Interest of lung ultrasound in physiotherapy management of hospitalized patients with acute respiratory disorders.

Details

Supervisors

Poncin, William

Faculty

Faculté des sciences de la motricité

Degree label

Master [120] en sciences de la motricité, orientation générale, à finalité approfondie

Abstract

enIntroduction: Acute lower respiratory infections and other acute respiratory disorders are common causes of hospitalization and are associated with significant morbidity and mortality. Chest X-ray remains widely and routinely used in clinical practice, has limited sensitivity and specificity. Lung ultrasound has emerged as a rapid, non-invasive, bedside imaging tool with high diagnostic accuracy in acute respiratory disorders. However, its use in respiratory physiotherapy remains insufficiently explored. Methods: A prospective observational study was conducted in hospitalized patients presenting with acute respiratory disorders. Agreement between chest X-ray and lung ultrasound findings, as well as changes in physiotherapy management following lung ultrasound assessment, were analyzed. Results: Thirty-six patients were included. Disagreement between chest X-ray and lung ultrasound findings was observed in 55.6% of cases (n = 20). Physiotherapy management was modified in 52.8% of cases (n = 19) following lung ultrasound assessment. Discussion and Conclusion: This study suggests that physiotherapist-performed lung ultrasound can influence physiotherapy clinical decision-making in hospitalized patients with acute respiratory disorders. Lung ultrasound represent a useful adjunct to conventional physiotherapy assessment in acute respiratory care. Further multicenter studies are needed to confirm these findings and evaluate the impact of lung ultrasound-guided physiotherapy on patient outcomes.