Open AccessCOVID-19 physiotherapeutic approach in pediatrics: literature review
Author(s) -
Mayna da-Silva,
Eliciane Esperidião,
Julia Calegari,
Thaís Farias de Almeida,
Patrícia Picanço,
Renata Azevedo Barbosa,
Jeanette Janaína Jaber Lucato,
Joyce Rusu
Publication year - 2021
Publication title -
residência pediátrica
Language(s) - English
Resource type - Journals
ISSN - 2236-6814
DOI - 10.25060/residpediatr-2021.v11n1-482
Subject(s) - medicine , asymptomatic , christian ministry , covid-19 , pediatrics , mechanical ventilation , physical therapy , disease , philosophy , theology , infectious disease (medical specialty)
OBJECTIVES: To present the main characteristics, diagnosis and physiotherapeutic approach of pediatric patients infected with COVID-19. METHODS: This is an integrative literature review carried out from February to June 2020 regarding the physiotherapeutic approach in children diagnosed with COVID- 19. The search was performed in the PubMed database with the keywords “coronavirus”, “pediatric”, and “physiotherapy” crossed by through the boolean “AND” operator in the past four months. Articles that addressed only the subtype COVID-19 in pediatric patients were included and duplicate articles were excluded. In addition, research was carried out on protocols/articles from the Ministry of Health and Associations. RESULTS: 273 articles were found in the PubMed database; however, 25 were included according to the selection criteria previously determined, in addition to 1 articles/association protocols that were also included. CONCLUSIONS: It was verified through this integrative review that the main characteristics of pediatric patients infected by COVID-19 are: mean age of involvement of 7 years; transmission by direct and/or indirect contact with respiratory droplets; different pathophysiology of adults due to different immune response; and mild symptoms with a good prognosis. The diagnosis is given by the clinical picture and categorized by severity: asymptomatic, mild, moderate, severe, and very serious. Among the proposed approaches, the following stand out: oxygen therapy, invasive mechanical ventilation, maintenance of the elevated headboard (30º-45º), prone position, and early mobilization.