Quelle utilisation du relaxateur de pression chez la personne polyhandicapée ?

Abstract

Literature about the use of intermittent positive pressure breathing is scarce, mainly old and with a low evidence level. There is no specific study about the use of this therapy in severe cerebral palsy. This literature review doesn’t allow clear-cut conclusions but let us think that, in severe cerebral palsy, the use of Intermittent Positive Pressure Breathing at suitable pressure levels could improve and maintain over time lung compliance. It could also mobilize the patient's rib cage, ventilating poorly ventilated lung areas and even removing atelectasis caused by spinal deformities in particular. This therapy could also facilitate bronchial drainage by increasing the volume of air mobilized when using chest physiotherapy techniques. Expert's reports and clinical practice also point in this direction.