More effective respiratory physiotherapy with Kaftrio

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  • Опубліковано 27 чер 2023
  • In this informative capsule we talk to Ketty Ruiz, physiotherapist of the Respiralia Group with 23 years of experience in respiratory physiotherapy. We interviewed her in her pelvic floor physiotherapy center in Palma.
    After the arrival of Kaftrio there are many questions we can ask ourselves, but one of them is whether respiratory physiotherapy is still necessary.
    Ketty tells us about the improvements that we detect from daily experience with this drug, such as the virtual absence of secretions in the middle and upper airways, the absence of coughing, etc., but she also tells us that there is no linear relationship between the improvement in quality of life and the results of spirometry. The result you see on those spirometries, while better than before, does not increase as much as you might expect after the testimony of people taking Kaftrio.
    Until the advent of Kaftrio, removing mucus was the main objective of respiratory physiotherapy. Now other aspects such as improving pulmonary edema, redistribution of air over most of the lung surface or bronchospasm of the most contracted smooth muscle fiber are emphasized.
    With the autogenous drainage technique, before the Kaftrium was taken, the upper airways were drained first, then the middle airways and hardly the peripheral airways. Now that there is no mucus in the middle and upper airways, we could think that with autogenous drainage it will be easier to reach the peripheral airways. Ketty Ruiz says that there is no scientific evidence to validate this assumption, but it is logical to think so. Spirometries show that, indeed, there are still obstructions in the peripheral airways.
    Therefore, until the scientific evidence says otherwise, the recommendation is to continue with respiratory physiotherapy.
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