Respiratory physiotherapy interventions in children with recurrent viral infections: A literature review

Authors

DOI:

https://doi.org/10.62827/fb.v26i6.1126

Keywords:

Bronchiolitis; Respiratory Therapy; Physical Therapy Services.

Abstract

Introduction: Recurrent viral respiratory infections in children are associated with significant clinical and functional impairments, including airway obstruction, reduced pulmonary function, increased risk of hospitalization, and overall decreased quality of life. These conditions demand specific respiratory physiotherapy interventions aimed at improving airway clearance, pulmonary mechanics, and symptom control. Objective: This review aimed to synthesize the available evidence on respiratory physiotherapy interventions for children with recurrent viral infections, identify the main techniques employed, analyze reported clinical and physiological outcomes, and discuss aspects of clinical applicability and research gaps to guide future studies and practice. Methods: This descriptive and analytical literature review was developed based on national and international publications found in the Virtual Health Library (VHL), the Latin American and Caribbean Health Sciences Literature (LILACS), PubMed – U.S. National Library of Medicine (PubMed), and Scopus databases. Eleven studies published between 2010 and 2025 were included, focusing on respiratory physiotherapy techniques, clinical outcomes, and applicability in pediatric populations with recurrent viral respiratory infections. Results: The studies showed that interventions such as airway clearance techniques, breathing exercises, postural drainage, chest physiotherapy, and caregiver-assisted maneuvers significantly improved respiratory outcomes. These techniques were associated with reduced symptom severity, shorter duration of acute episodes, enhanced pulmonary function, and better overall clinical stability. Multidisciplinary management, individualized protocols, early intervention, and adherence monitoring were crucial factors for achieving optimal results and long-term benefits. Conclusion: Respiratory physiotherapy is essential in managing recurrent viral infections in children. Tailored and evidence-based interventions improve airway clearance, pulmonary function, symptom control, and overall quality of life. Integration of precise assessment, structured therapeutic resources, and continuous monitoring reinforces the importance of respiratory physiotherapy as a core component of pediatric care for recurrent viral respiratory infections.

Author Biographies

  • Marcele Zago Marcolan, UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Julia Torres Rocha , UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Anna Flavia Vieira Pinto, UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Camila Pereira Morbelli , UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Maria Vitória Guerini Novaes , UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Isadora Schwartz Meireles , UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Virginia Modenesi, UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

  • Júlia Moreno Castro de Oliveira, UVV

    Graduada em Medicina na Universidade Vila Velha (UVV), Vila Velha, ES, Brasil 

References

González-Bellido V, López-Herce J, García-Gimeno M, Cabañas F, Sánchez-Sánchez E, Ruiz J, et al.Effectiveness of airway clearance techniques versus control in non-hospitalized infants with moderate acute viral bronchiolitis: randomized clinical study (full text). PMC [Internet]. 2025 [cited 2025 Dec 04]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12374053/

Esteban-Gavilán CB, Muñoz-Bermejo L, Pérez-Ramos J, Alegre-Echevarría D, González-Rico C, Ramírez-Cortés M, et al. Respiratory physiotherapy interventions in paediatric patients with atelectasis: systematic review. Children (Basel) [Internet]. 2024 [cited 2025 Dec 04];11(11):1364. Available from: https://www.mdpi.com/2227-9067/11/11/1364

González-Bellido V, Martínez García FJ, Gómez Salazar A, Hernández Cruz R.Effects and safety of hypertonic saline combined with airway clearance in nonhospitalized children with recurrent wheezing: pilot randomized study. [Internet]. 2023 [cited 2025 Dec 04]. Available from: https://repositorio.pucrs.br/dspace/bitstream/10923/25324/2/Effects_and_safety_of_hypertonic_saline_combined_with_airway_clearance_in_nonhospitalized_children_with_recurrent.pdf

Marforio SA, García Pérez M, Silva Torres A, López Hernández B, Rossi F, Conte P, et al. Frequent body position changes and physical activity as physiotherapy for infants with bronchiolitis: randomized clinical trial — results. MRM Journal [Internet]. 2023 [cited 2025 Dec 04]. Available from: https://mrmjournal.org/index.php/mrm/article/view/885

Andersson-Marforio S, Nilsson M, Eriksson S, Olsson J, Karlsson M, Johansson E, et al. The effect of physiotherapy including frequent changes of body position and stimulation of physical activity compared to standard care for infants with bronchiolitis: randomized clinical trial (protocol). Trials [Internet]. 2020 [cited 2025 Dec 04]. Available from: https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04681-9

Morrow BM, Argent AC. Airway clearance therapy in acute paediatric respiratory illness. Paediatr Respir Rev [Internet]. 2019 [cited 2025 Dec 04]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6620562/

Gomes GR, Silva RC, Lima JV, Santos AM, Oliveira LM, Barros CD, et al. Effects of the use of respiratory physiotherapy in children admitted with acute viral bronchiolitis: literature review. Respir Med [Internet]. 2018 [cited 2025 Dec 04]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0929693X18301404

Roqué-Figuls M, Giné-Garriga M, Granados-Rugeles C, Perrotta C. Chest physiotherapy for acute bronchiolitis in paediatric patients. Cochrane Database Syst Rev [Internet]. 2016 [cited 2025 Dec 04]. Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004873.pub6/full

Jacinto CP, Silva RJ, Oliveira AP, Matos SB, Pereira JF. Physical therapy for airway clearance improves cardiac autonomic modulation in children with acute bronchiolitis. Braz J Phys Ther [Internet]. 2013 [cited 2025 Dec 04]. Available from: https://www.scielo.br/j/rbfis/a/9TPGVJ3bB7MTsjnynxRLCsh/?lang=en

Lukrafka JL, Souza CR, Oliveira IC, Santos MG, Ferreira LP, Dias RF, et al. Chest physical therapy in paediatric patients hospitalised with community-acquired pneumonia: randomized clinical trial. J Pediatr (Rio J) [Internet]. 2012 [cited 2025 Dec 04]. Available from: https://pubmed.ncbi.nlm.nih.gov/23000693/

Gajdos V, Katsahian S, Beydon N, Abadie V, de Pontual L, Larraç S, et al. Effectiveness of chest physiotherapy in infants hospitalized with acute bronchiolitis: a multicenter, randomized, controlled trial. PLoS Med [Internet]. 2010 [cited 2025 Dec 04];7(9):e1000345. Available from: https://journals.plos.org/plosmedicine/article/file?id=10.1371%2Fjournal.pmed.1000345&type=printable

Published

2025-12-30

How to Cite

Respiratory physiotherapy interventions in children with recurrent viral infections: A literature review. (2025). Fisioterapia Brasil, 26(6), 2924-2934. https://doi.org/10.62827/fb.v26i6.1126

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