{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T02:06:50Z","timestamp":1773281210724,"version":"3.50.1"},"reference-count":59,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,11,5]],"date-time":"2015-11-05T00:00:00Z","timestamp":1446681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007404","name":"Clinical Trial Center, China Medical University Hospital","doi-asserted-by":"publisher","award":["NCT02053870"],"award-info":[{"award-number":["NCT02053870"]}],"id":[{"id":"10.13039\/100007404","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The role of respiratory physiotherapy (RP) in lower respiratory tract infections (LRTI) has been questioned. However, studies have focused on hospitalised patients, and the presence\/absence of an underlying disease has been neglected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the effects of a RP session in community patients with LRTI and to explore the differences between patients with pneumonia (restrictive disease \u2013 AR) and those with exacerbations of an obstructive disease (AO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pre\/post\u2010test study was conducted. A RP session was applied to patients with LRTI and crackles, wheezes, dyspnoea, perception of sputum and oxygen saturation were collected pre\/post session. Comparisons were performed using paired <jats:italic>t<\/jats:italic>\u2010tests or Wilcoxon tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty patients (14 males, 55.23\u2009\u00b1\u200917.78 years) with pneumonia (AR, <jats:italic>n<\/jats:italic>\u2009=\u200912), exacerbations of chronic obstructive pulmonary disease, acute bronchitis and asthma (AO, <jats:italic>n<\/jats:italic>\u2009=\u200918) were enrolled. After treatment, the total sample presented lower wheeze rates at trachea (<jats:italic>P<\/jats:italic>\u2009=\u20090.02; <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.54) and less sputum (<jats:italic>P<\/jats:italic>\u2009=\u20090.01; <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.47). AR patients presented a decrease in the number of crackles (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05; 0.30\u2009&lt;\u2009<jats:italic>d<\/jats:italic><jats:sub>z<\/jats:sub>\u2009&lt;\u20090.26) and number and rate of wheezes at chest locations (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05; \u22120.56\u2009&lt;\u2009<jats:italic>r<\/jats:italic>\u2009&lt;\u2009\u22120.48). AO patients showed an increase in the number of crackles (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05; 0.20 &lt;<jats:italic>d<\/jats:italic><jats:sub>z<\/jats:sub> &lt;0.31), wheeze frequency (<jats:italic>P<\/jats:italic>\u2009=\u20090.03; <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.27) and dyspnoea (<jats:italic>P<\/jats:italic>\u2009=\u20090.04; <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.55); and a decrease in the number of wheezes at trachea (<jats:italic>P<\/jats:italic>\u2009=\u20090.02; <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.54).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RP seems effective in reducing wheezes and perception of sputum in patients with LRTI. However, when considering AR and AO diseases separately, further changes in respiratory sounds and dyspnoea emerged. This highlights the importance of considering subgroups of patients with LRTI to develop RP evidence\u2010base practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.12402","type":"journal-article","created":{"date-parts":[[2015,10,16]],"date-time":"2015-10-16T08:50:06Z","timestamp":1444985406000},"page":"703-712","source":"Crossref","is-referenced-by-count":11,"title":["Effects of a respiratory physiotherapy session in patients with LRTI: a pre\/post\u2010test study"],"prefix":"10.1111","volume":"11","author":[{"given":"Ana","family":"Oliveira","sequence":"first","affiliation":[{"name":"Lab 3R \u2013 Respiratory Research and Rehabilitation Laboratory, School of Health Sciences University of Aveiro (ESSUA) Aveiro Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e1tia","family":"Pinho","sequence":"additional","affiliation":[{"name":"Lab 3R \u2013 Respiratory Research and Rehabilitation Laboratory, School of Health Sciences University of Aveiro (ESSUA) Aveiro Portugal"},{"name":"IT \u2013 Aveiro, Instituto de Telecomunica\u00e7\u00f5es, University of Aveiro Aveiro Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alda","family":"Marques","sequence":"additional","affiliation":[{"name":"Lab 3R \u2013 Respiratory Research and Rehabilitation Laboratory, School of Health Sciences University of Aveiro (ESSUA) Aveiro Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS), School of Health Sciences, University of Aveiro Aveiro Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,5]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"The Global Burden of Disease \u2010 2004 Update","author":"World Health Organization.","year":"2008"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4104\/pcrj.2011.00034"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03672.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00102105"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2005.11.028"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2007.06.007"},{"key":"e_1_2_8_8_1","first-page":"CD006338","article-title":"Chest physiotherapy for pneumonia in adults","volume":"2","author":"Yang M","year":"2013","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2014.08.018"},{"key":"e_1_2_8_10_1","first-page":"Cd005305","article-title":"Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease","volume":"10","author":"Puhan MA","year":"2011","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2009.06.008"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1183\/1025448x.10003013"},{"key":"e_1_2_8_13_1","unstructured":"The Global Initiative for Chronic Obstructive Lung Disease.Global Strategy for Diagnosis Management and Prevention of Chronic Obstructive Pulmonary Disease \u2010 2015 Update. 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