147"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2020.02.037"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1755\u20107682\u20104\u201037"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1367"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.15621\/ijphy\/2018\/v5i1\/167195"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1891\/0730\u20100832.28.5.281"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.33233\/fb.v17i1.30"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u20105918.030.004.AO14"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd006445.pub2"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11081091"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0103\u2010507x2012000200005"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12232408"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1519\u201038292013000400004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3233\/NPM\u201016915140"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.4322\/prmj.2017.019"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0103\u201005822010000200007"},{"issue":"3","key":"e_1_2_9_19_1","first-page":"216","article-title":"Respiratory Phisiotherapeutic in Pediatric and Neonatal Intensive Care Units: One Review About Evidence Based Medicine","volume":"29","author":"Nicolau C. 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