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Introduction: The new corona virus (2019-nCoV OR HCOV-19 or CoV2), has emerged in China as the main cause of viral pneumonia (COVID-19, Coronavirus Disease-19). Objective: To provide evidence-based Physiotherapy and functionality in patients with adult and pediatric COVID-19. Methods: This is an integrative literature review using the MedLine / PubMed databases, library of Latin American and Caribbean Literature in Health Sciences (LILACS) and Physiotherapy Evidence Database (PEDRo). Results: Part of the patients with covid 19 show signs of respiratory deficiency with hypoxemia, with low severity in children. Impaired functionality is also expected. Conclusion: COVID-19 causes low pulmonary compliance and important changes in lung function with hypoxemia and cardiovascular repercussions. These changes lead to the need for Physiotherapy and the management of oxygen therapy and ventilatory support (invasive and non-invasive) for these patients.

Introduction: Evidence-Based Practice (EBP) refers to the set of attitudes from which one can know and apply the best evidence, understand patients' preferences and use clinical experience to optimize care, as well as facilitate decision making by health teams. to prole physical therapy professionals as to their unde Objectives: rstanding and application of EBP in their clinical routines. Methods: this is a survey study involving 146 physiotherapists of both genders, from all Brazilian regions. The professionals were contacted exclusively by e-mail, through their respective regional professional councils, in order to receive the electronic questionnaires, prepared for this purpose using the Google Forms platform. The questionnaires were available for 90 days, after which they were no longer accepted. Results: 74.6% of the sample was female; there was almost unanimous agreement that EBP is necessary in clinical practice. Approximately 95% agreed that EBP can be applied even in high demand settings and 84.4% said they were able to insert the guidelines of practice guides into their clinical routines. However, it is noteworthy that 98.6% said they lacked the ability to search relevant scientic literature and the main reasons for not performing EBP were: lack of time, lack of ability to search relevant scientic literature and lack of ndings on a given patient population. the authors conclude that Brazilian physical therapists recognize the im Conclusion: portance of EBP as a guide for clinical decision making and that they use it in their professional routines, however, they need adequate orientation on efcient scientic searches in order to promote treatment excellence through reliable scientic materials.

Introduction: Physiotherapy through evidence-based practice (EBP) can enrich information about the history of the disease, conduct the examination, aid in therapeutic diagnosis, and guide appropriate intervention. Objectives: To describe the attitudes, knowledge and behaviors of students of the physiotherapy course regarding EBP, as well as the main barriers found for its full implementation. Methods: This is a survey study, carried out among students from the 7th semester of the physiotherapy course from all Brazilian macro-regions and duly enrolled in invited Higher Education Institutions (HEIs). Results: About 97% agreed that EBP is important in clinical practice, 31.94% said they did not receive formal training in EBP or received it partially during undergraduate studies, 87.5% said they have the ability for quality clinical research and 69.44% admitted to being able to incorporate practical guides to their learning and/or care. Among the main barriers pointed out for not performing EBP are insufficient time for scientific research, lack of information and lack of articles on the general population to which the patient belongs. Conclusion: The students considered the EBP an important tool in higher level learning and most of them both seek and apply knowledge present in relevant clinical research in their learning and/or care, although a considerable percentage never received formal training or read few articles per month. Among the barriers pointed to the achievement of EBP, the lack of skill for relevant scientific research and the lack of findings in the scientific literature for a certain population of patients, are factors that can be fully assisted by the higher education institution, thus culminating in the formation of a full professional and capable of providing a treatment of excellence.

Introduction: Although manual hyperinflation (MHI) is a physical therapy technique commonly used in intensive care and emergency units, there is little consensus about its use. Objective: To investigate the knowledge of physical therapists working in intensive care and emergency units about manual hyperinflation. Methods: Data were collected through self-administered questionnaires on manual hyperinflation. Data collection took place between September 2014 and January 2015, in Itabuna and Ilhéus, Bahia, Brazil. Results: The study sample was composed of 32 physical therapists who had between 4 months and 10 years working experience. All respondents affirmed that they used the technique in their professional practice. However, only 34.4% reported it to be a routine practice. 90.6% stated that the most common patient position during manual hyperinflation is “supine”. Participants were almost unanimous (93.8%) in citing secretion removal and cough stimulation as perceived benefits of MHI. High peak airway pressure was identified as being a precaution to treatment with MHI by 84.4% of participants, whilst 100% of the sample agreed that an undrained pneumothorax was a contraindication to MHI. Conclusion: The most common answers to the questionnaire were: supine position during MHI; secretion removal and cough stimulation as perceived benefits; high peak airway pressure as a precaution; and an undrained pneumothorax as a contraindication. Resumo Introdução: a hiperinsuflação manual é uma técnica fisioterapêutica comumente empregada no ambiente de terapia intensiva e emergência, no entanto há pouco consenso sobre sua utilização. Objetivo: investigar o nível de conhecimento dos fisioterapeutas atuantes em unidades de terapia intensiva e setores emergências acerca da manobra de hiperinsuflação manual. Métodos: Foram entregues questionários acerca do conhecimento sobre hiperinsuflação manual para os fisioterapeutas atuantes em terapia intensiva e/ou setor de emergência em hospitais nos municípios de Itabuna e Ilhéus - Bahia. A coleta ocorreu entre setembro de 2014 e janeiro de 2015. Resultados: participaram 32 fisioterapeutas, cujo tempo de atuação profissional variaram entre 4 meses e 10 anos. Todos os entrevistados afirmaram que técnica é utilizada em sua prática profissional, no entanto, apenas 34,4% afirmaram que seu emprego é uma atividade de rotina no seu cotidiano laboral, 90,6% afirmaram que a posição mais comum dos pacientes durante a realização da técnica é a posição supina. Quantos aos benefícios percebidos , a remoção de secreção e o estímulo à tosse foram quase unânimes (93,8%), a precaução mais frequente foi o alto pico de pressão inspiratória (84,4%) e a contra-indicação relatada por 100% da amostra foi o pneumotórax não drenado. Conclusão: posição supina durante a técnica, percepção do estímulo de tosse e remoção de secreção, o entendimento do alto pico de pressão inspiratória como precaução e pneumotórax não drenado como contra-indicação foram as respostas mais uniformes dentre os entrevistados.

Introduction: Diabetes mellitus is a condition whose main characteristic is excessive blood glucose and, if not controlled, can cause chronic systemic complications such as, nephropathy, pulmonary dysfunction, retinopathy and vascular disorders, among others. Lung complications in diabetics, due to chronic hyperglycemia, have been studied more recently. Objective: This study aims to conduct a literature review on changes in lung function in diabetes mellitus, through an integrative bibliographical review. Method: Bibliographic survey, through an integrative literature review, to establish a correlation between glycemic control and lung function in diabetic subjects. The integrative review was made by searching the Medline international databases for review of manuscripts. Selection of these databases was based on the wide range of journals covered by each of them and our goal was to provide an overview of the scientific production devoted to the topic over the timeframe of analysis. The following inclusion criteria were considered during the review: use of the keywords “lung” OR “pneumopathy” OR “lung disease” MeSH “diabetes mellitus” entered into the search form, and availability of an abstract in English. Results: A total 12 scientific productions were selected by contain information about the pulmonary function alterations in diabetes. Conclusion: The main pulmonary function abnormalities found in diabetics are: lung volume reduction; lung elasticity reduced; capillary blood volume reduction; thickening of the capillary basement membrane; decrease in muscle strength; and paresis or bilateral diaphragmatic paralysis due to phrenic neuropathy.