Infant’s Sigh Breathing Matters—The Role of the Hering-Breuer Deflation Reflex in Bronchial Decongestion  

作　　者：Karine Truflandier Kevin Albert Jean-Jacques Moraine Karine Truflandier;Kevin Albert;Jean-Jacques Moraine(Department of Cardio-Pulmonary Physiotherapy, Hpital de La Tour, Meyrin, Switzerland;Paediatric Intensive Care Unit, Centre Hospitalier Universitaire Sainte-Justine, Montral, Canada;Laboratoire des Sciences de la Motricit, Universit Libre de Bruxelles, Brussel, Belgium)

机构地区：[1]Department of Cardio-Pulmonary Physiotherapy, Hpital de La Tour, Meyrin, Switzerland [2]Paediatric Intensive Care Unit, Centre Hospitalier Universitaire Sainte-Justine, Montral, Canada [3]Laboratoire des Sciences de la Motricit, Universit Libre de Bruxelles, Brussel, Belgium

出　　处：《Open Journal of Therapy and Rehabilitation》2024年第3期197-212,共16页康复医学（英文）

摘　　要：Background: The prolonged slow expiratory (PSE) technique can induce sigh breaths related to the Hering-Breuer reflex in children.PSE is a specific chest physiotherapy technique often used in children to help with the clearance of secretions, reduce pulmonary obstruction and decrease ventilatory effort. Purpose: The main objective of this review was to synthesize and clarify the existing knowledge of the physiological mechanism behind the Hering-Breuer reflex and its utility in the PSE technique. The secondary objective was to provide an overview of PSE which is probably the main mechanical feature for mucus clearance in infants and to identify gaps and any further research required. Method: A comprehensive literature search was performed using PubMed/MEDLINE and Ovid EMBASE, from 1968 to January 2024, using search terms relating to “Interaction of Hering-Breuer reflex and chest physiotherapy therapy, sigh breath in infants and prolonged slow expiration technique” to create an overview of the advances and gaps in current knowledge of PSE. Result: The data obtained following treatment with PSE maneuvers in infants with histories of recurrent wheezing shows that the presence of sighs could be the main active principle of treatment. Conclusion: Changes in volume induced by PSE technique and, effects from crying may stimulate the Hering-Breuer deflation reflex and sighs in turn improving alveolar ventilation as well as lung volume in infants.Background: The prolonged slow expiratory (PSE) technique can induce sigh breaths related to the Hering-Breuer reflex in children.PSE is a specific chest physiotherapy technique often used in children to help with the clearance of secretions, reduce pulmonary obstruction and decrease ventilatory effort. Purpose: The main objective of this review was to synthesize and clarify the existing knowledge of the physiological mechanism behind the Hering-Breuer reflex and its utility in the PSE technique. The secondary objective was to provide an overview of PSE which is probably the main mechanical feature for mucus clearance in infants and to identify gaps and any further research required. Method: A comprehensive literature search was performed using PubMed/MEDLINE and Ovid EMBASE, from 1968 to January 2024, using search terms relating to “Interaction of Hering-Breuer reflex and chest physiotherapy therapy, sigh breath in infants and prolonged slow expiration technique” to create an overview of the advances and gaps in current knowledge of PSE. Result: The data obtained following treatment with PSE maneuvers in infants with histories of recurrent wheezing shows that the presence of sighs could be the main active principle of treatment. Conclusion: Changes in volume induced by PSE technique and, effects from crying may stimulate the Hering-Breuer deflation reflex and sighs in turn improving alveolar ventilation as well as lung volume in infants.

关 键 词：Hering-Breuer (HB) Reflex Sigh Breath INFANTS Prolonged Slow Expiration Technique Large Volume Chest Physiotherapy 

分 类 号：R57[医药卫生—消化系统]