Respiratory Rehabilitation

  • André Luiz Nunes Gobatto
  • Leonardo Pamponet Simões
  • Bruno Prata Martinez


Patients with traumatic brain injury (TBI) may present several respiratory complications during the acute and subacute phases. These complications may become chronic, depending on the extent of the injury. The objective of this chapter is to describe the respiratory rehabilitation in the patient with TBI in the hospital environment. Among the physiotherapeutic interventions performed in patients on mechanical ventilation (MV) are bronchial hygiene therapy, spontaneous breathing test, inspiratory muscle training, alveolar recruitment, and early mobilization. After withdrawal from MV, some respiratory alterations justify the need for specific physiotherapeutic interventions such as pulmonary expansion therapy and bronchial hygiene maneuvers, respiratory muscle training, and mobilization. These interventions for respiratory rehabilitation may have a positive impact on the outcomes of patients with TBI admitted to the intensive care unit. However, it is essential that these interventions are indicated in a timely manner.


Rehabilitation Respiratory therapy Traumatic brain injury 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • André Luiz Nunes Gobatto
    • 1
    • 2
    • 3
  • Leonardo Pamponet Simões
    • 4
    • 5
  • Bruno Prata Martinez
    • 6
    • 7
  1. 1.Internal MedicineHospital São RafaelSalvadorBrazil
  2. 2.Intensive Care UnitHospital da CidadeSalvadorBrazil
  3. 3.Internal Medicine DepartmentSalvador UniversitySalvadorBrazil
  4. 4.Intermediate Care Unit of Aliance HospitalSalvadorBrazil
  5. 5.Physiotherapy Service of Woman HospitalSalvadorBrazil
  6. 6.Physiotherapy DepartmentFederal University of Bahia (UFBA)SalvadorBrazil
  7. 7.Bahia State University (UNEB)SalvadorBrazil

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